Evidence map›Paper›PMID 38020864›Full record

ArticleTrauma surgery & acute care open2023

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

Shannon Richardson, Rasheedat Oke, Mbiarikai A Mbianyor, Melissa Carvalho, Florentine Yakue, Frank Essomba, Golda E Mbuh, Alain Chichom-Mefire, Catherine Juillard, Sabrinah Ariane Christie

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Article in Trauma surgery & acute care open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Shannon RichardsonDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.
Rasheedat OkeProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California, USA.
Mbiarikai A MbianyorDepartment of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Melissa CarvalhoProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California, USA.
Florentine YakueDepartment of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Frank EssombaDepartment of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Golda E MbuhDepartment of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Alain Chichom-MefireDepartment of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Catherine JuillardProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California, USA.
Sabrinah Ariane ChristieProgram for the Advancement of Surgical Equity, Department of Surgery, University of California Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-0430-7187

Funding

A Mobile Phone-based Triage Tool to Identify Discharged Trauma Patients in Need of Further Care in CameroonR21TW010956 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHICHOM, ALAIN MEFIRE, JUILLARD, CATHERINE · 2018 to 2021
$431k
FIC NIH HHS R21 TW010956
6 · The paper itself

Abstract

Background: Lack of routine follow-up for trauma patients after hospital discharge likely contributes to high rates of injury-related complications in Cameroon. Mobile phone contact may facilitate timely follow-up and reduce disability for high-risk patients. A previous single-center study showed promising feasibility of mobile health (mHealth) triage, but generalizability remains unknown. We evaluated the feasibility and acceptability of implementing a postdischarge mHealth triage tool at four hospitals in Cameroon. Methods: Trauma patients from four Cameroonian hospitals were contacted at 2 weeks, 1, 3, and 6 months postdischarge. Program feasibility was assessed by calculating the proportion of successful contacts and overall cost. Odds of successful contact were compared using generalized estimating equations across patient socioeconomic status. Acceptability was assessed using a structured patient survey at 2 weeks and 6 months postdischarge. Results: Of 3896 trauma patients, 59% were successfully contacted at 2 weeks postdischarge. Of these, 87% (1370/1587), 86% (1139/1330), and 90% (967/1069) were successfully reached at the 1-month, 3-month, and 6-month timepoints, respectively. The median cost per patient contact was US$3.17 (IQR 2.29-4.29). Higher socioeconomic status was independently associated with successful contact; rural poor patients were the least likely to be reached (adjusted OR 0.11; 95% CI 0.04 to 0.35). Almost all surveyed patients reported phone-based triage to be an acceptable follow-up method. Conclusion: Telephone contact is a feasible and acceptable means to triage postdischarge trauma patients in Cameroon. While scaling an mHealth follow-up program has considerable potential to decrease injury morbidity in this setting, further research is needed to optimize inclusion of socioeconomically marginalized groups. Level of evidence: Level III, prospective observational study.

Indexed as

Africaglobal surgerypublic healthwounds and injuries

Identifiers

PMID38020864
PMCPMC10660438

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