The objective of this study was to review the demographics, causes injury, severity, treatment and outcome of traumatic brain injuries in victims of the April 2015 earthquake who were admitted in Manipal Teaching Hospital, Pokhara. A total of 37 patients was admitted under Neurosurgery Services. Collapse of buildings was the commonest cause of head injury. The majority of them had mild head injury. Associated injuries to other parts of the body were present in 40.54% patients.Nepal Journal of Neuroscience 12:63-66, 2015
Objective: The purpose of this study was to evaluate the distribution of traumatic brain injuries.Patients and Methods: Questionnaire based data was collected from an inpatient population of patients who presented to the Neurosurgical Unit of Ayub Teaching Hospital with traumatic brain injuries. CAT scan (Computerized Automated Tomography scan) was used as the imaging modality for preliminary diagnosis. The data was collected over a period of three years. Non-probability purposive sampling was used as the sampling technique. Patients of both sexes and all ages were included in the study.Results: Out of a total of 1938 patients, 1470 (75.9%) were males and 468 (24.1%) were females. Patients from 20 to 40 years’ age group (38.1%) represented the greatest number. Fall (52.6%) was found to be the most common external cause of Traumatic brain injury, followed by Road Traffic Accidents (34.1%). Most of the patients (42.4%) had a GCS score falling between 8 and 12. No lesion was found at the initial CAT scan in most of the patients (27.2%). Depressed Skull Fracture (21.4%) was the most common abnormal finding in initial imaging. Conservative (78.3%) treatment was provided to most of the patients keeping in view the appropriate management requirements. 97.8% of the patients were treated successfully.Conclusion: The quality of care at Neurosurgery Ayub Teaching Hospital was found to be up to the mark for traumatic brain injuries patients. However, the standard of care at Kashmir and Balakot needs to be re-evaluated.
Study of Traumatic Brain Injury Due To Recent Earthquake in Manipal Teaching Hospital
