Survey on the disease spectrum of Chinese patients at the outpatient clinic of the 30th Chinese medical aid team in Guinea.

Objective: To analyze the disease spectrum of Chinese patients attending the 24-hour outpatient clinic of the 30th Chinese medical aid team in Guinea, providing a theoretical basis for improving medical service quality.

Methods: Patients visiting the outpatient clinic from November 1, 2023, to December 31, 2024, were included in this cross-sectional study. Data on demographics, primary diagnoses, comorbidities, and management approaches were analyzed.

Results: Over 14 months, 565 patients were treated, totaling 667 visits, averaging 47.6 ± 11.9 visits per month. Male patients accounted for 571 visits (85.6%). The average age was 40.0 ± 10.4 years, with 78.9% under 50 years old. Patients from the capital, Conakry, comprised 349 visits (52.3%). Internal medicine conditions accounted for 352 visits (52.8%), with common diseases as respiratory and gastrointestinal infections (80 visits, 12.0%), cardiovascular diseases (75 visits, 11.2%), neurological diseases (48 visits, 7.2%), and malaria (41 visits, 6.1%). Surgical conditions totaled 292 visits (43.8%), with acute trauma (134 visits, 20.1%), urinary stones (48 visits, 7.2%), and chronic musculoskeletal injuries (40 visits, 6.0%) being the most frequent. Among general patients, 498 visits involved medication from the clinic pharmacy, 41 visits required outpatient surgeries, 26 visits involved plaster casts, splints, or bandages, and 20 visits led to hospitalization at the Sino-Guinea Friendship Hospital. A total of 57 visits (8.5%) were recommended for transfer to other hospitals or return to China for treatment, with all such patients receiving basic examinations and care. One mass casualty incident was managed, involving 52 visits, with an average patient age of 45.3 ± 8.0 years, all due to acute trauma.

Conclusion: Patients were predominantly young and middle-aged males. Respiratory and gastrointestinal infections, cardiovascular diseases, neurological disorders, malaria, acute trauma, urinary stones, and chronic musculoskeletal injuries were common among Chinese expatriates in Guinea. The outpatient clinic at the Sino-Guinea Friendship Hospital effectively meets the basic healthcare needs of the local Chinese population.