scholarly journals A PROSPECTIVE STUDY OF TRAUMATIC BRAIN INJURY (TBI) AT TERTIARY CARE CENTER

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Govind Mangal ◽  
Uday Bhaumik ◽  
Gaurav Varnwal ◽  
Giriraj Prajapati
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Trauma Center ◽  
Care Center ◽  
Tertiary Care ◽  
Study Group ◽  
Age Group ◽  
Trauma Injury ◽  
A Prospective Study ◽  
Traffic Rules

Background: Worldwide, traumatic brain injury (TBI) is the single largest cause of death and disability following injury. Most TBI’s are due to road side accidents. According to WHO data, by the year 2020, head trauma will be third largest killer in the developing world. Methods: The present study was conducted in Department of Neurosurgery. The study group consisted of a total of 200 head injury patients presenting to the Trauma center and admitted in neurosurgery ward. Results: Out of 200 cases maximum case(40.00%) were from 21-30 year age group and minimum case(3.00%) were from 0-10 year age group. 81.00% were male and 19.00% were female. Only 21.00% patients managed by surgical treatment. Conclusion: The lack of awareness among the pedestrians and disregard for traffic rules by the motorists were important reasons for most of the accidents. Keywords: Neurosurgery, Trauma, Injury.

scholarly journals TO STUDY EPIDEMIOLOGICAL ASPECTS OF ACUTE HEAD TRAUMA AT TERTIARY CARE CENTER BIKANER RAJASTHAN

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Kapil Pareek ◽  
Dinesh Sodhi
Keyword(s):  
Traumatic Brain Injury ◽  
Head Trauma ◽  
Trauma Center ◽  
Care Center ◽  
Tertiary Care ◽  
Study Group ◽  
Tertiary Care Center ◽  
Medical College ◽  
Trauma Injury ◽  
Traffic Rules

Background: Worldwide, traumatic brain injury (TBI) is the single largest cause of death and disability following injury. Most TBI’s are due to road side accidents. According to WHO data, by the year 2020, head trauma will be third largest killer in the developing world. Methods: The present study was conducted in Department of Neurosurgery, Trauma center of S. P. Medical College and A.G. of Hospitals, Bikaner. The study group consisted of a total of 100 head injury patients presenting to the Trauma center and admitted in neurosurgery ward. Results: The incidence of injury with respect to the time of occurrence in a day has shown a maximum number of incidents occur between 6.00 pm and 12.00 midnight (40.00%), followed by 12 noon to 6 pm having (28.00%). Conclusion: The lack of awareness among the pedestrians and disregard for traffic rules by the motorists were important reasons for most of the accidents. Keywords: Neurosurgery, Trauma, Injury

scholarly journals Management of Postpartum Haemorrhage: A study on Transfusion of Blood and its components

2020 ◽  
Vol 6 (6) ◽  
pp. 108-113
Author(s):  
Dr. Swati Swati ◽  
◽  
Dr. Fayaz Khan H ◽  
Dr. Manju M ◽  
◽  
...  
Keyword(s):  
Postpartum Haemorrhage ◽  
Care Center ◽  
Tertiary Care ◽  
Age Groups ◽  
Obstetric Care ◽  
Age Group ◽  
Blood Products ◽  
Medical College ◽  
Essential Components ◽  
A Prospective Study

Introduction: Blood Transfusion is identified as one of the essential components of comprehensiveemergency obstetric care which has drastically reduced maternal mortality. Material and Methods:This is a prospective study conducted at NC Medical College and Hospital, in the Department ofOBGY. (Tertiary care center) from January 2019 – September 2020. All patients requiringintrapartum transfusion of blood or blood products are enrolled in the study. No exclusion criteria.Results: In the present study, various age groups of patients were enrolled. Maximum transfusion(77.8%) rates are seen in the age group of 21-30 years and the minimum no. of patients wereranges from 31-40 years (8.4%). Conclusion: Postpartum hemorrhage, placental causes, andanemia are the commonest causes of the need for transfusion in obstetric practice.

scholarly journals 198 Outcomes Following Exploratory Burr Holes for Traumatic Brain Injury in a Resource-Poor Setting

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 253-253
Author(s):  
Jessica C Eaton ◽  
Asma Bilal Hanif ◽  
Gift Mulima ◽  
Chifundo Kajombo ◽  
Anthony Charles
Keyword(s):  
Traumatic Brain Injury ◽  
Logistic Regression ◽  
Brain Injury ◽  
Care Center ◽  
Tertiary Care ◽  
Total Mortality ◽  
Resource Poor Setting ◽  
Trauma Patients ◽  
Therapeutic Procedure ◽  
Burr Holes

Abstract INTRODUCTION Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Low- and middle-income countries (LMICs) suffer from a high incidence of and mortality from TBI. Computed tomography (CT) scan is the diagnostic method of choice, but is often inaccessible in LMICs, where exploratory burr holes (EBH) remain a necessary diagnostic and therapeutic procedure. We sought to describe indications and outcomes of patients undergoing EBH at our sub-Saharan African tertiary care center. METHODS We performed a retrospective review of prospectively collected data at Kamuzu Central Hospital (KCH) in Lilongwe, Malawi. All trauma patients presenting between June 2012 and July 2015 with a deteriorating level of consciousness and localizing signs who underwent EBH were included. Additionally, we included all patients admitted with TBI, requiring higher-level care during 2011. Because there was no neurosurgeon on staff in 2011, no patients underwent EBH. We performed logistic regression to identify predictors of mortality in the total population of TBI patients. RESULTS >241 patients presented to KCH with TBI requiring higher-level care, with a total mortality of 16.4% (Table 1). 163 (68%) underwent EBH. Of patients that underwent EBH, 87.6% of patients had intraoperative findings, with subdural hematoma being the most common (51.2%). Mortality in patients who underwent EBH was 6.8%. In surviving patients who underwent exploratory burr hole, 71.1% had a favorable outcome, defined as good recovery or moderate disability on the Glasgow Outcome Scale. Mortality in patients that did not undergo EBH was 43.9%. Upon logistic regression adjusted for age, sex, and Glasgow Coma Score, not undergoing EBH significantly increased the odds of mortality (OR = 12.0, P = 0.000, 95% CI = 4.48-31.9). CONCLUSION EBH remain an important diagnostic and therapeutic procedure for TBI in LMICs. In low-resource settings, EBH technique should be incorporated into general surgery education to attenuate TBI-related mortality.

scholarly journals Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury

2010 ◽  
Vol 29 (5) ◽  
pp. E3 ◽  
Author(s):  
Andrew P. Carlson ◽  
Pedro Ramirez ◽  
George Kennedy ◽  
A. Robb McLean ◽  
Cristina Murray-Krezan ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
High Resource ◽  
Interhospital Transfer ◽  
Neurosurgical Intervention

Object Patients with mild traumatic brain injury (mTBI) only rarely need neurosurgical intervention; however, there is a subset of patients whose condition will deteriorate. Given the high resource utilization required for interhospital transfer and the relative infrequency of the need for intervention, this study was undertaken to determine how often patients who were transferred required intervention and if there were factors that could predict that need. Methods The authors performed a retrospective review of cases involving patients who were transferred to the University of New Mexico Level 1 trauma center for evaluation of mTBI between January 2005 and December 2009. Information including demographic data, lesion type, need for neurosurgical intervention, and short-term outcome was recorded. Results During the 4-year study period, 292 patients (age range newborn to 92 years) were transferred for evaluation of mTBI. Of these 292 patients, 182 (62.3%) had an acute traumatic finding of some kind; 110 (60.4%) of these had a follow-up CT to evaluate progression, whereas 60 (33.0%) did not require a follow-up CT. In 15 cases (5.1% overall), the patients were taken immediately to the operating room (either before or after the first CT). Only 4 patients (1.5% overall) had either clinical or radiographic deterioration requiring delayed surgical intervention after the second CT scan. Epidural hematoma (EDH) and subdural hematoma (SDH) were both found to be significantly associated with the need for surgery (OR 29.5 for EDH, 95% CI 6.6–131.8; OR 9.7 for SDH, 95% CI 2.4–39.1). There were no in-hospital deaths in the series, and 97% of patients were discharged with a Glasgow Coma Scale score of 15. Conclusions Most patients who are transferred with mTBI who need neurosurgical intervention have a surgical lesion initially. Only a very small percentage will have a delayed deterioration requiring surgery, with EDH and SDH being more concerning lesions. In most cases of mTBI, triage can be performed by a neurosurgeon and the patient can be observed without interhospital transfer.

scholarly journals Hypopituitarism other than sellar and parasellar tumors or traumatic brain injury assessed in a tertiary hospital

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Sarwar Malik ◽  
Zareen Kiran ◽  
Muhammad Owais Rashid ◽  
Minaz Mawani ◽  
Asma Gulab ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Empty Sella ◽  
University Hospital ◽  
Imaging Data ◽  
Empty Sella Syndrome ◽  
Secondary Hypothyroidism

Objective: Data regarding the etiology, clinical and biochemical patterns in hypopituitarism is scant for Pakistan. We describe the characteristics of patients with hypopituitarism other than sellar and parasellar tumors or traumatic brain injury from a tertiary care center in Pakistan. Methods: We conducted a retrospective descriptive study in the Aga Khan University Hospital, Karachi, Pakistan. We studied all patients presenting with hypopituitarism, between January 2004 and December 2013. Clinical, hormonal and imaging data pertinent to the study was collected according to inclusion criteria. Results: Forty-two patients presented to the endocrinology clinics at the Aga Khan University Hospital during the study period. Thirty-seven patients (88.1%) were females. Mean age ± standard deviation of the participants was 53.8 ± 14.7 years. Sixteen patients had secondary infertility and all were females; a majority of patients in this group had Sheehan’s syndrome (n=8) followed by empty sella syndrome (n=3), partial empty sella syndrome (n=2), idiopathic cause (n=2) and tuberculoma (n=1). Eighteen females (48.6%) reported inability to lactate. Conclusions: Non-traumatic hypopituitarism was more common in women, with Sheehan syndrome being the most common cause of hypopituitarism in our study (35.7%). Secondary hypothyroidism was the most common hormonal deficiency. The most commonly reported symptom was weakness. doi: https://doi.org/10.12669/pjms.35.4.174 How to cite this:Malik S, Kiran Z, Rashid MO, Mawani M, Gulab A, Masood MQ, et al. Hypopituitarism other than sellar and parasellar tumors or traumatic brain injury assessed in a tertiary hospital. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.174 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Clinical study of vesicular mole

2017 ◽  
Vol 6 (4) ◽  
pp. 1211
Author(s):  
Harshada Subhash Thakur
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Single Woman ◽  
Age Group ◽  
Chorionic Villi ◽  
Complete Mole ◽  
Partial Mole ◽  
Β Hcg ◽  
Vesicular Mole ◽  
A Prospective Study

Background: Vesicular mole is an abnormal condition where there is partly degeneration and partly hyperplastic changes in the young chorionic villi. The purpose of this study is clinical presentation of molar pregnancy, serum β-hCG regression curve and further management.Methods: This was a prospective study undertaken in the Department of Obstetrics and Gynaecology at the tertiary care center for the study period from October 2007 to May 2009 approved by ethical committee.Results: Incidence of vascular mole was 2.5 per 1000 deliveries. 46.15% women were in the age group 20-24 years, 33.33% in the age group 25-29 years and 20.51% were in the teenage group. 58.97% women were between gravidity 2-4.Conclusions: There was a significant association of serum β-hCG >1,00,000 mlU/ml with theca lutein cysts >6 cm. 11.76% women with complete mole had elevated TFT while not a single woman with partial mole had elevated TFTs.

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