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

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 discharg...

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Bibliographic Details
Published in:BMJ open 2022-04, Vol.12 (4), p.e056433-e056433
Main Authors: Ding, Kevin, Sur, Patrick J, Mbianyor, Mbiarikai Agbor, Carvalho, Melissa, Oke, Rasheedat, Dissak-Delon, Fanny Nadia, Signe-Tanjong, Magdalene, Mfopait, Florentine Y, Essomba, Frank, Mbuh, Golda E, Etoundi Mballa, Georges Alain, Christie, S Ariane, Juillard, Catherine, Chichom Mefire, Alain
Format: Article
Language:eng
Subjects:
Aftercare - methods
Cameroon - epidemiology
Cell Phone
Follow-Up Studies
Global Health
Humans
Patient Discharge
Prospective Studies
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Summary: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
ISSN:2044-6055
2044-6055