Subscribe to RSS
DOI: 10.1055/s-0044-1787699
Demographic Profile, Clinical Features, Imaging, and Outcomes in Patients with Traumatic Brain Injury Presenting in Garhwal Himalayas in Tertiary Care Hospital
Abstract
Introduction Traumatic brain injury (TBI) poses a significant global health challenge, accounting for over 50% of trauma-related deaths and emerging as a leading cause of mortality and disability.
Objective This article studies the demographic characteristics, clinical features, imaging findings, and outcomes of TBI patients.
Materials and Methods This was a retrospective observational study conducted on 490 patients with TBI. Data regarding age, gender, socioeconomic status, and residential location were extracted from medical records. Neuroimaging reports, including computed tomography (CT) scans results, were analyzed for structural and functional insights.
Results The majority of TBI cases involved individuals aged 21 to 40, with a higher incidence in males. Road traffic accidents were identified as the most common mode of injury, followed by falls. Most of the patients had moderate Glasgow Coma Scale scores at admission. CT scans indicated skull fractures, cerebral edema, and subdural hematomas as common findings. Most patients did not require ventilator support, and the majority had a hospital stay of less than 10 days. At discharge, 89.8% exhibited favorable outcomes, while 4.3% experienced mortality during treatment. Follow-up data demonstrated an overall mortality rate of 8.8%, with 89.2% achieving complete recovery within a month.
Conclusion The study underscores the importance of understanding the multifaceted aspects of TBI, emphasizing the need for integrated approaches in tertiary medical care to optimize patient outcomes and contribute to effective public health strategies.
Note
We, all authors approve the above said article and clarify that the article is our original contribution and has not been plagiarized/copied from any source/individual. It does not contravene on the rights of others and does not contain any libelous or unlawful statements and all references have been duly acknowledged at the appropriate places.
Publication History
Article published online:
10 June 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Rehabilitation of persons with traumatic brain injury. NIH Consens Statement 1998; 16 (01) 1-41
- 2 Jennett B. Epidemiology of head injury. Arch Dis Child 1998; 78 (05) 403-406
- 3 Castillo M, Harris JH, Harris WH, Novelline AR. Skull and Brain: The Radiology of Emergency Medicine. 3rd ed.. Baltimore: Williams and Wilkins; 1993
- 4 World Health Organization Projections of Mortality and Burden of Disease to 2030: Death by Income Group. 2002 Geneva World Health Organization; 2006
- 5 Gururaj G. Epidemiology of traumatic brain injuries: Indian scenario. Neurol Res 2002; 24 (01) 24-28
- 6 Lee KK, Seow WT, Ng I. Demographical profiles of adult severe traumatic brain injury patients: implications for healthcare planning. Singapore Med J 2006; 47 (01) 31-36
- 7 Sachan AS, Sachan P, Chandra S. Epidemiological, demographic and clinical profile of traumatic brain injury patients: a prospective analysis at a level one trauma centre in northern part of India. Rom Neurosurg 2021; 35 (03) 370-375
- 8 Chaitanya K, Addanki A, Karambelkar R, Ranjan R. Traumatic brain injury in Indian children. Childs Nerv Syst 2018; 34 (06) 1119-1123
- 9 Kirankumar MR, Satri V, Satyanarayana V, Ramesh Chandra VV, Madhusudan M, Sowjanya J. Demographic profile, clinical features, imaging and outcomes in patients with traumatic brain injury presenting to emergency room. J Clin Sci Res 2019; 8: 132-136
- 10 Huijben JA, Dixit A, Stocchetti N. et al; CENTER-TBI investigators and participants. Use and impact of high intensity treatments in patients with traumatic brain injury across Europe: a CENTER-TBI analysis. Crit Care 2021; 25 (01) 78