Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital

Introduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral...

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Main Authors: Agnes K Katsioto, Pascaline K Muhesi, Job P Isombi, Prosper K Kambere, Franck K Sikakulya
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X23000034
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author Agnes K Katsioto
Pascaline K Muhesi
Job P Isombi
Prosper K Kambere
Franck K Sikakulya
author_facet Agnes K Katsioto
Pascaline K Muhesi
Job P Isombi
Prosper K Kambere
Franck K Sikakulya
author_sort Agnes K Katsioto
collection DOAJ
description Introduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. Methodology: For a year, from January to December 2021, a cross-sectional study was conducted. Data regarding patients’ characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients’ registers. A descriptive analysis was done with Epi-Info 7. Result: A total of 1404 patients were admitted to the EC, with a male-to-female ratio of 1.2 to 1. The age group below 18 years accounted for 35.4%. Most of the patients (75.7%) originated from urban areas. In 83% of cases, there was no recommendation from another medical facility for EC admission. The most common reasons for admission are non-traumatic gathering on top of neuropsychiatric and non-specific symptoms. Road traffic accidents are the most frequent causes of trauma symptoms. Few patients (14.7%) spent less than 12 hours in the EC. Globally, 7.3% of patients admitted to the EC were discharged after being managed, and 89% were transferred to different wards. The intra-emergency centre mortality rate was 11.8% among admitted patients in the ER at Beni General Referral Hospital. Conclusion: This epidemiology database underlines the need for developing globalizing and multi-sectoral interventions (diagnosis, therapeutic strategy, organization, health program, or health policies) in the perspective of bringing change and/or taking action in the Democratic Republic of Congo's emergency medical system.
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spelling doaj.art-200974f68a5945aab80bfb7db694f6c62023-02-18T04:16:52ZengElsevierAfrican Journal of Emergency Medicine2211-419X2023-03-011312529Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral HospitalAgnes K Katsioto0Pascaline K Muhesi1Job P Isombi2Prosper K Kambere3Franck K Sikakulya4Emergency Medicine Department, Alexandria University Faculty of Medicine, Egypt; Faculty of Medecine, Catholic University of Graben, DRC; Corresponding author.Faculty of Medecine, University of Goma, DRCPediatrics Department, Kampala International University Western Campus, Uganda; Faculty of Eenvironmental and agronomic sciences, Université Officielle du Semuliki, DRCFaculty of Eenvironmental and agronomic sciences, Université Officielle du Semuliki, DRCFaculty of Medecine, Catholic University of Graben, DRCIntroduction: Little information is available regarding the characteristics of patients attending the emergency centre (EC) in the Democratic Republic of Congo. This study aims to provide some epidemiological and clinical aspects of patients admitted to the emergency centre at Beni General Referral Hospital. Methodology: For a year, from January to December 2021, a cross-sectional study was conducted. Data regarding patients’ characteristics, admission modality, stay duration, reason for admission, and discharge modality was anonymously collected from patients’ registers. A descriptive analysis was done with Epi-Info 7. Result: A total of 1404 patients were admitted to the EC, with a male-to-female ratio of 1.2 to 1. The age group below 18 years accounted for 35.4%. Most of the patients (75.7%) originated from urban areas. In 83% of cases, there was no recommendation from another medical facility for EC admission. The most common reasons for admission are non-traumatic gathering on top of neuropsychiatric and non-specific symptoms. Road traffic accidents are the most frequent causes of trauma symptoms. Few patients (14.7%) spent less than 12 hours in the EC. Globally, 7.3% of patients admitted to the EC were discharged after being managed, and 89% were transferred to different wards. The intra-emergency centre mortality rate was 11.8% among admitted patients in the ER at Beni General Referral Hospital. Conclusion: This epidemiology database underlines the need for developing globalizing and multi-sectoral interventions (diagnosis, therapeutic strategy, organization, health program, or health policies) in the perspective of bringing change and/or taking action in the Democratic Republic of Congo's emergency medical system.http://www.sciencedirect.com/science/article/pii/S2211419X23000034AttendanceDemocratic Republic of CongoEmergency centreEpidemiology
spellingShingle Agnes K Katsioto
Pascaline K Muhesi
Job P Isombi
Prosper K Kambere
Franck K Sikakulya
Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital
African Journal of Emergency Medicine
Attendance
Democratic Republic of Congo
Emergency centre
Epidemiology
title Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital
title_full Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital
title_fullStr Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital
title_full_unstemmed Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital
title_short Emergency centre patients in the Democratic Republic of Congo: Some epidemiological and clinical aspects at Beni General Referral Hospital
title_sort emergency centre patients in the democratic republic of congo some epidemiological and clinical aspects at beni general referral hospital
topic Attendance
Democratic Republic of Congo
Emergency centre
Epidemiology
url http://www.sciencedirect.com/science/article/pii/S2211419X23000034
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