Feasibility of a Cellular Telephone Follow-Up Program After Injury in Sub-Saharan Africa
Feasibility of a Cellular Telephone Follow-Up Program After Injury in Sub-Saharan Africa
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DOI：
10.1007/s00268-020-05529-8
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发表时间：
2020-04-28
影响因子：
2.6
通讯作者：
Juillard, Catherine
中科院分区：
文献类型：
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作者：
Christie, S. Ariane;Mbianyor, M. Agbor;Juillard, Catherine
背景伤害对低收入和中等收入国家（LMIC）人群的影响尤为严重。大多数低收入国家缺乏常规随访护理的能力，可能导致并发症和残疾。移动电话可能提供一种改善健康状况的新工具。本研究的目的是建立在喀麦隆受伤后移动健康随访方案的可行性。方法2017年2月至10月期间，喀麦隆一家地区医院的所有受伤患者被要求提供手机号码，作为现有创伤登记处的一部分。出院后2周与患者联系，参与简短的分诊调查。收集方案可行性和患者病情数据。结果在就诊的1180名伤者中，83%提供了电话号码，62%的伤者最终接受了电话随访，48%（565）的伤者最终接受了电话随访。在平均1.76次通话尝试（SD 1.91）和中位通话时间4.43分钟（IQR 3.67-5.36）后，成功联系到患者。5例患者（1%）在随访时因损伤死亡。在接受调查的患者中，27%的人需要持续的帮助来完成日常生活活动。近一半（47%）的患者报告无法按照出院时的指示服药或护理损伤。只有38%的出院患者获得了充分的疼痛控制。结论试点数据表明，在喀麦隆有相当多的损伤治疗不足。移动电话随访显示了作为筛查出院患者的可行工具的潜力，这些患者可以从进一步护理中受益。
Background Injury disproportionately affects persons in low- and middle-income countries (LMIC). Most LMIC lack capacity for routine follow-up care, likely resulting in complications and disability. Cellular telephones may provide a new tool to improve health outcomes. The objective of this study was to establish the feasibility of a mobile health follow-up program after injury in Cameroon. Methods Between February and October 2017, all injured patients admitted to a regional hospital in Cameroon were asked for mobile phone numbers as part of an existing trauma registry. Patients were contacted 2 weeks after leaving the hospital discharge to participate in a short triage survey. Data on program feasibility and patient condition were collected. Results Of 1180 injured patients who presented for emergency care, 83% provided telephone numbers, 62% were reached, and 48% (565) of all injured patients ultimately participated in telephone follow-up. Successfully contacted patients were reached after an average of 1.76 call attempts (SD 1.91) and median call time was 4.43 min (IQR 3.67-5.36). Five patients (1%) had died from their injuries at the time of follow-up. Among surveyed patients, 27% required ongoing assistance to complete activities of daily living. Nearly, half (47%) of patients reported inability to take medicines or care for their injury as instructed at discharge. Adequate pain control was achieved in only 38% of discharged patients. Conclusion Pilot data suggest considerable under treatment of injury in Cameroon. Mobile telephone follow-up demonstrates potential as a feasible tool for screening discharged patients who could benefit from further care.