Field HospitalsNCT05113875
Health System Dynamic & Resource Requirement in a South African COVID-19 Field Hospital
An observational study of Field Hospitals and COVID-19 Pandemic, run by University of Cape Town at 1 site in South Africa.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Field Hospitals, COVID-19 Pandemic, Health Systems
- How many people
- 596 participants
- Where
- 1 siteSouth Africa
- Study dates
- 11 Feb 2021to 31 Mar 2021
- How long will I take part?
- 2 Months
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: The study population is from an underserved community utilizing public health services. The population in based in Mitchells Plain, Cape Town South Africa.
Who may be able to join
- 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.
Who cannot join
- No patients were excluded.
Trial locations and contacts
1 site in 1 country.
South Africa1 site
Mitchells Plain Hospital of Hope Covid-19 Field Hospital, Lentegeur Hospital
Cape Town, Western Province, 7785
About this study
Official title: Health System Dynamic & Resource Requirement in a South African COVID-19 Field
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.
Read the detailed description
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.
- Conditions
- Field Hospitals, COVID-19 Pandemic, Health Systems, Global Health, Health Resources, Low-Income Population
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| 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. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient Demographics
Patient age (in numbers)
Measured: January 1st to February 29th 2021
Patient Demographics
Patient sex (male or female)
Measured: January 1st to February 29th 2021
Patient Clinical Condition
Patient medical comorbidities on admission (categorical)
Measured: January 1st to February 29th 2021
Patient Clinical Condition
If patient diabetic, type of diabetic treatment received in hospital (oral vs insulin therapy)
Measured: January 1st to February 29th 2021
Patient Clinical Condition
If patient diabetic, glycated haemoglobin (HBA1C) level during admission (in numbers)
Measured: January 1st to February 29th 2021
Patient Clinical Condition
Patient clinical complications during hospital admission (categorical)
Measured: January 1st to February 29th 2021
Patient Clinical Condition
If patient received antibiotic treatment during admission, name of infection treated (categorical)
Measured: January 1st to February 29th 2021
Patient Clinical condition
Patient ICU priority triage score on admission (in numbers)
Measured: January 1st to February 29th 2021
Hospital Human Resources Utilized
Number of patients who utilized palliative care services (in numbers)
Measured: January 1st to February 29th 2021
Hospital Human Resources Utilized
Number of patients who utilized dietician services (in numbers)
Measured: January 1st to February 29th 2021
Hospital Human Resources Utilized
Number of patients who utilized physiotherapy services (in numbers)
Measured: January 1st to February 29th 2021
Hospital Physical Resources Utilized
Number of patients requiring oxygen therapy during admission (in numbers)
Measured: 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)
Measured: January 1st to February 29th 2021
Hospital Physical Resources Utilized
Duration of oxygen therapy for each patient (in days)
Measured: January 1st to February 29th 2021
Hospital Physical Resources Utilized
Number of patients requiring antibiotic treatment (in numbers)
Measured: January 1st to February 29th 2021
Hospital Physical Resources Utilized
If patient required antibiotic therapy, name of antibiotic given (categorical)
Measured: January 1st to February 29th 2021
Hospital Physical resources Utilized
Patient duration of hospital stay (in days)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily number of patients admitted to hospital (in numbers/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily number of inpatients at hospital (in numbers/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily number of patients discharged from hospital (in numbers/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily number of patient deaths (in numbers/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily number of patients transferred out of hospital to another medical facility (in numbers/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily hospital bed capacity (in numbers/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Daily hospital oxygen consumption (in kg/day)
Measured: January 1st to February 29th 2021
Health System Dynamics
Name of hospital from which each patient was referred from (categorical)
Measured: 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)
Measured: 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)
Measured: December 1st 2020 to February 29th 2021
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2021
- Study start11 Feb 2021
- Primary completion31 Mar 2021
- Study completion31 Mar 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Field HospitalsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Enrolment
- 596 participants (actual)
- Target duration
- 2 Months
Sponsor and investigators
- Lead sponsor
- University of Cape Town
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ruth Verity Passchier, University of Cape Town
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05113875
- Sponsor's protocol ID
- African Covid19 Field Hospital
- Status last verified
- Nov 2021
- First submitted
- 3 Nov 2021
- Last updated
- 9 Nov 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data and hospital level data will be available to the public on completion of the research
Study at a glance
From the registry record, last updated by the sponsor on 9 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Health System Dynamic & Resource Requirement in a South African COVID-19 Field
- ClinicalTrials.gov ID
- NCT05113875
- Acronym / sponsor ID
- African Covid19 Field Hospital
- Conditions
- Field Hospitals, COVID-19 Pandemic, Health Systems, Global Health, Health Resources, Low-Income Population
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 596 participants (actual)
- Lead sponsor
- University of Cape TownUniversity, hospital or other
- Study start
- 11 Feb 2021 (actual)
- Primary completion
- 31 Mar 2021 (actual)
- Study completion
- 31 Mar 2021 (actual)
- First posted
- 9 Nov 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Target follow-up
- 2 Months
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| 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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The study population is from an underserved community utilizing public health services. The population in based in Mitchells Plain, Cape Town South Africa.
Key inclusion criteria (1 listed)
- 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.
Key exclusion criteria (1 listed)
- No patients were excluded.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Patient Demographics
Time frame: January 1st to February 29th 2021
Patient age (in numbers)
Patient Demographics
Time frame: January 1st to February 29th 2021
Patient sex (male or female)
Patient Clinical Condition
Time frame: January 1st to February 29th 2021
Patient medical comorbidities on admission (categorical)
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)
Patient Clinical Condition
Time frame: January 1st to February 29th 2021
If patient diabetic, glycated haemoglobin (HBA1C) level during admission (in numbers)
Patient Clinical Condition
Time frame: January 1st to February 29th 2021
Patient clinical complications during hospital admission (categorical)
Patient Clinical Condition
Time frame: January 1st to February 29th 2021
If patient received antibiotic treatment during admission, name of infection treated (categorical)
Patient Clinical condition
Time frame: January 1st to February 29th 2021
Patient ICU priority triage score on admission (in numbers)
Hospital Human Resources Utilized
Time frame: January 1st to February 29th 2021
Number of patients who utilized palliative care services (in numbers)
Hospital Human Resources Utilized
Time frame: January 1st to February 29th 2021
Number of patients who utilized dietician services (in numbers)
Hospital Human Resources Utilized
Time frame: January 1st to February 29th 2021
Number of patients who utilized physiotherapy services (in numbers)
Hospital Physical Resources Utilized
Time frame: January 1st to February 29th 2021
Number of patients requiring oxygen therapy during admission (in numbers)
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)
Hospital Physical Resources Utilized
Time frame: January 1st to February 29th 2021
Duration of oxygen therapy for each patient (in days)
Hospital Physical Resources Utilized
Time frame: January 1st to February 29th 2021
Number of patients requiring antibiotic treatment (in numbers)
Hospital Physical Resources Utilized
Time frame: January 1st to February 29th 2021
If patient required antibiotic therapy, name of antibiotic given (categorical)
Hospital Physical resources Utilized
Time frame: January 1st to February 29th 2021
Patient duration of hospital stay (in days)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Daily number of patients admitted to hospital (in numbers/day)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Daily number of inpatients at hospital (in numbers/day)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Daily number of patients discharged from hospital (in numbers/day)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Daily number of patient deaths (in numbers/day)
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)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Daily hospital bed capacity (in numbers/day)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Daily hospital oxygen consumption (in kg/day)
Health System Dynamics
Time frame: January 1st to February 29th 2021
Name of hospital from which each patient was referred from (categorical)
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)
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)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2021.
- Individual participant dataSharing planned: No. Individual participant data and hospital level data will be available to the public on completion of the research
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Field Hospitals and COVID-19 Pandemic, run by University of Cape Town at 1 site in South Africa.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Africa. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient Demographics (time frame: January 1st to February 29th 2021). The study lists 27 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Nov 2021.