MOTORISED TWO-WHEELER TRAUMATIC HEAD INJURY- A PROFILE OF PATIENTS WITHIN 14 TO 18 YEARS OF AGE, ADMITTED IN TRAUMA CENTRE OF MEDICAL UNIVERSITY IN LUCKNOW
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 9
Abstract
BACKGROUND Traumatic brain injury is one of the leading causes of death in children. Although, no age-specific division of road traffic accident mortality data is available in India, according to National Crime Records Bureau, maximum fatalities in traffic accidents was reported by Uttar Pradesh in the country. MATERIALS AND METHODS The descriptive study was conducted in the Trauma Centre of King George’s Medical University, a tertiary care centre in Lucknow. The admitted traumatic patient’s profile, detailed data of injury, general physical and neurological examination, radiological findings, management details and outcome were noted. All patients were managed according to protocols laid down by standards and departmental protocols. Patients were grouped under minor head injury (GCS 13 - 15), moderate head injury (GCS 9 - 12) and severe head injury (GCS 8 or less). Post resuscitation GCS was considered as baseline and outcome was assessed at 3 months by Glasgow Outcome Scale (GOS). RESULTS Road traffic accident was one of the major causes of paediatric head injury accounting for 470 children being admitted/observed by Neurosurgeon in Trauma Centre of University College of Lucknow. On further analysis, we found that there were 303 patients between 14 and 18 years, which account for approximately 65 percent. It was noticed that out of these 303 head injury cases, about 80% (243 patients) were those, who were either driving or riding a pillion on two-wheeler. Out of these, 172 patients were driving a two-wheeler and it was shocking to notice that 96% (165 patients) were those who were not wearing the helmet with mortality of 14.5% (24 patients). CONCLUSION Unauthorised driving at adolescent age group makes them vulnerable to accidental head injury, that too of increased severity when the majority of these can be prevented. The present data may provide the inside to the policy makers for implementation of various policies to ensure the traffic rules are strictly followed. Parents should be acting responsible enough not to give two wheelers before the appropriate age and also be vigilant that their child follows traffic rules strictly
Authors and Affiliations
Ankur Bajaj, Chhitij Srivastava, Bal Krishan Ojha
Keywords
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- EP ID EP555093
- DOI 10.14260/jemds/2019/127
- Views 107
- Downloads 0
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