ArticleBMJ open2022
Mobile telephone follow-up assessment of postdischarge death and disability due to trauma in Cameroon: a prospective cohort study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- "I Hope It Does Not Stop With Me, and That It Continues With Other Patients" - A 360 Degree Qualitative Assessment of mHealth Follow-up in Cameroon.The Journal of surgical research · 2026Article
- Patterns and predictors of readmission among sepsis survivors in a tertiary emergency department in Ethiopia.IJID regions · 2026Article
- Routine 6-Week Outpatient Radiography and Visit in Patients with Conservatively Treated Multiple Rib Fractures: Valuable or a Waste of Resources?Journal of chest surgery · 2024Article
- From targets to solutions: Implementing a trauma quality improvement bundle in Cameroon.Injury · 2024Article
- Long-term disability after trauma in Ethiopia: shedding light on a hidden epidemic.Trauma surgery & acute care open · 2024Article
- Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women.PLOS global public health · 2024Article
- Functional Outcomes at 6 and 12 Months Post-Injury in a Trauma Centre Population with Moderate-to-Severe Traumatic Injuries.Journal of clinical medicine · 2023Article
- Feasibility and acceptability of mobile phone-based triage tool to identify discharged trauma patients in need of further care in Cameroon.Trauma surgery & acute care open · 2023Article
- Back to the basics: Clinical assessment yields robust mortality prediction and increased feasibility in low resource settings.PLOS global public health · 2023Article
- Head Injury Prevalence in a Population of Injured Patients Seeking Care in Ghana, West Africa.Frontiers in neurology · 2022Article
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Authors and funding
14 authors at 5 institutions in 3 countries.
Funding
Abstract
objectivesIn 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.
designProspective cohort study.
settingFour hospitals in the Littoral and Southwest regions of Cameroon.
participantsA 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.
resultsOf 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<0.01). Older age was associated with greater odds of postdischarge disability (OR: 1.23, 95% CI: 1.07 to 1.41) and mortality (OR: 2.15, 95% CI: 1.52 to 3.04), while higher education was associated with decreased odds of disability (OR: 0.65, 95% CI: 0.58 to 0.73) and mortality (OR: 0.38, 95% CI: 0.31 to 0.47). Open fractures (OR: 1.73, 95% CI: 1.38 to 2.18) and closed fractures (OR: 1.83, 95% CI: 1.42 to 2.36) were associated with greater postdischarge disability, while higher Injury Severity Score (OR: 2.44, 95% CI: 2.13 to 2.79) and neurological injuries (OR: 4.40, 95% CI: 3.25 to 5.96) were associated with greater odds of postdischarge mortality.
conclusionMobile follow-up data show significant morbidity and mortality, particularly for orthopaedic and neurologic injuries, up to 6 months following trauma discharge. These results highlight the need for reliable follow-up systems in Cameroon.
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