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A Mobile Phone-based Triage Tool to Identify Discharged Trauma Patients in Need of Further Care in Cameroon

基于手机的分诊工具可识别喀麦隆需要进一步护理的出院创伤患者

基本信息

批准号：
10473617
负责人：
Alain Mefire Chichom
金额：
$ 9.62万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-14 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10473617
关键词：
Affect Africa South of the Sahara Assessment tool Awareness Blinded Cameroon Car Phone Caring Cessation of life Clinical Practice Patterns Country Ensure Event Glasgow Outcome Scale Goals Gold Health Health Services Health system Healthcare Hospitalization Hospitals Income Individual Infection Injury Interdisciplinary Study Intervention Life Limb structure Logistics Malaria Medical Methods Mission Modeling Morbidity - disease rate Neurologic Outcome Patient-Focused Outcomes Patients Physicians Population Process Public Health Registries Research Resources Surveys System Telephone Testing Time Training Trauma Trauma patient Traumatic injury Triage United States National Institutes of Health Universities Validation base cohort disability follow-up functional outcomes health care service high risk improved injured injury burden innovation low and middle-income countries mortality novel post intervention prevent public health priorities response service providers socioeconomics systems research tool trauma care wound healing

项目摘要

Summary As injuries become an increasingly important public health priority in low- and middle-income settings, including sub-Saharan Africa (SSA), context-appropriate methods for improving trauma care are lacking. Cameroon appears to be more affected by injury than other countries in the region. While over 60% of injured patients in Cameroon seek formal care, there is no mechanism to follow these patients for further care after they are discharged from the hospital. The growing network of mobile phones in Cameroon presents a novel opportunity to reach populations that have been previously lost to follow up. A mobile phone-administered tool that could reliably identify patients who would most benefit from further care would maximize the use of health care resources currently directed towards treating injury and potentially decrease the disability and mortality associated with injury. Our long-term goal is to reduce the burden associated with injury in Cameroon through our established multi-disciplinary collaboration with Cameroonian hospitals and the University of Buea. Our overall objective is to improve timely medical follow-up for injured patients in Cameroon to reduce the impact of injury. Common sequelae of injury, such as infection, thromboembolic events, osseous malunion, poor wound healing, neurologic disability, or others, could be intervened upon in a timely fashion before they become life- or limb-threatening, resulting in long-term disability or death. We hypothesize that a telephone-based triage tool is a feasible and effective method of timely identification of trauma patients in Cameroon who would benefit from further follow up after they are discharged from the hospital. To accomplish this objective, we will pursue three specific aims: 1) Establish the feasibility of mobile phones as a follow-up tool for hospitalized trauma patients after discharge in Cameroon; 2) Cross-validate a mobile phone-based assessment tool to identify trauma patients who would benefit from further medical care; 3) Characterize the impact of timely follow-up on long-term disability and socioeconomic consequences associated with trauma in Cameroon. Understanding the feasibility of mobile phones as a follow-up tool for trauma patients will enhance our understanding of how mobile phones can be used across multiple other health sectors. Validation of an innovative triage tool to identify high-risk patients will allow resources to be focused on ensuring that those patients get timely medical care, reducing the health and socioeconomic consequences of injury. Embedded in our approach is the training of clinicians in process health systems research, giving them the tools to continue to strengthen care in Cameroon. This research initiative is the vital step towards improving care of injured patients in Cameroon and developing a network of individuals who can create a culture of research-based improvements in the care of the injured. ! !

总结

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Feasibility and acceptability of mobile phone-based triage tool to identify discharged trauma patients in need of further care in Cameroon.

DOI：
10.1136/tsaco-2023-001157
发表时间：
2023
期刊：
Trauma surgery & acute care open
影响因子：
2
作者：
通讯作者：

Mobile telephone follow-up assessment of postdischarge death and disability due to trauma in Cameroon: a prospective cohort study.

DOI：
10.1136/bmjopen-2021-056433
发表时间：
2022-04-05
期刊：
BMJ open
影响因子：
2.9
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
通讯作者：
Chichom Mefire A

Mobile health follow-up screening to risk stratify patients in need of further care in a low resource setting: Results from a prospective multisite implementation study.