Head injury patients at a tertiary health care center

Authors

  • Anubhav Goel Department of Surgery, S. N. Medical College, Agra, Uttar Pradesh, India
  • Ankur Bansal S. R. Medical and Research Centre, Agra, Uttar Pradesh, India
  • Karan Rawat Department of Surgery, S. N. Medical College, Agra, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20222593

Keywords:

Head injury, Mortality, Glasgow coma score

Abstract

Background: Head injury is a significant reason for high dreariness and mortality, especially in youthful and useful age bunch patients. As per the World Health Organization report on street security, road traffic accidents (RTAs) would be the fifth driving reason for death worldwide constantly 2030. Larger part of the head wounds are ramifications of street auto collisions (RTAs), falls, attacks, or wounds, happening either in the work environment, during sport, and so forth. Present study was aimed to study patients with head injury coming to our tertiary care center.

Methods: Present study was a prospective, observational type, conducted in patients with head injury who were admitted under the department of surgery during study period.

Results: After applying inclusion and exclusion criteria, total 230 patients were considered for present study. 57% patients were from 21-50 years age group. Male to female ratio was 2.6:1. RTAs (63%) was most common cause of head injury in present study followed by assaults (20%) and fall from height (10%). 63% patients had mild head injury, while 21% and 16% patients had moderate and severe head injury respectively. Total 17% deaths were noted in present study. Outcome worsens with worsening of severity of head injury.

Conclusions: Trauma remains leading cause of head injury in present study. Necessary preventive measures and vigorous training of all medico and para-medico staff for early management of head injury can definitively reduce mortality and morbidity due to head injury.

Author Biography

Anubhav Goel, Department of Surgery, S. N. Medical College, Agra, Uttar Pradesh, India

assistant professor, department of surgery

References

De Silva MJ, Roberts I, Perel P, Edwards P, Kenward MG, Fernandes J, et al. Patient outcome after traumatic brain injury in high-, middle- and low-income countries: Analysis of data on 8927 patients in 46 countries. Int J Epidemiol. 2009;38:452-8.

World Health Organization. 2nd Global Status Report on Road Safety. 2011. Available at: https://apps.who.int/iris/bitstream/handle/10665/44122/9789241563840_eng.pdf. Accessed on 02 July 2022.

World Health Organization. Global Status Report. Available at: http://www.who.int/entity/violence/ global status report/flyererpd. Accessed on 02 July 2022.

Umphred DA. Traumatic brain injury. In: Winkler PA, editors. Neurological Rehabilitation. 5th ed. USA; Elsevier Health Science: Mosby. 2006;532-66.

Dhillon S, Kapila P, Sekhon HS. Pattern of injuries present in road traffic accident in Shimla hills. J Punjab Acad Forensic Med Toxicol. 2007;7:7-10.

Gururaj G. Injuries in India: A national perspective. In: Background Papers: Burden of Disease. New Delhi: The National Commission on Macroeconomics and Health, Ministry of Health and Family Welfare. 2005;325-47.

Masson F, Thicoipe M, Mokni T, Aye P, Erny P, Dabadie P. Aquaitaine group for severe brain injury study. Epidemiology of traumatic comas: A prospective population-based study. Brain Inj. 2003;17:279-93.

Fakhry SM, Trask AL, Waller MA, Watts DD, IRTC Neurotrauma Task Force. Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. J Trauma. 2004;56:492-500.

Agrawal D, Ahmed S, Khan S, Gupta D, Sinha S, Satyarthee GD. Outcome in 2068 patients of head injury: Experience at a level 1 trauma centre in Indi! Asian J Neurosurg. 2016;11:143-5.

Narwade N, Narwade P, Ghosalkar M, Shaikh TP, Sharma Y, Khan N, Ansari S. Clinical profile and management of head injury at tertiary health care center in rural area, India. Int J Res Med Sci. 2015;3:3137-40.

Choudhury SR, Sharma BS, Gupta VK, Kak VK. Risk factors in severe head injuries. Neurol India. 1996;44:187-94.

Soni SK, Dadu SK, Singh BK, Pandey D. Pattern and distribution of head injuries in fatal road traffic accidents in Indore region of central india. Sch J App Med Sci. 2016;4(5D):1711-6.

Punia RK, Verma LC, Pathak D. Pattern of Fatal Head Injuries in Road Traffic Accidents at SMS Hospital, Jaipur-An Autopsy Based Study. Medico-Legal Update. 2014;14:30-4.

Holly LT, Kelly DF, Counelis GJ, Blinman T, McArthur DL, Cryer HG. Cervical spine trauma associated with moderate and severe head injury: Incidence, risk factors, and injury characteristics. J Neurosurg. 2002;96:285-91.

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Published

2022-09-28

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Original Research Articles