Trauma Follow-Up Prediction (Project 2: Aim 1)
NCT05430165 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 4500
Last updated 2023-05-03
Summary
Traumatic injury and inadequate follow-up care are a significant cause of morbidity and 10% of all deaths in sub-Saharan Africa (SSA). In Cameroon, \~50% of all emergency department (ED) visits are due to traumatic injury, which is likely only \~60% of all traumatic injuries. In the subset of patients who seek care, follow-up after discharge can save lives, yet is uncommon due to both supply-side (e.g., under-resourced health systems, poor data) and demand-side (e.g., poverty) barriers, resulting in preventable complications after discharge (e.g., sepsis, osteomyelitis). Consequently, better follow-up care of trauma patients is a neglected, but high-yield opportunity to improve injury outcomes, especially when coupled with mobile health technologies (mHealth) to better predict and implement post-discharge care, preventing disability and death.
Thus, in this study, the investigators will scale up an existing trauma registry and expand use of a mHealth screening tool (triage tool). At 10 hospitals, the investigators will implement a trauma registry and mHealth tool and evaluate success in a mixed-methods study; a quantitative prospective cohort of all eligible injured patients will be followed for 6 months after discharge and an inductive qualitative study.
Conditions
- Trauma
- Injury Traumatic
- Injuries
Interventions
- OTHER
-
Standard mHealth screening (triage) tool
Standard mHealth triage tool administered to eligible trauma patients by phone at 2 weeks, 1 month, 3 months, and 6 months post-hospital discharge. The mHealth triage tool is a survey that includes a 7-item questionnaire to identify their need for follow-up care. The need for follow-up care at any of the 4 follow-ups is defined as a flagged response to ≥1 question on the 7-item screening survey.
Sponsors & Collaborators
-
Fogarty International Center of the National Institute of Health
collaborator NIH -
University of California, Los Angeles
collaborator OTHER -
University of California, Berkeley
collaborator OTHER -
Mefire Alain Chichom
lead OTHER
Principal Investigators
-
Alain Chichom-Mefire, MD · University of Buea
-
Catherine Juillard, MD, MPH · University of California, Los Angeles
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-05-15
- Primary Completion
- 2024-11-15
- Completion
- 2024-11-15
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