Latest data, looking good

Full summary in the first few minutes of this video, its good news examination of the 166 patients admitted since the Omicron variant arrived snapshot of the clinical profile of 42 patients currently in the COVID wards at SB The…

Latest data, looking good

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Full summary in the first few minutes of this video, its good news

examination of the 166 patients admitted since the Omicron variant arrived

snapshot of the clinical profile of 42 patients

currently in the COVID wards at SB

The majority of hospital admissions are for diagnoses unrelated to COVID-19.

The SARS-CoV-2 positivity is an incidental finding in these patients and is largely driven by hospital policy requiring testing of all patients requiring admission to the hospital.

76% of patients are incidental COVID admissions.

This very unusual picture is also occurring at other hospitals in Gauteng.

The high proportion of COVID incidental admissions
may reflect higher rates of community transmission compared to previous waves (variants)

that is not translating into higher admission rates for a primary COVID-19 diagnosis.

Tshwane District Omicron Variant Patient Profile – Early Features

4th December
https://www.samrc.ac.za/news/tshwane-district-omicron-variant-patient-profile-early-features

There has been a significant rise in new SARS-CoV-2 infections in the Gauteng Province in the last four weeks

which has been attributed to Omicron variant announced on 24 November 2021

The first cases of Omicron were detected in the Tshwane District

The City of Tshwane Metropolitan Municipality is the metropolitan municipality that forms the local government of northern Gauteng Province, South Africa

The Metropolitan area is centred on the city of Pretoria with surrounding towns and localities

population of 2,708,702 people

This is where the 4th wave started

Tshwane has been the global epicentre of the Omicron Outbreak

cases rising exponentially over several weeks

41,921 cases by 3 December

29 November to 3 December 2021

Cases + 9,929 reported in Tshwane

Steve Biko/Tshwane District Hospital Complex in Pretoria

in the heart of the Tshwane District

statistics presented by the Gauteng Department of Health on 2 December 2021

for the province as a whole,

and with admissions across all public and private hospitals in Tshwane

we have seen a sharp rise in admissions

Between 14th and 29th November 2021

166 new admissions

Patient information presented here only represents the first two weeks of the Omicron wave in Tshwane

The clinical profile of admitted patients could change significantly over the next two weeks,

by which time we can draw conclusions about the severity of disease with greater precision.

The main observation that we have made over the last two weeks is that the majority of patients in the COVID wards have not been oxygen dependent.

SARS-CoV-2 has been an incidental finding in patients that were admitted to the hospital for another medical, surgical or obstetric reason.

A snapshot of 42 patients in the ward on 2 December

29 (70%) are not oxygen dependent

These patients are saturating well on room air,

and do not present with any respiratory symptoms.

‘incidental COVID admissions’

having had another medical or surgical reason for admission.

Thirteen (13) patients are dependent on supplemental oxygen

of which nine (21%) have a diagnosis of COVID-19 pneumonia

All are being prescribed steroids as the mainstay of therapy.

The remaining 4 patients are on oxygen for other medical reasons

This is a picture that has not been seen in previous waves.

Past 3 waves

only been a sprinkling of patients on room air in the COVID ward

The numbers of patients in high care on double oxygen, High Flow Nasal Oxygen or non-invasive ventilation (NIV) were noticeably higher in previous waves.

This is anecdotal but confirmed by numerous clinicians who have previously worked in the COVID wards in the hospital complex.

Of 38 adults in the COVID wards on 2 December

6 were vaccinated

24 were unvaccinated

8 had unknown vaccination status

Of 9 patients with COVID pneumonia

8 are unvaccinated

1 is a child

Only a single patient on oxygen was fully vaccinated but the reason for the oxygen was Chronic Obstructive Pulmonary Disease.

An analysis of 166 patients admitted 14 -29 November 2021

80% of admissions were below the age of 50 years

19% were children aged 0-9 years

28% of total admissions, 30-39 years

In-hospital death rate

10 deaths in the SBAH/TDH cohort in the past two weeks,

making up 6.6% of the 166 admissions.

Four deaths were in adults aged 26 – 36

Five deaths were in adults over 60

One death was in a child in whom the cause of deaths was unrelated to COVID.

There were no COVID related deaths among 34 admissions in the paediatric COVID wards over the last two weeks.

Gauteng Province as a whole

Level of care

There were only 2 patients in the COVID ICU in the last 14 days,

neither of whom had a primary diagnosis of COVID pneumonia.

Much shorter average length of stay

2.8 days for SARS-CoV-2 positive patients admitted to the COVID wards over the last two weeks

compared to an average length of stay of 8.5 days for the past 18 months

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