Epidemiological Profi le and Outcome in 100 Cases of Severe Traumatic Brain Injury from Eastern Nepal
Journal Title: Nepal Journal of Neuroscience - Year 2014, Vol 11, Issue 2
Abstract
Traumatic brain injury (TBI) is one of the major causes of death and morbidity especially in young adults Worldwide. This is a retrospective study of all cases with severe TBI, defi ned as GCS < 8 from February 2010 to January 2014. The demographic factors like age, sex and clinicpathological fi ndings like GCS at admission and discharge, diagnosis, surgical procedure, length of stay and mortality were recorded. Data analysis was performed with SPSS statistical software (version 20.0; SPSS, Inc., Chicago, IL).p values<0.05 or <0.01 were considered statistically signifi cant or highly signifi cant respectively. Chi-square test, Pearson coeffi cient was used for variable categorization. A total of 100 cases that met the criteria for severe TBI were included during the study period. There were 70 males and 30 females. The age ranged from 3 to 83 years with a mean of 36 years. At discharge the majority had improved to GCS of 15 (37%) with only 20 cases in GCS < 8 group. At the end of 1 month there were 47 survivors out of the 70 who were discharged. The GOS at one month showed the majority in good recovery group (24%), moderate recovery (9%) and the rest in severe disability. In this study the GCS at admission, intracerebral contusions, surgical intervention and GCS at discharge had a direct correlation with improvement whereas, age, sex and days of hospitalization had no correlation with outcome. Although severe TBI has a high mortality rate yet all cases in this group must be managed aggressively as the survival achieved can be more than 50%.
Authors and Affiliations
Dr Yam. N B. Roka, M. S, M. Ch (Neurosurgery)
Keywords
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