Health System Dynamic & Resource Requirement in a South African COVID-19 Field Hospital
1 other identifier
observational
596
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2021
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 11, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2021
CompletedFirst Submitted
Initial submission to the registry
November 3, 2021
CompletedFirst Posted
Study publicly available on registry
November 9, 2021
CompletedNovember 9, 2021
November 1, 2021
2 months
November 3, 2021
November 7, 2021
Conditions
Outcome Measures
Primary Outcomes (27)
Patient Demographics
Patient age (in numbers)
January 1st to February 29th 2021
Patient Demographics
Patient sex (male or female)
January 1st to February 29th 2021
Patient Clinical Condition
Patient medical comorbidities on admission (categorical)
January 1st to February 29th 2021
Patient Clinical Condition
If patient diabetic, type of diabetic treatment received in hospital (oral vs insulin therapy)
January 1st to February 29th 2021
Patient Clinical Condition
If patient diabetic, glycated haemoglobin (HBA1C) level during admission (in numbers)
January 1st to February 29th 2021
Patient Clinical Condition
Patient clinical complications during hospital admission (categorical)
January 1st to February 29th 2021
Patient Clinical Condition
If patient received antibiotic treatment during admission, name of infection treated (categorical)
January 1st to February 29th 2021
Patient Clinical condition
Patient ICU priority triage score on admission (in numbers)
January 1st to February 29th 2021
Hospital Human Resources Utilized
Number of patients who utilized palliative care services (in numbers)
January 1st to February 29th 2021
Hospital Human Resources Utilized
Number of patients who utilized dietician services (in numbers)
January 1st to February 29th 2021
Hospital Human Resources Utilized
Number of patients who utilized physiotherapy services (in numbers)
January 1st to February 29th 2021
Hospital Physical Resources Utilized
Number of patients requiring oxygen therapy during admission (in numbers)
January 1st to February 29th 2021
Hospital Physical Resources Utilized
Type of oxygen therapy utilized by each patient (Categorical: nasal prong oxygen; face mask oxygen; or high flow oxygen)
January 1st to February 29th 2021
Hospital Physical Resources Utilized
Duration of oxygen therapy for each patient (in days)
January 1st to February 29th 2021
Hospital Physical Resources Utilized
Number of patients requiring antibiotic treatment (in numbers)
January 1st to February 29th 2021
Hospital Physical Resources Utilized
If patient required antibiotic therapy, name of antibiotic given (categorical)
January 1st to February 29th 2021
Hospital Physical resources Utilized
Patient duration of hospital stay (in days)
January 1st to February 29th 2021
Health System Dynamics
Daily number of patients admitted to hospital (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Daily number of inpatients at hospital (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Daily number of patients discharged from hospital (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Daily number of patient deaths (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Daily number of patients transferred out of hospital to another medical facility (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Daily hospital bed capacity (in numbers/day)
January 1st to February 29th 2021
Health System Dynamics
Daily hospital oxygen consumption (in kg/day)
January 1st to February 29th 2021
Health System Dynamics
Name of hospital from which each patient was referred from (categorical)
January 1st to February 29th 2021
Local Incidence rates of COVID-19 infections
South African National COVID-19 incidence rates per week (in numbers/week)
December 1st 2020 to February 29th 2021
Local Incidence rates of COVID-19 infections
Western Cape Provincial COVID-19 incidence rates per week (in numbers/week)
December 1st 2020 to February 29th 2021
Study Arms (1)
COVID-19 Patients
Completed Sample of all patients admitted to the Mitchells Plain Hospital of Hope COVID-19 Field Hospital between January 1st and February 29th 2021. All patients were diagnosed with COVID-19 prior to admission to the hospital and were transferred directly from a referring hospital.
Eligibility Criteria
The study population is from an underserved community utilizing public health services. The population in based in Mitchells Plain, Cape Town South Africa.
You may qualify if:
- 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.
You may not qualify if:
- No patients were excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital
Cape Town, Western Province, 7785, South Africa
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- CROSS SECTIONAL
- Target Duration
- 2 Months
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Doctor
Study Record Dates
First Submitted
November 3, 2021
First Posted
November 9, 2021
Study Start
February 11, 2021
Primary Completion
March 31, 2021
Study Completion
March 31, 2021
Last Updated
November 9, 2021
Record last verified: 2021-11
Data Sharing
- IPD Sharing
- Will not share
Individual participant data and hospital level data will be available to the public on completion of the research