Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol
Introduction The outbreak of the SARS-CoV-2 virus causing COVID-19, declared a global pandemic by the WHO, is a novel infection with a high rate of morbidity and mortality. In South Africa, 55 421 cases have been confirmed as of 10 June 2020, with most cases in the Western Cape Province. Coronavirus...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/8/e039455.full |
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| author | Brian W Allwood Coenraad FN Koegelenberg Elvis Irusen Usha Lalla Razeen Davids Yazied Chothia Ryan Davids Hans Prozesky Jantjie Taljaard Arifa Parker Eric Decloedt Portia Jordan Sa'ad Lahri Rafique Moosa Neshaad Schrueder Riette Du Toit Abraham Viljoen Rene English Birhanu Ayele Peter Nyasulu |
| author_facet | Brian W Allwood Coenraad FN Koegelenberg Elvis Irusen Usha Lalla Razeen Davids Yazied Chothia Ryan Davids Hans Prozesky Jantjie Taljaard Arifa Parker Eric Decloedt Portia Jordan Sa'ad Lahri Rafique Moosa Neshaad Schrueder Riette Du Toit Abraham Viljoen Rene English Birhanu Ayele Peter Nyasulu |
| author_sort | Brian W Allwood |
| collection | DOAJ |
| description | Introduction The outbreak of the SARS-CoV-2 virus causing COVID-19, declared a global pandemic by the WHO, is a novel infection with a high rate of morbidity and mortality. In South Africa, 55 421 cases have been confirmed as of 10 June 2020, with most cases in the Western Cape Province. Coronavirus leaves us in a position of uncertainty regarding the best clinical approach to successfully manage the expected high number of severely ill patients with COVID-19. This presents a unique opportunity to gather data to inform best practices in clinical approach and public health interventions to control COVID-19 locally. Furthermore, this pandemic challenges our resolve due to the high burden of HIV and tuberculosis (TB) in our country as data are scarce. This study endeavours to determine the clinical presentation, severity and prognosis of patients with COVID-19 admitted to our hospital.Methods and analysis The study will use multiple approaches taking into account the evolving nature of the COVID-19 pandemic. Prospective observational design to describe specific patterns of risk predictors of poor outcomes among patients with severe COVID-19 admitted to Tygerberg Hospital. Data will be collected from medical records of patients with severe COVID-19 admitted at Tygerberg Hospital. Using the Cox proportional hazards model, we will investigate the association between the survival time of patients with COVID-19 in relation to one or more of the predictor variables including HIV and TB.Ethics and dissemination The research team obtained ethical approval from the Health Research Ethics Committee of the Faculty of Medicine and Health Sciences, Stellenbosch University and Research Committee of the Tygerberg Hospital. All procedures for the ethical conduct of scientific investigation will be adhered to by the research team. The findings will be disseminated in clinical seminars, scientific forums and conferences targeting clinical care providers and policy-makers. |
| format | Article |
| id | doaj-art-c94bbb23faf34cf1b792f34f9f53435a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c94bbb23faf34cf1b792f34f9f53435a2024-12-02T19:55:10ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2020-039455Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocolBrian W Allwood0Coenraad FN Koegelenberg1Elvis Irusen2Usha Lalla3Razeen Davids4Yazied Chothia5Ryan Davids6Hans Prozesky7Jantjie Taljaard8Arifa Parker9Eric Decloedt10Portia Jordan11Sa'ad Lahri12Rafique Moosa13Neshaad Schrueder14Riette Du Toit15Abraham Viljoen16Rene English17Birhanu Ayele18Peter Nyasulu19Division of Pulmonology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Pulmonology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Pulmonology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Pulmonology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaFaculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaDivision of Nephrology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDepartment of Anesthesia and Critical Care, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDepartment of Nursing, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDepartment of Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDepartment of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDepartment of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Rheumatology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Rheumatology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town, South AfricaDivision of Health Systems and Public Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa1 Global Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South AfricaIntroduction The outbreak of the SARS-CoV-2 virus causing COVID-19, declared a global pandemic by the WHO, is a novel infection with a high rate of morbidity and mortality. In South Africa, 55 421 cases have been confirmed as of 10 June 2020, with most cases in the Western Cape Province. Coronavirus leaves us in a position of uncertainty regarding the best clinical approach to successfully manage the expected high number of severely ill patients with COVID-19. This presents a unique opportunity to gather data to inform best practices in clinical approach and public health interventions to control COVID-19 locally. Furthermore, this pandemic challenges our resolve due to the high burden of HIV and tuberculosis (TB) in our country as data are scarce. This study endeavours to determine the clinical presentation, severity and prognosis of patients with COVID-19 admitted to our hospital.Methods and analysis The study will use multiple approaches taking into account the evolving nature of the COVID-19 pandemic. Prospective observational design to describe specific patterns of risk predictors of poor outcomes among patients with severe COVID-19 admitted to Tygerberg Hospital. Data will be collected from medical records of patients with severe COVID-19 admitted at Tygerberg Hospital. Using the Cox proportional hazards model, we will investigate the association between the survival time of patients with COVID-19 in relation to one or more of the predictor variables including HIV and TB.Ethics and dissemination The research team obtained ethical approval from the Health Research Ethics Committee of the Faculty of Medicine and Health Sciences, Stellenbosch University and Research Committee of the Tygerberg Hospital. All procedures for the ethical conduct of scientific investigation will be adhered to by the research team. The findings will be disseminated in clinical seminars, scientific forums and conferences targeting clinical care providers and policy-makers.https://bmjopen.bmj.com/content/10/8/e039455.full |
| spellingShingle | Brian W Allwood Coenraad FN Koegelenberg Elvis Irusen Usha Lalla Razeen Davids Yazied Chothia Ryan Davids Hans Prozesky Jantjie Taljaard Arifa Parker Eric Decloedt Portia Jordan Sa'ad Lahri Rafique Moosa Neshaad Schrueder Riette Du Toit Abraham Viljoen Rene English Birhanu Ayele Peter Nyasulu Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol BMJ Open |
| title | Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol |
| title_full | Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol |
| title_fullStr | Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol |
| title_full_unstemmed | Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol |
| title_short | Clinical evolution, management and outcomes of patients with COVID-19 admitted at Tygerberg Hospital, Cape Town, South Africa: a research protocol |
| title_sort | clinical evolution management and outcomes of patients with covid 19 admitted at tygerberg hospital cape town south africa a research protocol |
| url | https://bmjopen.bmj.com/content/10/8/e039455.full |
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