Analysis of TBI admissions in a tertiary care public sector hospital of low and middle income society: a prospective study
EANS Academy. Khanzada M. 09/25/19; 275501; EP05035
Muhammad Khalid Khanzada
Muhammad Khalid Khanzada

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Aim: To analyze the trends in TBI patients and highlight risk factors for TBI patients.
Methodology: It is a prospective observational study conducted in Neurosurgery department, Lady Reading Hospital, Peshawar. The Study includes 288 Traumatic brain injury patients and Study duration was from June 01, 2017 to October 31st 2018. Written consent were taken from patients/Relatives and patients were assessed at admission and discharge, charts were analyzed. All data was entered via spss version 20 and interpreted in the form of charts and tables.
Results: According to our study mean age of TBI patients was 21.5 years. children between the age of 1-12 years were the most effected by tbi (36%) followed by young teen agers (24%) and above 60 years were least effected(6%).
Interestingly 90% of TBI patients were men and only 10 % were female. RTA constituted > 50%(n=110) of which 60 patients had bike accidents, 28 automobile accident and n=12 were pedestrians .RTA was followed by history of fall (n=29), physical assault and FIA patients constituted 10% of TBI population
66 patients were admitted with mild TBI having GCS 13 or above while n=70 patients were admitted with moderate TBI GCS 9-12, nearly one third patients (n=60) were admitted with GCS of < 8. 24 patients underwent surgery. Patients with skull fracture including linear and DSF (n=40) were most common followed by contusions (n=34) DAI n=30 and n=32 patients presented with EDH, 12 patients were received with ASDH, n=4 with traumatic SAH and n=2 fire arm injury
Conclusion: TBI is preventable condition and affects middle and young age group the most. RTA is the biggest risk factor with the most accidents due to bike accidents. Abiding traffic rules and awareness of safety at home could reduce the incidence of TBI to a very large extent.
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