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Principal Investigator: Bérangère Gohy, Humanity & Inclusion

Purpose

The research aims to assess functional outcomes of trauma patients in humanitarian settings and analyse the determinants of these outcomes. The study has three specific objectives:-
– To develop a cross-culturally valid and reliable functional score for trauma patients in emergency settings,
– To evaluate trauma patients’ functional outcomes at 3 and 6 months after trauma,
– To identify socio-demographic, clinical and care-related determinants of short and middle-term functional outcomes among trauma patients.

 

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Expected outcomes

A valid functional score for trauma patients in humanitarian settings: The study will assess and validate the modified functional score that was empirically developed in 2011 by field teams in Kunduz. Revisions of the score are currently ongoing within the research consortium, and by the start of this project a revised version will be ready for validation.

Phase 1 of this study will produce a cross-culturally valid, reliable and easy to use functional score for trauma patients in humanitarian settings. The functional score will set a new standard to monitor, evaluate, and report on trauma cases and rehabilitation measures in the field.

A better understanding of the main determinants of functional outcomes of trauma patients in humanitarian settings: Phase 2 of the study will identify drivers of optimal functional recovery. A particular emphasis will be placed on the association between a positive outcome and the timeliness and intensity of rehabilitation.

Gradual roll-out of the validated functional score and extensive hands-on experience for health and rehabilitation actors on the ground, through on-site and remote training and practical guidance on how to use the score.

During phase 1, research will take place in Iraq, Burundi, Haiti, Cameroon and Central African Republic, while for phase 2, it’ll be Burundi, Cameroon, Central African Republic and Gaza.

A health promoter explains the risks of of staying immobilized to a trauma patient. Photo: Samuel Sieber/MSF
The Activity Independence Measure for Patients after Trauma (AIM-T) is a set of twelve simple exercises of daily life to help physiotherapists assess how independent patients are and plan the course of the treatment. Photo: Samuel Sieber/MSF
Damien’s right lower leg had to be amputated due to a gangrene infection. Early mobilization is important and physiotherapy support him in returning to a life outside the hospital. Photo: Samuel Sieber/MSF
Damien, who’s right lower leg and foot had to be amputated, is completing one of the new exercises of the Activity Independence Measure for Patients after Trauma (AIM-T). Photo: Samuel Sieber/MSF
Damien, who’s right lower leg and foot had to be amputated, is completing one of the new exercises of the Activity Independence Measure for Patients after Trauma (AIM-T). Photo: Samuel Sieber/MSF
Damien’s right lower leg had to be amputated due to a gangrene infection. Early mobilization is important and physiotherapy support him in returning to a life outside the hospital. Photo: Samuel Sieber/MSF
Walking bars between two buildings in Maroua. With the hospital capacity at its very limits, space and time for physiotherapy are very limited. Photo: Samuel Sieber/MSF
For the youngest patients, a team at the hospital organizes daily activities like a kids dance or animated film night to get them out of bed in a playful way. Photo: Samuel Sieber/MSF
Mary’s right leg is heavily swollen due to necrotizing fasciitis, and she has difficulties getting out of bed in a hospital tent next to the main building. The extra space is urgently needed to admit more patents. Photo: Samuel Sieber/MSF
Two extra tents are next to the main building are necessary to provide much needed space for nearly one hundred trauma patients. Photo: Samuel Sieber/MSF
Nearly one hundred patients requiring urgent medical attention, surgery or wound care at the Regional Hospital Maroua in the Far North Region of Cameroon. MSF supports the Ministry of Health by running the operating theater for emergency surgery and providing post-operative care. Photo: Samuel Sieber/MSF
Physiotherapist Moulou Talba with the Ministry of Health examines a patient’s x-ray images. He suffered complicated fractures in his leg after a traffic accident, and was treated with external fixation. Photo: Samuel Sieber/MSF
Physiotherapist Moulou Talba with the Ministry of Health examines an ambulant patient’s x-ray images in a physiotherapy session. Photo: Samuel Sieber/MSF
Physiotherapist Moulou Talba changes the wound dressing of a trauma patient on the men’s ward at the Regional Hospital Maroua. Photo: Samuel Sieber/MSF
For trauma patients, early mobilization and and regular rehabilitation activities are important to avoid severe stiffness and muscle loss, chest infections, or bedsores, and hinder their return to work. Photo: Samuel Sieber/MSF
Outside the MSF-run operating theater at the Regional Hospital Maroua. Photo: Samuel Sieber/MSF
Only very limited space is available for physiotherapy and rehabilitation activities at the Regional Hospital Maroua in the Far North Region of Cameroon. Photo: Samuel Sieber/MSF
A health promotion session with caregivers at the hospital. The importance of early mobilization will be added as a new module.
A health promotion session with caregivers at the hospital. The importance of early mobilization will be added as a new module. Photo: Samuel Sieber/MSF

Latest Updates

Research news article

Oct 2019

Keep moving to get better: Early mobilization in post-operative care at the regional hospital in Maroua, Cameroon

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2019Oct

Study featured in MSF article on their work into ‘Scientific evidence for better care’

Jul 2019

This study is featured alongside one from around the world in MSF’s article ‘Scientific Evidence for Better Care: A Sneak Peek into Eight MSF Operational Research Projects’

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Jul

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