Pathologic Profil, Management of Resources and Quality of Care at The Orthopedic Surgery Department of The Central Hospital of Yaounde
Abstract
Mbono Akouma Constantin Wilfried Arthur*, Handy Eone Daniel, Essi Marie-Jose and Mbono Edoa Doriane Murielle
Introduction: According to the World Health Organization (WHO), an effective healthcare system must provide quality care for all, which requires regular assessments. In Cameroon, evaluating the quality of orthopedic care is essential due to the growing demand for these services.
Objective: Assess the quality of care in the Orthopedic Unit at the Yaounde Central Hospital, describe the pathological profile, and evaluate resources.
Methodology: A situational analysis was conducted in the orthopedic surgery department of the Central Hospital of Yaounde (CHY) in 2023, over an 8-month period. The assessment used data sheets and considered the pathological profile and human resources.
Results: The evaluation of the pathological profile, based on medical records, showed a median patient age of 39 years, ranging from 6 to 87 years. The sex ratio was 1.63, favoring men. Road traffic accidents accounted for 79% of trauma cases. Fractures were the most common trauma, with 54.41% being closed and 41.5% open fractures, caused by direct mechanisms in 95% of cases. The lower limb was the most affected area (70.76%), followed by the upper limb (14.41%). Also, the most common post-op- eratory complication was skin infection (5%), followed by deep veinous thrombosis DVT (1.5%). Analysis of material resources revealed that 69.4% of technical equipment was in good condition, 97.1% fully functional, but only 37.5% easily accessible. The quality of care in the orthopedic unit was adequate in 98% of cases.
Conclusion: Although the quality of care in the orthopedic surgery department at YCH is generally adequate, more efficient man- agement of material resources, especially in terms of accessibility, could help reduce treatment delays and onsets of complications.