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NCT Number: NCT05113875

Health System Dynamic & Resource Requirement in a South African COVID-19 Field Hospital

The aim of this study is to describe the patient clinical profile, resource requirements, and health system dynamics in a field hospital during the second wave of the Coronavirus (COVID-19) pandemic, leading to the outbreak of viral severe acute respiratory syndrome (SARS-CoV-2 virus), in South Africa. By describing the field hospital in this unique setting, the investigators hope to provide an efficient guide to similar settings across low- and middle-income countries.

This was a retrospective, single-center study. A total of 596 patients with confirmed COVID-19 were admitted to Mitchells Plain Hospital of Hope (MPHOH), Cape Town, South Africa, between January 1st and February 28th, 2021. Patient clinical characteristics, outcome, and resource allocation was collected. Daily hospital dynamics, including admissions, discharges, deaths and oxygen use was analyzed and compared to the local and national COVID-19 incidence rates.

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Key information

Conditions

Field Hospitals COVID-19 COVID-19 Pandemic Coronaviridae Infections Coronavirus Infections Global Health Health Resources Health Systems Infections Low-Income Population Lung Diseases Nidovirales Infections Pneumonia Pneumonia, Viral RNA Virus Infections Respiratory Tract Diseases Respiratory Tract Infections Virus Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital

Cape Town, Western Province, 7785, South Africa

About this study

The aim of the study is to amplify what is known about field hospitals in resource-constrained setting, so as to guide meaningfully the future COVID-19 public health response. Understanding not only the patient profile, but clinical resource requirements, and health system dynamic in a South African field hospital during the second wave of the COVID-19 pandemic can help in preparation for a future infection surge. This will shed light on the extent and timing of excess demand for intermediate care facilities for COVID-19 during peak infection periods in this region. Furthermore, lessons learnt here can guide efforts in similar settings across low-and middle-income countries.

Data was collected on all patients admitted to MPHOH between January 1st and February 28th 2021 using notes from patient folders' and an electronic hospital records systems. Patient demographics, clinical profile, resource utilization; as well as the hospital dynamics were collected. COVID-19 incidence rates were collected from the National Institute for Infectious Diseases, South Africa

A descriptive data analysis was performed to report the number, mean, median, and range of all relevant values. Hospital level data were summarized into weekly intervals, described and compared to COVID-19 incidence rates. Statistical data analysis was performed using R Statistical Computing program and Microsoft Excel.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All patients admitted to the Mitchells Plain Hospital of Hope COVID-19 field hospital between 1st January 2021 and 29th February 2021. Patients admitted to the hospital must have been: over 18years of age, diagnosed with COVID-19 via polymerase chain reaction (PCR) test, transferred from a referring facility.

Exclusion criteria

  • No patients were excluded.

Treatment and study plan

Primary outcomes

  1. Patient Demographics

    Time frame: January 1st to February 29th 2021

    Patient age (in numbers)

  2. Patient Demographics

    Time frame: January 1st to February 29th 2021

    Patient sex (male or female)

  3. Patient Clinical Condition

    Time frame: January 1st to February 29th 2021

    Patient medical comorbidities on admission (categorical)

  4. Patient Clinical Condition

    Time frame: January 1st to February 29th 2021

    If patient diabetic, type of diabetic treatment received in hospital (oral vs insulin therapy)

  5. Patient Clinical Condition

    Time frame: January 1st to February 29th 2021

    If patient diabetic, glycated haemoglobin (HBA1C) level during admission (in numbers)

  6. Patient Clinical Condition

    Time frame: January 1st to February 29th 2021

    Patient clinical complications during hospital admission (categorical)

  7. Patient Clinical Condition

    Time frame: January 1st to February 29th 2021

    If patient received antibiotic treatment during admission, name of infection treated (categorical)

  8. Patient Clinical condition

    Time frame: January 1st to February 29th 2021

    Patient ICU priority triage score on admission (in numbers)

  9. Hospital Human Resources Utilized

    Time frame: January 1st to February 29th 2021

    Number of patients who utilized palliative care services (in numbers)

  10. Hospital Human Resources Utilized

    Time frame: January 1st to February 29th 2021

    Number of patients who utilized dietician services (in numbers)

  11. Hospital Human Resources Utilized

    Time frame: January 1st to February 29th 2021

    Number of patients who utilized physiotherapy services (in numbers)

  12. Hospital Physical Resources Utilized

    Time frame: January 1st to February 29th 2021

    Number of patients requiring oxygen therapy during admission (in numbers)

  13. Hospital Physical Resources Utilized

    Time frame: January 1st to February 29th 2021

    Type of oxygen therapy utilized by each patient (Categorical: nasal prong oxygen; face mask oxygen; or high flow oxygen)

  14. Hospital Physical Resources Utilized

    Time frame: January 1st to February 29th 2021

    Duration of oxygen therapy for each patient (in days)

  15. Hospital Physical Resources Utilized

    Time frame: January 1st to February 29th 2021

    Number of patients requiring antibiotic treatment (in numbers)

  16. Hospital Physical Resources Utilized

    Time frame: January 1st to February 29th 2021

    If patient required antibiotic therapy, name of antibiotic given (categorical)

  17. Hospital Physical resources Utilized

    Time frame: January 1st to February 29th 2021

    Patient duration of hospital stay (in days)

  18. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily number of patients admitted to hospital (in numbers/day)

  19. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily number of inpatients at hospital (in numbers/day)

  20. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily number of patients discharged from hospital (in numbers/day)

  21. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily number of patient deaths (in numbers/day)

  22. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily number of patients transferred out of hospital to another medical facility (in numbers/day)

  23. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily hospital bed capacity (in numbers/day)

  24. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Daily hospital oxygen consumption (in kg/day)

  25. Health System Dynamics

    Time frame: January 1st to February 29th 2021

    Name of hospital from which each patient was referred from (categorical)

  26. Local Incidence rates of COVID-19 infections

    Time frame: December 1st 2020 to February 29th 2021

    South African National COVID-19 incidence rates per week (in numbers/week)

  27. Local Incidence rates of COVID-19 infections

    Time frame: December 1st 2020 to February 29th 2021

    Western Cape Provincial COVID-19 incidence rates per week (in numbers/week)

Sponsors and collaborators

Lead sponsor

University of Cape Town

Other

Registry information

Official study title

Health System Dynamic & Resource Requirement in a South African COVID-19 Field

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Nov 9, 2021
Registry last updated
Nov 9, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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