Title |
Clinical management of COVID-19: Experiences of the COVID-19 epidemic from Groote Schuur Hospital, Cape Town, South Africa
|
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Published in |
South African Medical Journal, August 2020
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DOI | 10.7196/samj.2020.v110i10.15157 |
Pubmed ID | |
Authors |
M Mendelson, L Boloko, A Boutall, L Cairncross, G Calligaro, C Coccia, J A Dave, M de Villiers, S Dlamini, P Frankenfeld, P Gina, M V Gule, J Hoare, R Hofmeyr, M Hsiao, I Joubert, T Kahn, R Krause, A Kroopman, D Levin, D Maughan, S Mazondwa, G Meintjes, R Nordien, N Ntusi, N Papavarnavas, J Peter, H Pickard, P Raubenheimer, Q Said-Hartley, P Singh, S Wasserman, on behalf of the Groote Schuur Hospital COVID-19 Response Team |
Abstract |
The SARS-CoV-2 pandemic has presented clinicians with an enormous challenge in managing a respiratory virus that is not only capable of causing severe pneumonia and acute respiratory distress syndrome, but also multisystem disease. The extraordinary pace of clinical research, and particularly the surge in adaptive trials of new and repurposed treatments, have provided rapid answers to questions of whether such treatments work, and has resulted in corticosteroids taking centre stage in the management of hospitalised patients requiring oxygen support. Some treatment modalities, such as the role of anticoagulation to prevent and treat potential thromboembolic complications, remain controversial, as does the use of high-level oxygen support, outside of an intensive care unit setting. In this paper, we describe the clinical management of COVID-19 patients admitted to Groote Schuur Hospital, a major tertiary level hospital at the epicentre of South Africa's SARS-CoV-2 epidemic during its first 4 months. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
South Africa | 4 | 50% |
Unknown | 4 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 63% |
Practitioners (doctors, other healthcare professionals) | 3 | 38% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 175 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 21 | 12% |
Student > Bachelor | 19 | 11% |
Researcher | 14 | 8% |
Student > Postgraduate | 9 | 5% |
Student > Doctoral Student | 8 | 5% |
Other | 23 | 13% |
Unknown | 81 | 46% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 45 | 26% |
Nursing and Health Professions | 17 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 8 | 5% |
Agricultural and Biological Sciences | 3 | 2% |
Biochemistry, Genetics and Molecular Biology | 3 | 2% |
Other | 17 | 10% |
Unknown | 82 | 47% |