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Category: Volume 06 Issue 08 August 2018
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Title: Evaluation of Incidence, Mode of Injury and Clinical Outcomes of Traumatic Brain Injury in Tertiary Health Center in Southern Rajasthan

Authors: Dr Uday Bhaumik, Dr Govind Mangal

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.20

Abstract

According to WHO, Traumatic Brain Injury (TBI) will be one of the major cause of mortality, morbidity and disability by the year 2020. Since burden of TBI is manifest throughout the world but it is especially prominent in India which faces a high preponderance of risk factors for causes of TBI.

Aims and Objectives: To evaluate incidence, mode of injury, clinical outcomes and surgical intervention of TBI in Tertiary Health Center in Southern Rajasthan.

Material and Method: For the study, 1000 patients of TBI who were admitted to Department of Neurosurgery ICU of Geetanjali Medical College and Hospital, Udaipur during the period of January 2014-November 2017 were evaluated. Clinical status of patients was grossly assessed with Glasgow Coma Scale (GCS).

Result: Among 1000 patients, mean age was found to be 27.61 ± 4.89 years. 74.3% were males and 25.7% were females. Among total cases, 28.3% had severe, 11.1% had mild and 60.0% had mild injury. Mortality in patient with severe injury was 44.17% and only 5.41% expired having moderate injury. RTA was found to be most common mode of injury 47.4%. 51.2% had Scalp laceration, 41.9% with Contusion and 41% had Skull Fractures. Regarding surgical intervention, surgery was most common

Keywords: Traumatic Brain Injury, Road Traffic Accidents, Mortality, Glasgow coma scale, Computerized Tomography Scan.

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Corresponding Author

Dr Uday Bhaumik

Assistant Professor, Department of Neurosurgery, Geetanjali medical college and Hospital, Udaipur, India