Management and Outcome of Severe Traumatic Brain Injury

Authors

  • Arfa Qasim
  • Lal Rehman
  • Iram Bokhari
  • Farrukh Javeed
  • Haris Hamid
  • Rubab Qadir

DOI:

https://doi.org/10.36552/pjns.v27i2.852

Abstract

Objective:  To assess the management of patients with severe traumatic brain injury and their outcomes.

Materials and Methods:  A prospective observational study was conducted at the Department of Neurosurgery of a tertiary care hospital. Our study included 279 patients in total. After meeting the requirements for inclusion, the patient's baseline information, such as age, gender, arrival GCS, and outcome, were noted. Three months of post-trauma observation were employed to assess the outcome. SPSS version 22.0 was used to evaluate the data obtained.

Results:  According to our study out of the total, 118 (42.3%) patients with severe TBI showed good outcomes while 161 (57.7%) showed poor outcomes at 3 months. In our study, the arrival GCS and arrival pupillary reactivity were statistically significant outcome factors (p = 0.040 and 0.010 respectively). Overall mortality was 35.13% (98) at 3 months.

Conclusion:  Patients presenting with severe TBI have high morbidity and mortality. Arrival GCS and pupillary reaction were important factors to significantly alter the outcome.

Keywords:  Traumatic Brain Injury, Glasgow Coma Score, Head Trauma, Glasgow Outcome Score, Outcome.

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Published

2023-06-09

Issue

Vol. 27 No. 2 (2023): April-June

Section

Original Articles

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Copyright (c) 2023 Arfa Qasim, Lal Rehman, Iram Bokhari, Farrukh Javeed, Haris Hamid, Rubab Qadir

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).