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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. ! !

总结随着伤害成为中低收入环境中日益重要的公共卫生优先事项，包括撒哈拉以南非洲（SSA），缺乏改善创伤护理的适当方法。喀麦隆似乎比该区域其他国家更容易受到伤害的影响。超过60%的受伤者喀麦隆的患者寻求正式护理，但没有机制跟踪这些患者，以便在他们已出院。喀麦隆日益增长的移动的电话网络呈现出一种新颖的有机会接触到以前因采取后续行动而失去机会的人口。一种移动的电话管理工具能够可靠地确定哪些患者将从进一步护理中受益最大，目前用于治疗损伤的护理资源，并有可能降低残疾和死亡率与伤害有关。我们的长期目标是通过以下方式减轻喀麦隆的伤病负担：我们建立了多学科的合作与爱沙尼亚医院和布埃亚大学。我们总体目标是改善对喀麦隆受伤病人的及时医疗后续行动，损伤常见损伤后遗症，如感染、血栓栓塞事件、骨畸形愈合、伤口不良康复，神经功能障碍，或其他，可以及时干预后，在他们成为生活- 或威胁肢体，导致长期残疾或死亡。我们假设基于电话的分类该工具是及时识别喀麦隆创伤患者的可行且有效的方法，在出院后，他们将受益于进一步的随访。为了达到这个目标，我们会追求三个具体目标：1）建立移动的电话作为住院患者随访工具的可行性喀麦隆出院后的创伤患者; 2）交叉验证基于移动的电话的评估工具，确定创伤患者谁将受益于进一步的医疗护理; 3）表征的影响，及时在喀麦隆，对与创伤有关的长期残疾和社会经济后果采取后续行动。了解移动的电话作为创伤患者随访工具的可行性将提高我们的了解移动的电话如何在多个其他卫生部门使用。的验证创新的分类工具，以确定高风险的病人将允许资源集中在确保这些病人得到及时的医疗护理，减少伤害对健康和社会经济的影响。嵌入我们的方法是在过程卫生系统研究中培训临床医生，为他们提供继续研究的工具加强喀麦隆的医疗服务。这项研究计划是改善受伤者护理的重要一步。喀麦隆的患者，并建立一个个人网络，改善对伤者的照顾。 ! !

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.