# A Mobile Phone-based Triage Tool to Identify Discharged Trauma Patients in Need of Further Care in Cameroon

> **NIH NIH R21** · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2021 · $96,227

## Abstract

Summary
As injuries become an increasingly important public health priority in low- and middle-income settings,
including sub-Saharan Africa (SSA), context-appropriate methods for improving trauma care are lacking.
Cameroon appears to be more affected by injury than other countries in the region. While over 60% of injured
patients in Cameroon seek formal care, there is no mechanism to follow these patients for further care after
they are discharged from the hospital. The growing network of mobile phones in Cameroon presents a novel
opportunity to reach populations that have been previously lost to follow up. A mobile phone-administered tool
that could reliably identify patients who would most benefit from further care would maximize the use of health
care resources currently directed towards treating injury and potentially decrease the disability and mortality
associated with injury. Our long-term goal is to reduce the burden associated with injury in Cameroon through
our established multi-disciplinary collaboration with Cameroonian hospitals and the University of Buea. Our
overall objective is to improve timely medical follow-up for injured patients in Cameroon to reduce the impact of
injury. Common sequelae of injury, such as infection, thromboembolic events, osseous malunion, poor wound
healing, neurologic disability, or others, could be intervened upon in a timely fashion before they become life-
or limb-threatening, resulting in long-term disability or death. We hypothesize that a telephone-based triage
tool is a feasible and effective method of timely identification of trauma patients in Cameroon who would
benefit from further follow up after they are discharged from the hospital. To accomplish this objective, we will
pursue three specific aims: 1) Establish the feasibility of mobile phones as a follow-up tool for hospitalized
trauma patients after discharge in Cameroon; 2) Cross-validate a mobile phone-based assessment tool to
identify trauma patients who would benefit from further medical care; 3) Characterize the impact of timely
follow-up on long-term disability and socioeconomic consequences associated with trauma in Cameroon.
Understanding the feasibility of mobile phones as a follow-up tool for trauma patients will enhance our
understanding of how mobile phones can be used across multiple other health sectors. Validation of an
innovative triage tool to identify high-risk patients will allow resources to be focused on ensuring that those
patients get timely medical care, reducing the health and socioeconomic consequences of injury. Embedded in
our approach is the training of clinicians in process health systems research, giving them the tools to continue
to strengthen care in Cameroon. This research initiative is the vital step towards improving care of injured
patients in Cameroon and developing a network of individuals who can create a culture of research-based
improvements in the care of the injured.
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## Key facts

- **NIH application ID:** 10473617
- **Project number:** 3R21TW010956-03S1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA LOS ANGELES
- **Principal Investigator:** Alain Mefire Chichom
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $96,227
- **Award type:** 3
- **Project period:** 2018-09-14 → 2022-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10473617

## Citation

> US National Institutes of Health, RePORTER application 10473617, A Mobile Phone-based Triage Tool to Identify Discharged Trauma Patients in Need of Further Care in Cameroon (3R21TW010956-03S1). Retrieved via AI Analytics 2026-06-01 from https://api.ai-analytics.org/grant/nih/10473617. Licensed CC0.

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