Experiencing COVID-19 at a large district level hospital in Cape Town: A retrospective analysis of the first wave
Southern African Journal of Infectious Diseases
| Field | Value | |
| Title | Experiencing COVID-19 at a large district level hospital in Cape Town: A retrospective analysis of the first wave | |
| Creator | Claassen, Nadè van Wyk, Gerhard van Staden, Sanet Basson, Michiel M.D. | |
| Description | Background: The coronavirus disease 2019 (COVID-19) pandemic in tertiary hospitals from South Africa and world wide have been well described, but limited data are published on the findings. This article aimed to describe patients admitted to a large district hospital in Cape Town, South Africa, during the first wave of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Infections. To compare the clinical features and further investigate survivors and deceased COVID-19 patients.Methods: A single centre retrospective review of clinical records and laboratory data of patients admitted with a positive SARS-CoV-2 polymerase chain reaction (PCR) from April 2020 to August 2020.Results: A total of 568 patients with a positive SARS-CoV-2 PCR were admitted to the study centre for one night or longer and of these patients 154 (27%) died of COVID-19. The median age of patients who died of COVID-19 was 66 years and 53 years for survivors. Hypertension, diabetes mellitus and obesity were the commonest comorbidities in patients who survived and died of COVID-19. There were no major differences when comparing the severity of infiltrates on chest X-rays (CXR) of COVID-19 survivors with deceased patients. More than half (58%) of deceased patients died within 3 days following admission to hospital. A substantial number of patients who died of COVID-19 had associated acute kidney injury (n = 79, 51%).Conclusion: Acute kidney injury had a high prevalence amongst patients who died of COVID-19. Delays in transfer to intensive care unit (ICU), limited ICU capacity and disease severity contributed to a substantial number of patients dying within 3 days of admission. | |
| Publisher | AOSIS Publishing | |
| Date | 2022-03-29 | |
| Identifier | 10.4102/sajid.v37i1.317 | |
| Source | Southern African Journal of Infectious Diseases; Vol 37, No 1 (2022); 9 pages 2313-1810 2312-0053 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajid.co.za/index.php/sajid/article/view/317/928
https://sajid.co.za/index.php/sajid/article/view/317/929
https://sajid.co.za/index.php/sajid/article/view/317/930
https://sajid.co.za/index.php/sajid/article/view/317/931
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