Professor and HOD, Department of Pulmonary Medicine, NRI Medical College, Chinakakani, Guntur, Andhra Pradesh, India.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 31
Abstract
BACKGROUND Traumatic brain injury is a significant cause of morbidity and mortality and causes significant economic burden to the family and state. We did this prospective study to look for the various factors involved with Traumatic Brain Injury (TBI) and among them the factors having statistical significance in terms of outcome prognostication which can help us in better understanding, efficient utilisation of resources, better counselling of relatives and better documentation. MATERIALS AND METHODS This prospective study included 196 patients, admitted to the Department of Neurosurgery, Government TD Medical College Hospital from April 2016 to September 2017. We analysed statistical significance of various factors affecting the outcome of patients and divided outcome into favourable and unfavourable outcome using Glasgow Outcome Score. RESULTS Midline shift, lobe of the brain injured, GCS on arrival, status of brainstem and cisternal status on CT scan are strong independent prognostic markers of the outcome. CONCLUSION Correct and early prognostication in TBI is of immense importance. Information available in the first CT head gives significant information not only about the present condition, but can be effectively used in prognostication.
Authors and Affiliations
Sunil Panchal, P. Krishnakumar, Harison G, K. R. Arvind, Subrath Subrath, Anoob Mohammad, Konark Konark, Arpita Arpita
Keywords
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- EP ID EP539108
- DOI 10.14260/jemds/2018/779
- Views 99
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