Study of Traumatic brain injury cases with special reference to predictors of its outcome
S.S. Vhora, R.S. Vhora, C. Gandoke, M.M. Pardasani, R. Panday, P.S. Vhora
Introduction: The term “Traumatic Brain Injury” is synonymous with Head Injury. Brain function is temporarily or permanently impaired and structural damage may or may not be detectable with current technology. We studied cases of Traumatic brain injury (TBI) with special reference to factors associated with severity and outcome.
rnObjectives: To Study TBI with special reference to parameters that must be considered in analyzing a patients prognosis, which will in turn help in managing patients on admission with necessary precautions, & interventions.
Material & Methods: We selected 45 patients admitted in general surgery wards of Sassoon General Hospitals, Pune. These patients were diagnosed to have traumatic brain injury with surgery as the primary line of management. The study design was a prospective non randomized trial.
Observation: Out of 45 patients, 36 were under the age of 50 years and 9 were above the age of 50 yrs Out of the 45 patients that were included in the study, 7 patients had a GCS score between 3-5. 12 patients out of 45 patients had a score between 6-9. 26 patients out of 45 patients had a score between 10-15.
Conclusion: Traumatic brain injury is more common in the younger age group. Survival at one year was 71.1%. There was significant association between age in years, pupil findings, GCS score and survival at 1 year.