Evidence map›Paper›PMID 33490719›Full record

ArticleClinical epidemiology and global health

Early experience with COVID-19 patients in a private tertiary hospital in the Philippines: Implications on surge capacity, healthcare systems response, and clinical care.

Cybele L Abad, Mary Ann D Lansang, Cynthia P Cordero, Ethel Dominique E Viray, Beatrice J Tiangco, Jia An G Bello, Jan Jorge M Francisco, Marja B Buensalido, Maria Fe R Tayzon, Karl Evans R Henson and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epidemiology and global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Emergency medicine research in the Philippines: A scoping review.Journal of the American College of Emergency Physicians open · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Cybele L AbadDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Mary Ann D LansangDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Cynthia P CorderoDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines-Manila, Philippines.
Ethel Dominique E VirayDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Beatrice J TiangcoDepartment of Medicine, Section of Oncology, The Medical City, Pasig City, Philippines.
Jia An G BelloDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Jan Jorge M FranciscoDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Marja B BuensalidoDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Maria Fe R TayzonDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Karl Evans R HensonDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Regina P BerbaDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
Elizabeth Paz- PachecoDepartment of Medicine, Section of Endocrinology, The Medical City, Pasig City, Philippines.
Mediadora C SanielDepartment of Medicine, Section of Infectious Diseases, The Medical City, Pasig City, Philippines.
University of Asia and the Pacific · PHUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur healthcare institution was one of the first to see SARS CoV-2 cases in the country. We describe the early COVID-19 experience of a private hospital in the Philippines and discuss the healthcare system response in the setting of surge capacity.

methodsWe reviewed the medical records of adult COVID-19 hospitalized patients admitted in March 2020. We reported their demographic and clinical characteristics using descriptive statistics.

resultsOf 40 patients admitted, 23 (57.5%) were male and 19 (47.5%) were aged <60 years. Most (n = 27, 67.5%) had moderate-risk, 9 (22.5%) had high-risk, and 4 (10%) had low-risk COVID-19. SARS-CoV-2 testing took 5.5 (range 1-10) days. Overall mortality rate was 6/40 (15.0%). Clinical cure was documented in all low-risk patients, 25 (92.6%) moderate-risk patients, and only 1 (11.1%) high-risk patient. In response to the surge, the hospital rapidly introduced one-way traffic systems, dedicated screening, triage and Emergency Department areas for COVID-19, a clinical pathway, engineering controls, patient cohorting, and strict infection prevention and control measures.

conclusionMajority of patients recovered from COVID-19. Older age and high-risk pneumonia were associated with poor outcomes. Adaptations to hospital structure and staff were quickly made in response to surge capacity, although our response was hampered by prolonged time to COVID-19 confirmation. Our study underscores the urgent need for rapid adaptive response by the healthcare system to address the surge of cases.

Indexed as

Clinical profileCOVID-19Healthcare responseOutcomeSurge capacity

Identifiers

PMID33490719
PMCPMC7813488
OpenAlexW3124801344

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.