scholarly journals A Study to Correlate Ocular Manifestations of Closed Head Injury with Glasgow Coma Scale and Vision and Neurological Outcome in A Rural Tertiary Care Center

2020 ◽  
Vol 6 (2) ◽  
pp. 99-104
Author(s):  
Sandhya R
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Neurological Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Closed Head Injury ◽  
Tertiary Care Center ◽  
Coma Scale ◽  
Ocular Manifestations ◽  
Closed Head

Diffusion-weighted MR Imaging in Closed Head Injury: High Correlation with Initial Glasgow Coma Scale Score and Score on Modified Rankin Scale at Discharge

Radiology ◽  
2004 ◽  
Vol 233 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Pamela W. Schaefer ◽  
Thierry A. G. M. Huisman ◽  
A. Gregory Sorensen ◽  
R. Gilberto Gonzalez ◽  
Lee H. Schwamm
Keyword(s):  
Head Injury ◽  
Mr Imaging ◽  
Glasgow Coma Scale ◽  
Scale Score ◽  
Glasgow Coma Scale Score ◽  
Closed Head Injury ◽  
Modified Rankin Scale ◽  
Coma Scale ◽  
Diffusion Weighted ◽  
Closed Head

scholarly journals Early Decompressive Craniectomy: A Life Saving Option in Closed Head Trauma

2021 ◽  
Vol 15 (9) ◽  
pp. 2257-2259
Author(s):  
Malik Liaqat Ali Jalal ◽  
Atta Ur Rehman ◽  
Muhammad Shaukat Farooq ◽  
Wajahat Hussain
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Decompressive Craniectomy ◽  
Closed Head Injury ◽  
Ethical Review ◽  
Coma Scale ◽  
Admission Time ◽  
Duration Of Surgery ◽  
Csf Leakage ◽  
Closed Head

Aim: To determine outcome and factors associated with outcome among patients with closed head injury who underwent decompressive craniectomy. Methodology: Cross sectional analytical study conducted in Neurosurgery Department of teaching hospital Dera Ghazi Khan from January, 2021 to June, 2021. Total 105 patients fulfilling the inclusion criteria were enrolled in the study. Approval of ethical review committee was obtained. All the patients with closed head injury which underwent decompressive craniectomy were included. Socio demographic profile, mode of injury, Glasgow Coma Scale (GCS) at admission time, pupillary reaction and timing from hospital admission to surgery, duration of surgery, length of hospital stay and occurrence of CSF leakage was noted. SPSS version 22 was used for data entry and analysis. Results: Head injury was more common in males. 43.8% cases admitted with GCS score between 3-8 and with head injury by road traffic accident. Leakage of CSF was recorded in 13.3% patients. Mortality was recorded in 18.1% patients. GCS at time of admission, time elapsed between admission and surgery and duration of surgery was significantly associated with the outcome. Conclusion: Early decompressive craniectomy significantly reduce death rate in patients with closed head injury. Keywords: Craniectomy, Outcome, Glasgow coma scale

Post-traumatic amnesia and Glasgow Coma Scale related to outcome in survivors in a consecutive series of patients with severe closed-head injury

Brain Injury ◽  
1992 ◽  
Vol 6 (4) ◽  
pp. 373-380 ◽  
Author(s):  
Samir N. Bishara ◽  
Fiona M. Partridge ◽  
Hamish P.D. Godfrey ◽  
Robert G. Knight
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Closed Head Injury ◽  
Consecutive Series ◽  
Coma Scale ◽  
Traumatic Amnesia ◽  
Closed Head ◽  
Post Traumatic

Maxillofacial trauma severity effects in patients with head injury in a tertiary care center in Yogyakarta, Indonesia

2021 ◽  
Author(s):  
Sandy Nur Vania Putri ◽  
Aditya Rifqi Fauzi ◽  
Dewi Kartikawati Paramita ◽  
Ishandono Dachlan ◽  
Rosadi Seswandhana
Keyword(s):  
Head Injury ◽  
Care Center ◽  
Tertiary Care ◽  
Maxillofacial Trauma ◽  
Tertiary Care Center ◽  
Trauma Severity

scholarly journals Spectrum of Pediatric Head Injury with Management and Outcome: A Single Tertiary Care Center Study

2015 ◽  
Vol 12 (01) ◽  
pp. 010-018
Author(s):  
Sudhansu Mishra ◽  
Rama Deo ◽  
Somnath Jena ◽  
Pratap Nath
Keyword(s):  
Head Injury ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Pediatric Head Injury ◽  
Center Study

scholarly journals Impact of implementation of the national institute for health and clinical excellence (NICE) head injury guideline in a tertiary care center emergency department: A pre and post-intervention study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254754
Author(s):  
Pratisha Pradhan ◽  
Alok Pradhan ◽  
Anmol Purna Shrestha ◽  
Abha Shrestha ◽  
Ram Chandra Paudel ◽  
...  
Keyword(s):  
Head Injury ◽  
Guideline Adherence ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Excellence ◽  
P Value ◽  
Tertiary Care Center ◽  
Nice Guideline ◽  
Ct Head ◽  
Attending Physicians

Introduction Head injury, a common presentation to the emergency department (ED), is a substantial problem in developing countries like Nepal. The current national institute for health and clinical excellence (NICE) guideline revised in January 2014 focuses on effective clinical assessment and early management of head injuries according to their severity in all age groups. This study assessed the impact of implementing this guideline on the proportions of computed tomography (CT) head scans, guideline adherence, and confidence level of the attending physicians. Methods We consecutively recruited 139 traumatic head injury (THI) patients in this prospective pre-post interventional study conducted in the ED of a tertiary care center. We implemented the NICE guideline into routine practice using multimodal intervention through physicians’ education sessions, information sheets and guideline-dissemination. The pre and post-implementation CT head scan rates were compared. The post-implementation guideline adherence was assessed. Online Google form-questionnaires including 12 validated case scenarios were distributed to the attending physicians at the end of both phases to assess their confidence levels. Results The implementation resulted in a statistically significant decrease in the proportion of CT head scan rates from 92.0% to 70.0% (p-value = 0.005). Following educational interventions, improved guideline adherence of 20.3 percentage points (p-value = 0.001) was observed. Nine ED attending physicians were enrolled in the study who showed statistically significant improvement in their confidence level following the intervention. The NICE guideline showed a sensitivity and specificity of 93.6% and 76.4% with 82.6% accuracy compared to that of clinical judgment (100%, 34.6%, and 58.1% respectively) in detecting intracranial lesions. Conclusion The implementation was successful in satisfying the aim of the NICE guideline by decreasing the proportion of CT head scans, improving guideline adherence and increasing the confidence of the attending physicians.

scholarly journals Comparative study of pattern of head injury in a rural community hospital and a tertiary care hospital

2019 ◽  
Vol 6 (12) ◽  
pp. 4272
Author(s):  
Suhas Patil ◽  
Tanweerul Huda ◽  
Sheel C. Jain ◽  
Bharati Pandya ◽  
Ravinder Narang
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Rural Community ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Head Injuries ◽  
Tertiary Care ◽  
Care Hospital ◽  
Coma Scale ◽  
Significant Difference

Background: The objective of the study was to compare clinical patterns of head injuries in reference to the Glasgow coma scale including neurological examination and also to determine morbidity and mortality in head injury patients admitted to a nodal tertiary care hospital and a rural community hospital.Methods: This prospective study was done at the emergency department of Kasturba Hospital attached to Mahatma Gandhi Institute of Medical Sciences and Sushrut Hospital, Maharashtra on a total of 1000 cases during one-year study duration. The severity of the head injury was analysed using a Glasgow coma scale and outcome in terms of management and death was assessed.Results: Out of 1000 cases with head injuries, 900 cases were admitted in tertiary care hospital and 100 cases in a rural hospital. A significant difference was observed in terms of age group (p=0.01), mode of trauma (p=0.04) and symptoms (p=0.03) among the patients admitted with head injuries in both hospitals. The mortality rate was 1% and 3% in tertiary care and rural hospitals respectively.Conclusions: Head injuries are predominantly affecting the male population and most of them are due to road traffic accidents. Early assistance of medical aid and emergency room care results in good outcomes with minimal deaths. 

Sign in / Sign up

Export Citation Format

Share Document