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Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19
Thesis (MMed)--Stellenbosch University, 2021.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2021
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| _version_ | 1867613931699175424 |
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| access_status_str | Open Access |
| author | Akuaake, Lembi Magano |
| author2 | Van Hoving, Daniel J. |
| author_browse | Akuaake, Lembi Magano Van Hoving, Daniel J. |
| author_facet | Van Hoving, Daniel J. Akuaake, Lembi Magano |
| author_sort | Akuaake, Lembi Magano |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/123834 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:59.464Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/123834 Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 Akuaake, Lembi Magano Van Hoving, Daniel J. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Pediatric emergency services -- Cape Town (South Africa) Pediatricians -- Workload -- Effect of lockdown -- Cape Town (South Africa) COVID-19 (Disease) -- Cape Town (South Africa) UCTD Thesis (MMed)--Stellenbosch University, 2021. ENGLISH SUMMARY : Objective: To 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. Methods: Paediatric 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 Classi"cation 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 X2 test and the independent samples median test were used for comparisons. Results: Emergency 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). Signi"cant 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 signi"cantly different between the various study periods. Conclusion: Signi"cantly 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. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. Masters 2021-11-25T12:20:25Z 2021-12-22T14:24:06Z 2021-11-25T12:20:25Z 2021-12-22T14:24:06Z 2021-12 Thesis http://hdl.handle.net/10019.1/123834 en_ZA Stellenbosch University iii, [36] pages ; illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Pediatric emergency services -- Cape Town (South Africa) Pediatricians -- Workload -- Effect of lockdown -- Cape Town (South Africa) COVID-19 (Disease) -- Cape Town (South Africa) UCTD Akuaake, Lembi Magano Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 |
| title | Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 |
| title_full | Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 |
| title_fullStr | Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 |
| title_full_unstemmed | Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 |
| title_short | Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 |
| title_sort | cross sectional study of paediatric case mix presenting to an emergency centre in cape town south africa during covid 19 |
| topic | Pediatric emergency services -- Cape Town (South Africa) Pediatricians -- Workload -- Effect of lockdown -- Cape Town (South Africa) COVID-19 (Disease) -- Cape Town (South Africa) UCTD |
| url | http://hdl.handle.net/10019.1/123834 |
| work_keys_str_mv | AT akuaakelembimagano crosssectionalstudyofpaediatriccasemixpresentingtoanemergencycentreincapetownsouthafricaduringcovid19 |