Outcome of Patients with Subdural Hemmorage based on Glasgow Coma Score - Mild, Moderate and Severe Head Injured Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Subdural haematoma is the most common focal intracranial lesion and occurred in 24% of patients in the TBI with severe closed head injury. Despite major advances in modern head injury management, patients in whom acute SDH develops have a worse prognosis than any other group of head-injured patients. Study aimed to record traumatic brain injury patients sex incidence, age distribution, pupillary abnormalities, management, mortality, Glasgow Outcome Score, duration of hospital stay and follow up among traumatic brain injury patients with Acute Subdural Haematoma into mild (GCS 13-15), moderate (GCS 9-12) and severe injuries (GCS 3-8). Material and methods: It is a prospective study conducted in Department of Neurosurgery, Andhra Medical College, Visakhapatnam over a period of two years from December 2013 to December 2015. The patients who presented to the Casualty with head injury and on CT scan showing Acute Subdural Haematoma were taken into the study. Results: Out of 302 patients, 228 patients are male and 74 are female. More number of patients are reported in the age group of 31-40 years. RTA is the most common aetiology and Maximum in the age group of 31-40 years. More number of cases under RTA are in the age group of 21-60 in both rural and urban areas. Maximum number of cases are identified under CON in all head injury cases. Less number is reported under ICU in all three head injury cases. Maximum number (i.e., 27%) of death cases are reported in the age group of 31- 40 years. Maximum number (i.e., 27%) of recovery cases are reported in the age group of 31-40 years. Maximum and equal number of death and discharge cases are reported in the same age group of 31-40 years of age group. In both the cases, less number (i.e., 4%) of cases are reported in the age group of >70 years. Conclusion: It is worth to use of GCS as an instrument to estimate prognosis on the part of researchers and professionals involved in care provided to trauma victims.
Authors and Affiliations
K Sivaramakrishna1, B. Harshavardhan
Keywords
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