Epidemiological and Clinical Profile of Patients in the Medical Emergency Department at Amissa Bongo Regional Hospital in Franceville (ABRH), Gabon; Retrospective Cross-sectional Study

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.

Type 2 diabetes mellitus: Prevalence and risk factors associated, among patients at Franceville Amissa Bongo regional Hospital, Gabon

“…This can be justified by the fact that nowadays, the uncontrolled sedentarisation of many Gabonese towns is pushing people to live Western-style lives, consuming products rich in sugar, salt or fat found in supermarkets. This diet encourages overweight and obesity, which are major risk factors for type 2 diabetes mellitus (34). In this study, type 2 diabetes mellitus prevalence was significantly associated with a family history of type 2 diabetes (Adjusted OR = 50.13; 95% CI: [8.87; 283.50] p = 0.000*).…”

Prevalence of Pulmonary Tuberculosis and Associated Factors among Patients Admitted to the Amissa Bongo University Hospital Center in Franceville, Gabon

“…In a study conducted in the south of the country in 2021, 73 patients (6.4%) were co-infected with HIV+/TB+ [12]. The mortality rate for people infected with both TB and HIV was 25% [13]. Faced with this situation, since 4 May 2021, at a workshop to validate its national strategic plan 2021-2025, the Gabonese government has made the fight against tuberculosis one of the priorities of the country's health sector development programme [10].…”