An Epidemiological Study of Traumatic Brain Injury cases in a Trauma Centre of Bhopal, M.P., India

Abstract

Background: The study included all the patients of trauma with clinical/radiological evidence of head injury alone or in association with other injuries admitted to Neurosurgery Unit of Surgery Department, Gandhi Medical College, Bhopal during the period of one year of study.

A data capture form was filled for each of the patient, which included all the details about the case like patient profile, pre hospital care, type of injury, radiological findings, clinical examination, neurological findings and management details.

Result: There were (77%) males and (23%) females. As per literacy status of patients were (53%) Pre-school, (37%) with school education and 10% were graduate and above. Most of the patients were from poor socio-economic strata (61%). Urban population accounted for (39%) in this study.

There were (76%) males and (24%) females. As per literacy status of patients were (43%) Pre-school, (44%) with school education and (13%) were graduate and above. Most of the patients were from poor socio-economic strata (57%). Urban population accounted for (43%) in this study.

Majority (43%) cases of TBI showed some form of local injury on head and neck region among dead whereas in alive (38%). Treatment by surgery after accident Burr Hole (13%), Craniotomy (53%) & Craniectomy (34%).

Conclusion: TBI predominantly affects young male population and most of these are preventable. Early transportation to the hospital and first aid results in good outcome. Mortality increases with the severity of TBI and associated injuries therefore multimodality approach in polytrauma is essential.

Keywords: Epidemiology, Traumatic Brain Injury, Multimodality approach.

Study Designed: Observational Study.