Epidemiological, clinical and evolutionary profile of the covid-19 patient in intensive care unit at the Yaounde-Essos hospital center.

Abstract

Coronavirus disease 2019 (CoVid-19) is an infectious disease caused by the SARS-CoV-2 virus. Some people with covid-19 will develop severe or critical forms that will require intensive care. Our objective was to describe the clinical, epidemiological characteristics, and the evolutionary profile of the CoVid-19 patient in intensive care at the Essos hospital center. This was a cross-sectional study with a prospective aim, which took place over a period of 12 months, in the intensive care unit of the Essos hospital center. All patients who tested positive for SARSCOV- 2 by reverse transcriptase-polymerase chain reaction (RT-PCR) were included in the study. The variables studied were sociodemographic and clinical data. A proportion of 42 patients presented with the severe form of the SARS-CoV-2 disease, requiring treatment in intensive care, out of a total of 866 positive cases over the same period, i.e. a prevalence of 4.84%. The average age of the patients was 55 years old. The age group of young adults was the most represented (73.8%). The sex ratio was 7.4 in favor of men. Polypnea was the main clinical sign (69%) on admission and arterial hypertension the most common comorbidity (50%) in these patients. The majority of covid- 19 deaths occurred in the group of subjects over the age of 65 (57.14%), primarily in male subjects (85.71%). The mortality rate was 16.67%. The management of severe and critical forms of covid- 19 in intensive care remains a challenge for sub- Saharan Africa.