Factors Associated with the Outcome of Patients tested positive to Covid-19 at the Bertoua Regional Hospital-Cameroon

Mvong Vendeline Amaelle Goretti; Bassong Mankollo Olga Yvonne; Nana Mbezou Audrey Inna; Tchinda Fossi Cedric; Benjamin Alexandre Nkoum

doi:10.36437/irmhs.2021.4.1.E

Mvong Vendeline Amaelle Goretti Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Cameroon.
Bassong Mankollo Olga Yvonne Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Cameroon.
Nana Mbezou Audrey Inna Executive in Monitoring Projects and Relaunching Division, Ministry of Public Investments and Territorial planning, Cameroon.
Tchinda Fossi Cedric Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Cameroon; Department of Biochemistry, Faculty of Sciences, University of Yaounde I, Cameroon.
Benjamin Alexandre Nkoum Department of Public Health, School of Health Sciences, Catholic University of Central Africa, Cameroon.

DOI: https://doi.org/10.36437/irmhs.2021.4.1.E

Keywords: Associated Factors, Outcome, Patients Tested positive, Covid-19, Bertoua, Regional Hospital, Cameroon.

Abstract

Introduction: Coronavirus is indeed the greatest public health crisis of the 21^st Century in living memories worldwide and Cameroon is not left out. The objective of this study was to analyse the factors associated with the outcome of Covid-19 patients at the Bertoua Regional Hospital (BRH).

Materials and Methods: The study was quantitative with descriptive and analytical aims, carried out over a period of 07 months from April to October 2020. The study population included investigation sheets of confirmed cases to Covid-19 during the period of study. Socio-demographic and clinical characteristics were the variables studied. Data analysis was purely descriptive, calculating prevalence and 95% confidence interval using SPSS software version 22.1.

Results: Out of the 958 investigations sheets of these confirmed cases at the BRH, the mean age of patients who tested positive to Covid-19 was 37.60 years old and the median of 35.50 ± 13.00 years old. The Lom and Djerem department was representative with 82.7%, 65.3% were men and 67.4% were traders/farmers/drivers. The case fatality rate was 2.9% and patients cared for at home were 4.7 times more at risk of death [95% CI : 1.33-16.66; p = 0.016], while those on oxygen therapy were 6.4 times more at risk [95% CI : 3.33-7.56 ; p = 0.021].

Conclusion: The site of care (V cramer=0,870) was the most associated variable to the outcome of patients who tested positive to Covid-19. The need to develop collaboration mechanisms as well as the culture of comparative analysis between hospital structures in the management of Covid-19 cases is imperative.