Citation

Khan KA, Madhur, Sinha VD, Gora N, Bairwa M. World Neurosurg. 2019; ePub(ePub): ePub.

Affiliation

Social and Preventive Medicine, Assistant Professor ( Public health and Epidemiology ), IIHMR University, Jaipur, India.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.wneu.2019.02.126

PMID

30844525

Abstract

BACKGROUND AND AIMS: Traumatic brain injury ( TBI ) is a major health issue in developing nations like India along with underreporting of TBI data because of lack of major studies targeting TBI population. Various lacunae from field to tertiary centres are responsible for this significant burden of TBIs. Hence, we studied the epidemiological profile of 1150 TBI patients including the predictors of the outcome of TBIs in a tertiary health care institution in North India to identify the modifiable factors which could be used to improve the outcome and reduce the TBI burden.

METHODOLOGY: Patients presenting with TBI to a level I Trauma Center were identified and enrolled in the study. Data regarding patients information from accident to discharge or death was collected as per designed format and was analysed to determine outcome predictors.

RESULTS: Mean age was found to be 36. ± 15.8 years and 84.6% patients were males with road traffic accident being the mode of injury in 64.26 % cases. Lack of adequate prehospital care was seen in our study. Glasgow coma score on admission, Injury Severity score and Rotterdam CT score were found to be the three statistically significant predictors of outcome in TBI patients.

CONCLUSION: Knowledge about the causes, pattern, and distributions about TBI patients from this study is of great help in policymaking, research, health management, and rehabilitation at the national level in our country and other nations.

Copyright © 2019. Published by Elsevier Inc.

Language: en

Keywords

Glasgow coma score; Injury severity score; Prehospital care; Rotterdam score; Traumatic brain injury