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Clinical Profile and Management of Patients of Head Injury at a Tertiary Care Hospital – A Prospective Study


Affiliations
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, India
2 Consultant Neurosurgeon, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
 

Head injury is one of the commonest emergencies in surgical practice. It is one of the most common cause of death and disability among the young population between the age of 15 to 25 years. This is a cross-sectional study among 100 patients with head injury at a medical college and tertiary care hospital. Aims and Objectives: To study the clinical profile and outcome of patients with head including the role of the Glasgow Coma Scale in their prognosis. To study the CT scan findings of the brain and the clinical outcome. Materials and Methods: This is a prospective observational study conducted at a Medical college and tertiary care hospital. 100 patients with head injury were enrolled in this study. Duration of the study was between December 2009 to November 2011. Conclusion: The commonest cause of head injury is road traffic accidents. Head injury is common in the young age of group of 21-30 years. Male: Female ratio of the head injury is 3:1 Almost one third of the patients had history of alcohol ingestion prior to the head injury. The commonest lesion in head injury is subdural hematoma. It is also the most lethal. Most of the head injuries were of mild type and only 5% patients required surgery. Only 10% of the patients had poor clinical outcome. Glasgow Coma Scale is very helpful in predicting the severity and clinical outcome of head injury patients.


Keywords

Alcohol Intake, Head Injury, Subdural Hematoma, RTA, Traumatic Injury
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  • Richard Stacey, John Leach. Head injury, Bailey and Love’s Short Practice of Surgery 2008, 299–308. https://doi.org/10.1201/b13454-28.

  • Gururaj G. Road traffic deaths, injuries and disabilities in India: current scenario. National Medical Journal of India.2008 Jan 1; 21(1):14.

  • Peden M, Scurfield R, Sleet D, Hyder AA, Mathers C, Jarawan E, Hyder AA, Mohan D, Jarawan E. World report on road traffic injury prevention. World Health Organization; 2004 Mar 23.

  • Dandona R, Kumar GA, Raj TS, Dandona L. Patterns of road traffic injuries in a vulnerable population in Hyderabad, India. Injury prevention. 2006 Jun 1; 12(3):183-8. https:// doi. org/10.1136/ip.2005.010728.

  • Dandona R, Mishra A. Deaths due to road traffic crashes in Hyderabad city in India: need for strengthening surveillance. NATIONAL MEDICAL JOURNAL OF INDIA.. 2004 Mar 1; 17:74-9.

  • Kopits E, Cropper M. Traffic fatalities and economic growth. The World Bank; 2003 Apr 17. https://doi.org/10.1596/1813-9450-3035.

  • Mohan, D., & Tiwari, G. Road safety in low-income countries: Issues and concerns regarding technology transfer from high-income countries. Reflections on the transfer of traffic safety knowledge to motorising nations. Melbourne’ Global Traffic Safety Trust, pp. 27–56, 1998.

  • https://ncrb.gov.in/en/accidental-deaths-suicidesindia2005 (Updated On: 28/01/2021)

  • Salgado MS, Colombage SM. Analysis of fatalities in road accidents. Forensic science international. 1988 Jan 1; 36(12):91-6. https://doi.org/10.1016/0379-0738(88)90219-8.

  • Fitzharris M, Dandona R, Kumar GA, Dandona L. Crash characteristics and patterns of injury among hospitalized motorised two-wheeled vehicle users in urban India. BMC public health. 2009 Dec; 9(1):1-2. https://doi.org/10.1186/1471-2458-9-11.

  • Fife D, Faich G, Hollinshead W, Boynton W. Incidence and outcome of hospital-treated head injury in Rhode Island. American journal of public health. 1986 Jul; 76(7):773-8.

  • https://doi.org/10.2105/AJPH.76.7.773.

  • Hyder AA, Wunderlich CA, Puvanachandra P, Gururaj G, Kobusingye OC. The impact of traumatic brain injuries: a global perspective. NeuroRehabilitation. 2007 Jan 1; 22(5):341-53. https://doi.org/10.3233/ NRE-2007-22502.

  • Boyle MJ, Vella L, Moloney E. Role of drugs and alcohol in patients with head injury. Journal of the Royal Society of Medicine. 1991 Oct; 84(10):608.

  • Galbraith S, Murray WR, Patel AR, Knill‐Jones R. The relationship between alcohol and head injury and its effect on the conscious level. British Journal of Surgery. 1976 Feb; 63(2):128-30. https://doi.org/10.1002/bjs.1800630210.

  • Edna TH. Alcohol influence and head injury. Acta Chir Scand. 1982; 148(3):209-12. PMID: 7136419.

  • Moruzzi G, Magoun HW. Brain stem reticular formation and activation of the EEG. Electroencephalography and clinical neurophysiology. 1949 Jan 1; 1(1-4):455-73. https://doi.org/10.1016/0013- 4694(49)90219-9.

  • Yablon SA. Post traumatic seizures. Arch Phys Med Rehabil, 1993; 74:983–1001

  • Galbraith S, Murray WR, Patel AR, Knill‐Jones R. The relationship between alcohol and head injury and its effect on the conscious level. British Journal of Surgery. 1976 Feb;63(2):128-30. https://doi.org/10.1002/bjs.1800630210.

  • Adityanjee, Mohan D, Wig NN. Alcohol-related problems in the emergency room of an Indian

  • general hospital. Australian and New Zealand journal of psychiatry. 1989 Jan 1;23(2):274-8. https://doi.org/10.3109/00048678909062146.

  • Mishra BK, Banerji AK, Mohan D. Two-wheeler injuries in Delhi, India: A study of crash victims hospitalized in a neuro-surgery ward. Accident Analysis & Prevention. 1984 Oct 1;16(5-6):407-16. https://doi.org/10.1016/00014575(84)90053-8


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  • Clinical Profile and Management of Patients of Head Injury at a Tertiary Care Hospital – A Prospective Study

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Authors

Hemant Borse
Department of Surgery, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, India
Chetan Rathod
Consultant Neurosurgeon, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

Abstract


Head injury is one of the commonest emergencies in surgical practice. It is one of the most common cause of death and disability among the young population between the age of 15 to 25 years. This is a cross-sectional study among 100 patients with head injury at a medical college and tertiary care hospital. Aims and Objectives: To study the clinical profile and outcome of patients with head including the role of the Glasgow Coma Scale in their prognosis. To study the CT scan findings of the brain and the clinical outcome. Materials and Methods: This is a prospective observational study conducted at a Medical college and tertiary care hospital. 100 patients with head injury were enrolled in this study. Duration of the study was between December 2009 to November 2011. Conclusion: The commonest cause of head injury is road traffic accidents. Head injury is common in the young age of group of 21-30 years. Male: Female ratio of the head injury is 3:1 Almost one third of the patients had history of alcohol ingestion prior to the head injury. The commonest lesion in head injury is subdural hematoma. It is also the most lethal. Most of the head injuries were of mild type and only 5% patients required surgery. Only 10% of the patients had poor clinical outcome. Glasgow Coma Scale is very helpful in predicting the severity and clinical outcome of head injury patients.


Keywords


Alcohol Intake, Head Injury, Subdural Hematoma, RTA, Traumatic Injury

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DOI: https://doi.org/10.18311/mvpjms%2F2020%2Fv7i1%2F18641