Epidemiological and Clinical Profile of Patients in the Medical Emergency Department at Amissa Bongo Regional Hospital in Franceville (ABRH), Gabon; Retrospective Cross-sectional Study
Thiery Ndong Mba *
Laboratoire de Biologie Moléculaire et Cellulaire (LABMC), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon and Laboratoire de Recherche en Biochimie (LAREBIO), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Cedric Sima Obiang
Laboratoire de Recherche en Biochimie (LAREBIO), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Hilaire Kenguele Moundounga
Laboratoire de Biologie Moléculaire et Cellulaire (LABMC), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Elvis Othogo N’Nang
Laboratoire de Chimie des Substances Naturelles, Département des Sciences fondamentales de l’Ingénieur (INSAB), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Bourdettes Meye
Laboratoire de Recherche en Biochimie (LAREBIO), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon and Laboratoire d’Analyses Médicales du Centre hospitalier Régional Amissa Bongo (CHRAB), Franceville, Gabon.
Iris Kévin Ivala Zogo Mba
Direction Régionale de la Santé Sud-Est, Franceville, Gabon.
Arnaud Brice Pambo -Pambo
Laboratoire de Physiologie Animale, Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Landry Eric Mombo
Laboratoire de Biologie Moléculaire et Cellulaire (LABMC), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Cyrille Bisseye
Laboratoire de Biologie Moléculaire et Cellulaire (LABMC), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Joseph Privat Ondo
Laboratoire de Recherche en Biochimie (LAREBIO), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Louis-Clément Obame Engonga
Laboratoire de Recherche en Biochimie (LAREBIO), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
Patrick Mickala
Laboratoire de Biologie Moléculaire et Cellulaire (LABMC), Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon and Laboratoire de Physiologie Animale, Université des Sciences et Techniques de Masuku (USTM), Franceville, Gabon.
*Author to whom correspondence should be addressed.
Abstract
Objective: To evaluate the different non-surgical predominant pathologies in the emergency department of the Amissa Bongo regional hospital in Franceville, Haut-Ogooué.
Materials and Methods: Using consultation registers and some medical records, we retrospectively studied the epidemiological and clinical profile of patients who consulted for a medical and non-surgical or gynaeco-obstetrical emergency, from 1 January 2018 to 31 December 2018.
Results: During this period, 19597 patients consulted for a medical emergency at the Amissa Bongo regional hospital in Franceville in Haut-Ogooué (Gabon). This high score indicated that the majority of patients came from the different districts of the commune of Franceville and other departments of the province. Three periods of high attendance were distinguished: the long dry season (37.3%), the short rainy season (28.4%) and the long rainy season (24%), compared to the short dry season (10.3%). Infectious diseases were recurrent with 63.16%, and with 67% of cases, malaria (severe and simple) was more frequent. Non-infectious emergencies were also noted, such as diseases of the respiratory system (1791 cases = 24.81%), diseases of the digestive system (1028 cases = 14.24%), skin diseases (809 cases = 24.81%), cardiovascular diseases (800 cases = 11.21%), blood diseases (686 cases = 9. 5%), diseases of the urogenital system (588 cases = 8.14%), diseases of the locomotor system (510 cases = 7.06%), ENT diseases (451 cases = 6.24%), diseases of the glands and metabolism (296 cases = 4.10%), diseases of the nervous system and the senses (260 cases = 3.60%)
Conclusion: Compared to non-infectious diseases, infectious and parasitic diseases are recurrent at CHRAB. They therefore require special attention from the health authorities of this hospital, and even of Gabon.
Keywords: Medical emergencies, Amissa Bongo regional hospital, Franceville (Gabon)