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

Autor: Melissa Carvalho, Catherine Juillard, Alain Chichom Mefire, Georges Alain Etoundi Mballa, Fanny Nadia Dissak-Delon, S Ariane Christie, Rasheedat Oke, Mbiarikai Agbor Mbianyor, Frank Essomba, Golda E Mbuh, Kevin Ding, Patrick J Sur, Magdalene Signe-Tanjong, Florentine Y Mfopait
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMJ Open, Vol 12, Iss 4 (2022)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2021-056433
Popis: Objectives 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.Design Prospective cohort study.Setting Four hospitals in the Littoral and Southwest regions of Cameroon.Participants 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.Primary and secondary outcome measures 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.Results 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
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