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Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town

Background: In May 2020, Cape Town was designated as the COVID-19 outbreak's epicenter in South Africa. As the infection spread so did admissions in hospitals and mortality among the infected. Field hospitals were established to take the burden off the hospitals, however, the mortality rate in these...

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Main Author: Karki, Abhaya
Other Authors: Ras, Tasleem
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2024
Subjects:
Family Medicine
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access_status_str Open Access
author Karki, Abhaya
author2 Ras, Tasleem
author_browse Karki, Abhaya
Ras, Tasleem
author_facet Ras, Tasleem
Karki, Abhaya
author_sort Karki, Abhaya
collection Thesis
description Background: In May 2020, Cape Town was designated as the COVID-19 outbreak's epicenter in South Africa. As the infection spread so did admissions in hospitals and mortality among the infected. Field hospitals were established to take the burden off the hospitals, however, the mortality rate in these facilities has not been described yet. This study describes the clinical profile and characteristics of patients who died in this field hospital. Methods: This was a single-center, retrospective cross-sectional study involving secondary dataset and folder review of patients who died in Cape Town International Convention Center (CTICC), Hospital of Hope during its commission from June 2020 to August 2020. Results: During its period of operation the CTICC had 1502 admissions and 83 deaths giving a mortality rate of 5.53%. Among the patients who died, 55% were female and 77% were older than 60 years. Most patients (75%) had more than two comorbidities. Of these patients 71% had hypertension and 45% had diabetes. As per the CTICC admission category, 77% were category three patients who were either terminally ill or referred to as not for further escalation. Blood results showed that 77.14% of patients had high D-dimer and 97.7% had high CRP. Conclusions: The CTICC field hospital was the first intermediate care facility in South Africa born out of a time of need. The mortality rate at this field hospital was 5.53%. Further studies should explore the benefits of palliative care on patients who were admitted as not for escalation.
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institution University of Cape Town (South Africa)
language eng
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher Department of Public Health and Family Medicine
publisherStr Department of Public Health and Family Medicine
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/39561 Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town Karki, Abhaya Ras, Tasleem Family Medicine Background: In May 2020, Cape Town was designated as the COVID-19 outbreak's epicenter in South Africa. As the infection spread so did admissions in hospitals and mortality among the infected. Field hospitals were established to take the burden off the hospitals, however, the mortality rate in these facilities has not been described yet. This study describes the clinical profile and characteristics of patients who died in this field hospital. Methods: This was a single-center, retrospective cross-sectional study involving secondary dataset and folder review of patients who died in Cape Town International Convention Center (CTICC), Hospital of Hope during its commission from June 2020 to August 2020. Results: During its period of operation the CTICC had 1502 admissions and 83 deaths giving a mortality rate of 5.53%. Among the patients who died, 55% were female and 77% were older than 60 years. Most patients (75%) had more than two comorbidities. Of these patients 71% had hypertension and 45% had diabetes. As per the CTICC admission category, 77% were category three patients who were either terminally ill or referred to as not for further escalation. Blood results showed that 77.14% of patients had high D-dimer and 97.7% had high CRP. Conclusions: The CTICC field hospital was the first intermediate care facility in South Africa born out of a time of need. The mortality rate at this field hospital was 5.53%. Further studies should explore the benefits of palliative care on patients who were admitted as not for escalation. 2024-05-02T09:10:40Z 2024-05-02T09:10:40Z 2023 2024-05-02T08:28:47Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/39561 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences
spellingShingle Family Medicine
Karki, Abhaya
Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town
thesis_degree_str Master's
title Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town
title_full Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town
title_fullStr Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town
title_full_unstemmed Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town
title_short Clinical Profile Of Patients Who Died Of Covid-19 Infection At A Field Hospital In Cape Town
title_sort clinical profile of patients who died of covid 19 infection at a field hospital in cape town
topic Family Medicine
url http://hdl.handle.net/11427/39561
work_keys_str_mv AT karkiabhaya clinicalprofileofpatientswhodiedofcovid19infectionatafieldhospitalincapetown

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