Mobile telephone follow-up assessment of postdischarge death and disability due to trauma in Cameroon: a prospective cohort study.
Mobile telephone follow-up assessment of postdischarge death and disability due to trauma in Cameroon: a prospective cohort study.
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DOI：
10.1136/bmjopen-2021-056433
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发表时间：
2022-04-05
期刊：
影响因子：
2.9
通讯作者：
Chichom Mefire A
中科院分区：
文献类型：
--
作者：
Ding K;Sur PJ;Mbianyor MA;Carvalho M;Oke R;Dissak-Delon FN;Signe-Tanjong M;Mfopait FY;Essomba F;Mbuh GE;Etoundi Mballa GA;Christie SA;Juillard C;Chichom Mefire A
在喀麦隆，创伤后出院后的长期结果在很大程度上是未知的，这限制了我们寻找机会减轻伤害负担的能力。在这项研究中，我们评估了喀麦隆创伤患者出院后6个月内与伤害相关的死亡和残疾。前瞻性队列研究。喀麦隆沿海和西南部地区的四家医院。共有1914名患者进入研究，成功联系了1304人。纳入标准是指在20个月的时间里，在四家参与医院中的每一家医院接受创伤治疗后出院的患者。那些没有手机或无法提供电话号码的人被排除在外。创伤患者分别于出院后2周、1个月、3个月和6个月进行格拉斯哥预后评定量表(GOSE)评定。比较每个时间点的Gose评分中位数，并进行回归分析，以确定与死亡和残疾的相关性。在记录的71例死亡中，90%发生在出院后2周内。6个月后，22%的患者仍有严重残疾。4个时间点的Gose评分中位数分别为4(3-7)、5(4-8)、7(4-8)和7(5-8)(p<；0.01)。年龄越大，出院后残疾(OR：1.23，95%CI：1.07~1.41)和死亡率(OR：2.15，95%CI：1.52~3.04)越高；而受教育程度越高，残疾(OR：0.65，95%CI：0.58~0.73)和死亡率(OR：0.38，95%CI：0.31~0.47)越低。开放性骨折(OR：1.73，95%CI：1.38~2.18)和闭合性骨折(OR：1.83，95%CI：1.42~2.36)与较大的出院后残疾相关，而较高的创伤严重程度评分(OR：2.44，95%CI：2.13~2.79)和神经损伤(OR：4.40，95%CI：3.25~5.96)与较高的出院后死亡率相关。移动随访数据显示，创伤出院后长达6个月的发病率和死亡率显著，尤其是骨科和神经损伤。这些结果突出表明喀麦隆需要可靠的后续系统。
In Cameroon, long-term outcomes after discharge from trauma are largely unknown, limiting our ability to identify opportunities to reduce the burden of injury. In this study, we evaluated injury-related death and disability in Cameroonian trauma patients over a 6-month period after hospital discharge. Prospective cohort study. Four hospitals in the Littoral and Southwest regions of Cameroon. A total of 1914 patients entered the study, 1304 were successfully contacted. Inclusion criteria were patients discharged after being treated for traumatic injury at each of four participating hospitals during a 20-month period. Those who did not possess a cellular phone or were unable to provide a phone number were excluded. The Glasgow Outcome Scale—Extended (GOSE) was administered to trauma patients at 2 weeks, 1 month, 3 months and 6 months post discharge. Median GOSE scores for each timepoint were compared and regression analyses were performed to determine associations with death and disability. Of 71 deaths recorded, 90% occurred by 2 weeks post discharge. At 6 months, 22% of patients still experienced severe disability. Median (IQR) GOSE scores at the four timepoints were 4 (3–7), 5 (4–8), 7 (4–8) and 7 (5–8), respectively, (p<0.01). Older age was associated with greater odds of postdischarge disability (OR: 1.23, 95% CI: 1.07 to 1.41) and mortality (OR: 2.15, 95% CI: 1.52 to 3.04), while higher education was associated with decreased odds of disability (OR: 0.65, 95% CI: 0.58 to 0.73) and mortality (OR: 0.38, 95% CI: 0.31 to 0.47). Open fractures (OR: 1.73, 95% CI: 1.38 to 2.18) and closed fractures (OR: 1.83, 95% CI: 1.42 to 2.36) were associated with greater postdischarge disability, while higher Injury Severity Score (OR: 2.44, 95% CI: 2.13 to 2.79) and neurological injuries (OR: 4.40, 95% CI: 3.25 to 5.96) were associated with greater odds of postdischarge mortality. Mobile follow-up data show significant morbidity and mortality, particularly for orthopaedic and neurologic injuries, up to 6 months following trauma discharge. These results highlight the need for reliable follow-up systems in Cameroon.
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影响因子：
9
作者：
Gabbe, Belinda J.;Simpson, Pamela M.;Cameron, Peter A.
通讯作者：
Cameron, Peter A.
影响因子：
2.6
作者：
Christie, S. Ariane;Mbianyor, M. Agbor;Juillard, Catherine
通讯作者：
Juillard, Catherine
DOI：
10.1111/j.2044-8317.1992.tb00992.x
发表时间：
1992-11-01
影响因子：
2.6
作者：
DERKSEN, S;KESELMAN, HJ
通讯作者：
KESELMAN, HJ
DOI：
10.1016/j.ijmedinf.2016.05.004
发表时间：
2016-10-01
影响因子：
4.9
作者：
Eyler, Lauren;Hubbard, Alan;Juillard, Catherine
通讯作者：
Juillard, Catherine
影响因子：
1.6
作者：
Bolandparvaz, Shahram;Yadollahi, Mahnaz;Anvar, Mehrdad
通讯作者：
Anvar, Mehrdad