scholarly journals A descriptive analysis of the effect of the national COVID-19 lockdown on the workload and case mix of patients presenting to a district-level emergency centre in Cape Town, South Africa

2020 ◽  
Vol 110 (11) ◽  
pp. 1113
Author(s):  
C Hendrikse ◽  
M Parak ◽  
D J Van Hoving
Keyword(s):  
South Africa ◽  
Descriptive Analysis ◽  
Cape Town ◽  
District Level ◽  
Case Mix

scholarly journals Evaluating trauma scoring systems for patients presenting with gunshot injuries to a district-level urban public hospital in Cape Town, South Africa

2019 ◽  
Vol 9 (4) ◽  
pp. 193-196
Author(s):  
Amalia Liljequist Aspelund ◽  
Mohamed Quraish Patel ◽  
Lisa Kurland ◽  
Michael McCaul ◽  
Daniël Jacobus van Hoving
Keyword(s):  
South Africa ◽  
Public Hospital ◽  
Cape Town ◽  
Scoring Systems ◽  
District Level ◽  
Gunshot Injuries ◽  
Trauma Scoring

scholarly journals Estimated injury-associated blood loss versus availability of emergency blood products at a district-level public hospital in Cape Town, South Africa

2018 ◽  
Vol 8 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Heinrich Weeber ◽  
Luke D. Hunter ◽  
Daniël J. van Hoving ◽  
Hendrick Lategan ◽  
Stevan R. Bruijns
Keyword(s):  
South Africa ◽  
Blood Loss ◽  
Public Hospital ◽  
Cape Town ◽  
District Level ◽  
Blood Products

scholarly journals Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19

2020 ◽  
Vol 4 (1) ◽  
pp. e000801
Author(s):  
Lembi Magano Akuaake ◽  
Clint Hendrikse ◽  
Graeme Spittal ◽  
Katya Evans ◽  
Daniël Jacobus van Hoving
Keyword(s):  
South Africa ◽  
Cape Town ◽  
Cross Sectional Study ◽  
Case Mix ◽  
Similar Time ◽  
Cross Sectional ◽  
Paediatric Patients ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification

ObjectiveTo describe and compare the effect of level 5 lockdown measures on the workload and case mix of paediatric patients presenting to a district-level emergency centre in Cape Town, South Africa.MethodsPaediatric patients (<13 years) presenting to Mitchells Plain Hospital were included. The level 5 lockdown period (27 March 2020–30 April 2020) was compared with similar 5-week periods immediately before (21 February 2020–26 March 2020) and after the lockdown (1 May 2020–4 June 2020), and to similar time periods during 2018 and 2019. Patient demographics, characteristics, International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) diagnosis, disposition and process times were collected from an electronic patient tracking and registration database. The χ2 test and the independent samples median test were used for comparisons.ResultsEmergency centre visits during the lockdown period (n=592) decreased by 58% compared with 2019 (n=1413) and by 56% compared with the 2020 prelockdown period (n=1342). The proportion of under 1 year olds increased by 10.4% (p<0.001), with a 7.4% increase in self-referrals (p<0.001) and a 6.9% reduction in referrals from clinics (p<0.001). Proportionally more children were referred to inpatient disciplines (5.6%, p=0.001) and to a higher level of care (3.9%, p=0.004). Significant reductions occurred in respiratory diseases (66.9%, p<0.001), injuries (36.1%, p<0.001) and infectious diseases (34.1%, p<0.001). All process times were significantly different between the various study periods.ConclusionSignificantly less children presented to the emergency centre since the implementation of the COVID-19 lockdown, with marked reductions in respiratory and infectious-related diseases and in injuries.

scholarly journals The burden of intentional self-poisoning on a district-level public Hospital in Cape Town, South Africa

2018 ◽  
Vol 8 (3) ◽  
pp. 79-83 ◽  
Author(s):  
Daniël J. van Hoving ◽  
Luke D. Hunter ◽  
Rachel (Elre) J. Gerber ◽  
Hendrick J. Lategan ◽  
Carine J. Marks
Keyword(s):  
South Africa ◽  
Public Hospital ◽  
Cape Town ◽  
District Level

scholarly journals Out-of-hospital cardiac arrests in the city of Cape Town, South Africa: a retrospective, descriptive analysis of prehospital patient records

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049141
Author(s):  
Willem Stassen ◽  
Craig Wylie ◽  
Therese Djärv ◽  
Lee A Wallis
Keyword(s):  
South Africa ◽  
Response Times ◽  
Descriptive Analysis ◽  
Cape Town ◽  
Epidemiological Data ◽  
Spontaneous Circulation ◽  
Western Cape ◽  
Term Outcome ◽  
Public And Private ◽  
Middle Income

ObjectivesWhile prospective epidemiological data for out-of-hospital cardiac arrest (OHCA) exists in many high-income settings, there is a dearth of such data for the African continent. The aim of this study was to describe OHCA in the Cape Town metropole, South Africa.DesignObservational study with a retrospective descriptive design.SettingCape Town metropole, Western Cape province, South Africa.ParticipantsAll patients with OHCA for the period 1 January 2018–31 December 2018 were extracted from public and private emergency medical services (EMS) and described.Outcome measuresDescription of patients with OHCA in terms of demographics, treatment and short-term outcome.ResultsA total of 929 patients with OHCA received an EMS response in the Cape Town metropole, corresponding to an annual prevalence of 23.2 per 100 000 persons. Most patients were adult (n=885; 96.5%) and male (n=526; 56.6%) with a median (IQR) age of 63 (26) years. The majority of cardiac arrests occurred in private residences (n=740; 79.7%) and presented with asystole (n=322; 34.6%). EMS resuscitation was only attempted in 7.4% (n=69) of cases and return of spontaneous circulation (ROSC) occurred in 1.3% (n=13) of cases. Almost all patients (n=909; 97.8%) were declared dead on the scene.ConclusionTo our knowledge, this was the largest study investigating OHCA ever undertaken in Africa. We found that while the incidence of OHCA in Cape Town was similar to the literature, resuscitation is attempted in very few patients and ROSC-rates are negligible. This may be as a consequence of protracted response times, poor patient prognosis or an underdeveloped and under-resourced Chain of Survival in low- to middle-income countries, like South Africa. The development of contextual guidelines given resources and disease burden is essential.

Time and Latitude in South Africa

1972 ◽  
Vol 1 ◽  
pp. 27-38
Author(s):  
J. Hers
Keyword(s):  
South Africa ◽  
Cape Town ◽  
Astronomical Observations ◽  
Royal Observatory ◽  
The Republic ◽  
Astronomical Determination ◽  
Limited Accuracy ◽  
Better Than

In South Africa the modern outlook towards time may be said to have started in 1948. Both the two major observatories, The Royal Observatory in Cape Town and the Union Observatory (now known as the Republic Observatory) in Johannesburg had, of course, been involved in the astronomical determination of time almost from their inception, and the Johannesburg Observatory has been responsible for the official time of South Africa since 1908. However the pendulum clocks then in use could not be relied on to provide an accuracy better than about 1/10 second, which was of the same order as that of the astronomical observations. It is doubtful if much use was made of even this limited accuracy outside the two observatories, and although there may – occasionally have been a demand for more accurate time, it was certainly not voiced.

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