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. 2018 Jul-Sep;13(3):714-720.
doi: 10.4103/ajns.AJNS_131_16.

Morbidity Audit of 704 Traumatic Brain Injury Cases in a Dedicated South Indian Trauma Center

Anil Kumar Singh  1 , Ranjan Kumar Jena  1 , Ranabir Pal  2 , Ashok Munivenkatappa  3 , V Umamaheswara Reddy  4 , Kishore V Hegde  4 , S Satish Kumar  5 , Amit Agrawal  1
Affiliations

Morbidity Audit of 704 Traumatic Brain Injury Cases in a Dedicated South Indian Trauma Center

Anil Kumar Singh et al. Asian J Neurosurg. 2018 Jul-Sep.

Abstract

Background: In the era of evidence-based health care, protocol of intervention in traumatic brain injury (TBI) cases help decide more easily and safely about patients and prevent unnecessary transfer of patients to other centers.

Objectives: The objective of this study is to provide protocol-based intervention and evaluate the epidemiological, clinical characteristics of TBI cases.

Methods: This prospective study was conducted on 704 patients who were suspected of TBI at the Department of Neurosurgery, Narayana Medical College and Hospital, followed by protocol-based intervention assessed and reassessed repeatedly.

Results: Overall, TBI involved 569 (80.82%) adults in the productive age groups (21-60 years); among males 81.47%. Among males, highest (23.15%) cases were in the age group of 31-40 years while in females, majority (27.04%) was among 41-50 years. Road traffic accidents were the most common (54.12%) mechanism of injury followed by fall (21.31%) and two-wheelers (15.20%). More than half sustained mild TBI (51.42%) while 26.28% moderate TBI and 22.30% severe TBI; among males, severe TBI victims 102 (18.82%) were in the productive age group. Loss of consciousness was almost a universal and significant observation (95.45%); vomiting was next common finding (76.42%). Bleeding from the ear-nose-throat (ENT) region was more in males (33.58%) than females (20.75%). Glasgow coma scale was significantly related with loss of consciousness (91.08%), vomiting (63.06%), and ENT bleeding (44.59%) in severe, moderate, and mild injuries.

Conclusion: A rational clinical acumen with judicious use of diagnostic protocol leads to better management of TBI without unnecessary imaging and thus reduce total health-care costs.

Keywords: Outcome; prediction; traumatic brain injury.

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Conflict of interest statement

There are no conflicts of interest.

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