An Epidemiological Analysis and Clinical Characteristics of Head Injury Patients Admitted in Tertiary Care Centre, North India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 2
Abstract
Abstract: Head injury is recognised as a major public health problem and it is a common cause of death and disability in young people. In developing countries like India accident rates are increasing as traffic increases besides other factors like industrialization, falls and assaults and exceed those of developed countries. The aim of this study was to study the hospital based epidemiological data of the head injury patients and to evaluate Glasgow Coma Scale (GCS) score, radiological findings, and surgical rates, the results of treatment and mortality rates. This Retrospective study was conducted in Department of Surgery and Department of Neurosurgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, India between January 2016 to December 2017. All traumatic head injuries that resulted from any physical injury, motor vehicle accidents, falls, and assault and suicide attempt were included in our study. Maximum number of head injury patients was found in the second decade of life. There was preponderance of head injury in males. Majority of patients were industrial workers. The mode of injury in majority of patients was road traffic accident. The nature of injury in majority of patients was scalp lacerations 40.40% followed by SAH 27.66%, linear fracture 25.82%, SDH 22.08%, contusion 19.78%, depressed fracture 17.62%, EDH 16.46%,both skull fracture and brain injury 15.24%, brain edema 10.69%, multiple aerocele 8.38% and ICH 5.44% respectively. Majority of patients were having Glasgow Coma Scale (GCS) between 9 and 13. Conservative treatment was given in majority of patients 87.47% followed by surgical treatment (12.53%). Majority of patient’s improved 96.79% and 3.21% expired during treatment. Our hospital covers large rural areas. This large population is potentially exposed to various hazards at work, quarrel, on road traffic and in play grounds. Head injured patients have ever been a common accident injury received at our hospital.
Authors and Affiliations
Junaid Alam, Mohammad Aslam, Aditya Varshney
Keywords
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