scholarly journals GAMBARAN KORBAN MENINGGAL DENGAN CEDERA KEPALA PADA KECELAKAAN LALU LINTAS DI BAGIAN FORENSIK BLU RSUP PROF. Dr. R. D. KANDOU MANADO PERIODE TAHUN 2011-2012

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Feibyg Theresia Lumandung ◽  
James F. Siwu ◽  
Johannis F. Mallo
Keyword(s):  
Head Injury ◽  
Medical Records ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Study Researcher ◽  
The Government ◽  
Medical Teams ◽  
Descriptive Method

Abstrack: Traffic accidents lately occur anywhere and are already familiar. Most accidents are motor accident with head injury, where it can lead to death. This research isto describe the victim died with a head injury in a traffic accident forensics section BLU Prof.Dr.R.D.Kandou Hospital Manado period 2011-2012. In this study, researcher uses retrospective descriptive method. Datawere collected from medical records of all cases of accidents in the years 2011-2012. The conclusion ofthis research, cases of traffic accidents with head injuries are more prevalent than others, most especially in the region of the temporal head injury can effect to death. Researcher suggests that tightened regulations in traffic and further enhanced prevention efforts from the government, police, and medical teams. Keyword : head injury, traffic accident    Abstrak: Kecelakaan lalu lintas akhir-akhir ini terjadi dimana saja dan sudah tidak asing lagi. Kasus kecelakaan terbanyak adalah kecelakaan bermotor dengan cedera kepala, dimana hal ini dapat mengakibatkan kematian. Penelitian ini untuk mengetahui gambaran korban meninggal dengan cedera kepala pada kecelakaan lalu lintas dibagian forensik BLU RSUP Prof.Dr.R.D.Kandou Manado periode tahun 2011-2012. Dalam penelitian ini peniliti, menggunakan metode deskriptif retrospektif. Data penelitian dikumpulkan dari rekam medik seluruh kasus kecelakaan di tahun 2011-2012.Kesimpulan dari penelitian ini, kasus kecelakaan lalu lintas dengan cedera kepala lebih banyak terjadi dari cedera lainnya, khusunya paling banyak cedera kepala di regio temporalis yang dapat mengakibatkan kematian. Peneliti menyarankan agar lebih diperketat lagi peraturan-peraturan dalam berlalu lintas dan lebih ditingkatkan lagi berbagai usaha pencegahan dari pihak pemerintah, kepolisian, dan tim medis. Kata kunci :Cedera kepala, kecelakaan lalu lintas.

scholarly journals Helmet use behavior and its relation to head injury of road traffic accident in Indonesia (Basic Health Research, 2018)

2021 ◽  
Vol 12 (1) ◽  
pp. 56-65
Author(s):  
Lusianawaty Tana ◽  
Delima Delima ◽  
Nunik Kusumawardani ◽  
Lely Indrawati
Keyword(s):  
Head Injury ◽  
Health Research ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Helmet Use ◽  
Basic Health ◽  
Complex Sample ◽  
Use Behavior

Background: Nationally, the prevalence of injuries tends to increase from 7.5% in 2007, 8.2% in 2013, and 9.2% in 2018. The main cause of injuries is motorcycle accidents (40.6%), which most occur on the highway (42.8%). This is a further analysis of Indonesia Basic Health Research (Riskesdas) 2018 data, to assess the role of  sociodemography on helmet use behavior and head injuries due to traffic accident.   Methods: The 2018 Basic Health Research was a cross-sectional research, based on data from individuals aged 5 years old and above, who analyzed with helmet use behavior and the incidence of head injuries due to traffic accident as dependent variables. The independent variables consist of sociodemographic characteristics, the role of individual in accident, and the impact of the accident. The data were analyzed by bivariate and multivariate, and taking into account the complex sample in 5% confidence level. Results: The results showed that 44.4% from 19122 individuals aged five years old and above had good behavior in using helmets. The determinants of helmet use behavior were age, gender, education, occupation, economic status, location and area of residence (adjusted OR 1.15—4.5; p≤0.02). The result from14.1% of respondents who had a head injuries caused by traffic accidents. The risk of head injuries due to traffic accidents was 1.17 times (95% CI  1.02—1.35; p 0.03) in the unhelmeted group compared to the helmeted group.  Conclusion: Helmet use behavior is connected with the reduction of head injuries due to traffic accidents. Counseling and monitoring of helmet use is need to be improved, especially for the youth category. Keywords: head injury,  traffic accident, helmet use   Abstrak Latar belakang: Secara nasional, prevalensi cedera cenderung meningkat dari 7,5 % pada tahun 2007, 8,2 % pada 2013, dan 9,2 % pada 2018. Penyebab utama dari cedera adalah kecelakaan bermotor (40,6 %), dan kebanyakan terjadi di jalan raya (42,8 %). Ini merupakan analisis lanjut data Riset Kesehatan Dasar (Riskesdas) 2018 untuk menilai peran sosiodemografi terhadap perilaku penggunaan helm dan hubungan perilaku penggunaan helm dengan cedera kepala akibat kecelakaan lalu lintas. Metode: Riskesdas 2018 adalah riset potong lintang. Data individu umur 5 tahun ke atas dianalisis dengan perilaku penggunaan helm dan kejadian cedera kepala akibat kecelakaan lalu lintas sebagai variabel terikat. Variabel bebas terdiri dari karakteristik sosiodemografi, peran individu dalam kecelakaan, dan dampak kecelakaan.  Data dianalisis secara bivariat dan multivariat dengan memperhitungkan complex sample dan 5 % tingkat kepercayaan. Hasil: Hasil menunjukkan bahwa 44,4% dari 19.122 individu umur 5 tahun ke atas mempunyai perilaku yang baik dalam menggunakan helm. Determinan perilaku penggunaan helm adalah umur, jenis kelamin, pendidikan, pekerjaan, status ekonomi, lokasi dan area tempat tinggal (adjusted OR 1,15—4,5; p≤0,02). Sejumlah 14,1% individu mengalami cedera kepala akibat kecelakaan lalu lintas. Risiko cedera kepala pada individu yang tidak menggunakan helm sebesar 1,17 kali (95% CI  1,02—1,35; p 0,03) dibandingkan dengan individu yang menggunakan helm.    Kesimpulan: Perilaku penggunaan helm berhubungan dengan penurunan cedera kepala akibat kecelakaan lalu lintas. Penyuluhan dan pemantauan penggunaan helm perlu ditingkatkan terutama pada kelompok remaja. Kata kunci: cedera kepala, kecelakaan lalu lintas, penggunaan helm

scholarly journals GAMBARAN PASIEN CEDERA KEPALA DI RSUP. PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2013 – DESEMBER 2013

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Fonda Simanjuntak ◽  
Danny J. Ngantung ◽  
Corry N. Mahama
Keyword(s):  
Head Injury ◽  
Emergency Surgery ◽  
Medical Records ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Mechanical Trauma ◽  
Age Group ◽  
Common Diagnosis ◽  
Group 15 ◽  
Injury Causes

Abstract: Head injury is a mechanical trauma to the head that occurs either directly or indirectly, which then can lead to disorders of neurological function, physical function, cognitive, and psychosocial, temporary or permanent. This study aimed to describe patients with head injuries admitted at the Emergency Surgery Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2013 to Desember 2013. This was a retrospective descriptive study. Subjects were patients at the Emergency Surgery Installattion Prof. Dr. R. D. Kandou Hospital period January 2013-December 2013 and were diagnosed with head injuries. Gender, age, occupation, causes of head injuroes, and diagnosis obtained from medical records. The results showed that there were 420 patients with head injuries, most of them were males 302 people (71.9%) compared to 118 females (28.1%). The climax of incidence was in the age group 15-19 (17.1%) with the highest profession as student were 138 persons (32.9%) and the fewest was Army/Police and priest, each of them was 1 patient (0.2%). Most of the head injury cases (298 people, 71.0%) were caused by traffic accidents and 178 males were diagnosed with comotio cerebral which was the most common diagnosis (40.8%). Conclusion: In this study, most of the head injury cases were males in the age group 15-19 years. Students were the most frequent background with traffic accidents as the major cause and commotio cerebral was the most common diagnosis.Keywords: head injury, causes of head injury.Abstrak: Cedera kepala adalah trauma mekanik pada kepala yang terjadi baik secara langsung atau tidak langsung yang kemudian dapat berakibat gangguan fungsi neurologis, fungsi fisik, kognitif, psikososial, dapat bersifat temporer atau permanen. Penelitian ini bertujuan untuk mengetahui gambaran penderita cedera kepala yang masuk ke Instalasi Rawat Darurat Bedah (IRDB) RSUP Prof. Dr. R.D. Kandou Manado dalam periode Januari 2013 – Desember 2013. Penelitian ini menggunakan metode deskriptif retrospektif. Subjek penelitian ialah pasien yang masuk ke IRDB RSUP Prof. Dr. R.D. Kandou Manado periode Januari 2013 – Desember 2013 yang didiagnosis cedera kepala. Jenis kelamin, usia, pekerjaan, penyebab cedera kepala dan diagnosis dicatat dari rekam medik pasien. Hasil penelitian memperlihatkan 420 kasus cedera kepala, sebagian besar berjenis kelamin laki-laki yaitu sebanyak 302 orang (71,9%) sedangkan jenis kelamin perempuan 118 orang (28,1%). Puncak kejadian pada kelompok umur 15-19tahun (17,1%) dengan profesi terbanyak sebagai pelajar/mahasiswa sejumlah 138 orang (32,9%) dan profesi yang paling sedikit TNI/POLRI dan pendeta masing – masing 1 pasien (0,2%). Dari rekam medik didapatkan penyebab cedera kepala tersering ialah kecelakaan lalu lintas yang dialami oleh 298 orang (71,0%) dan 178 orang didiagnosis komosio serebri yang merupakan diagnosis tersering sebanyak 40,8%. Simpulan: Pada penelitian ini cedera kepala terbanyak terjadi pada laki-laki dengan kelompok usia15-19 tahun. Pelajar/mahasiswa merupakan profesi terbanyak, kecelakaan lalu lintas merupakan penyebab utama, dan komosio serebri sebagai diagnosis tersering.Kata kunci: cedera kepala, morfologi cedera kepala

scholarly journals Epidemiology and Treatment Outcomes of Head Injury in Bangladesh: Perspective from the Largest Tertiary Care Hospital

2021 ◽  
Author(s):  
Sukriti Das ◽  
Bipin Chaurasia ◽  
Dipankar Ghosh ◽  
Asit Chandra Sarker
Keyword(s):  
Head Injury ◽  
Road Traffic ◽  
Head Injuries ◽  
Skull Fracture ◽  
Tertiary Care ◽  
Acute Subdural Hematoma ◽  
Care Hospital ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
The Government

Abstract Background Traumatic brain injury (TBI) is one of the leading causes of mortality and morbidity. Economic impact is much worse in developing countries like Bangladesh, as victims are frequently male, productive, and breadwinners of the families. Objectives The objective of our study was to highlight the etiological pattern and distribution of varieties of head injuries in Bangladesh and give recommendations regarding how this problem can be solved or reduce to some extent at least. Methods From January 2017 to December 2019, a total of 14,552 patients presenting with head injury at emergency got admitted in Neurosurgery department of Dhaka Medical College and Hospital and were included in this study. Results The most common age group was 21 to 30 years (36%: 5,239) with a male-to-female ratio of 2.6:1. Injury was mostly caused by road traffic accident (RTA [58.3%: 8,484]), followed by fall (25%: 3,638) and history of assault (15.3%: 2,226). The common varieties of head injury were: acute extradural hematoma (AEDH [42.30%: 1,987]), skull fracture either linear or depressed (28.86%: 1,347), acute subdural hematoma (ASDH [12.30%: 574]), brain contusion (10.2%: 476), and others (6.04%: 282). Conclusion RTA is the commonest cause of TBI, and among them motor bike accident is the severe most form of TBI. AEDH is the commonest variety of head injuries. Proper steps taken by the Government, vehicle owners, and drivers, and proper referral system and prompt management in the hospital can reduce the mortality and morbidity from TBI in Bangladesh.

scholarly journals The Effect of Alcohol Intoxication on Mortality of Blunt Head Injury

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Hsing-Lin Lin ◽  
Tsung-Ying Lin ◽  
Kwan-Ming Soo ◽  
Chao-Wen Chen ◽  
Liang-Chi Kuo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Logistic Regression ◽  
Head Injury ◽  
Traffic Accident ◽  
Alcohol Intoxication ◽  
Head Injuries ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
Brain Computed Tomography ◽  
Adjusted Logistic Regression

Alcohol is found to have neuroprotection in recent studies in head injuries. We investigated the association of blood alcohol concentration (BAC) with mortality of patients with blunt head injury after traffic accident. All patients sustaining blunt head injury caused by traffic accident brought to our emergency department who had obtained a brain computed tomography scans and BAC were analyzed. Patients with unknown mechanisms, transfers from outside hospitals, and incomplete data were excluded. Logistic regression was used to identify independent predictors of mortality. During the study period, 3,628 patients with brain computed tomography (CT) were included. Of these, BAC was measured in 556 patients. Patients with the lowest BAC (less than 8 mg/dl) had lower mortality; intoxicated patients with BAC between 8 and less than 100 mg/dl were associated with significantly higher mortality than those patients in other intoxicated groups. Adjusted logistic regression demonstrated higher BAC group and Glasgow coma scale (GCS) scores, and lower ISS and age were identified as independent predictors of reduced mortality. In our study, we found that patients who had moderate alcohol intoxication had higher risk of mortality. However, higher GCS scores, lower ISS, and younger age were identified as independent predictors of reduced mortality in the study patients.

scholarly journals Peran Sat Lantas Polres Rembang Dalam Menekan Angka Kecelakaan Lalu Lintas

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Dadik Purnomo
Keyword(s):  
Public Policy ◽  
Empirical Research ◽  
Research Method ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Public Official ◽  
The Government ◽  
Special Competence

ABSTRAKJudul dari penelitian ini adalah Peran Satuan Lalu Lintas Polres Rembang Dalam Menekan Angka Kecelakaan Lalu Lintas Dengan Mengedepankan Standar Kompetensi Khusus Penyidik Kecelakaan Lalu Lintas. Tujuan penelitian ini bermaksud mengetahui peran Satuan Lalu Lintas Polres Rembang yang bertindak selaku pejabat publik harus mampu membuat suatu kebijakan publik dalam memberikan pelayanannya kepada masyarakat, penelitian ini menggunakan metode penelitian empiris yuridis. Dengan kesimpulan adanya permasalahan tingginya angka kecelakaan lalu lintas serta tingginya angka fatalitas dari tiap kecelakaan yang terjadi, Satlantas Polres Rembang mengambil suatu kebijakan dalam menjalankan tugas, fungsi dan perananannya sebagai representasi atau perpanjangan tangan dari pemerintah untuk mengatasi permasalahan tersebut.Kata Kunci: Peran Satlantas, Kecelakaan lalu lintas, Penyidik laka lantas.ABSTRACTThe title of this research is the role of Satuan Lalu Polres Rembang traffic accidents rate by prioritizing the special competence standard of traffic accident investigator. Unit of Rembang Polres that act as public official must be able to make a public policy in giving its service to society, this study uses juridical empirical research method. With the conclusion of the problem of the high number of traffic accidents and the high number of fatality of each accident happened, Satlantas Rembang Police take a policy in carrying out its duties, functions and role as a representation or extension of the hand of the government to overcome the problem.Keywords: the role of the traffic unit, traffic accident, ������� traffic accident infestigator.

scholarly journals HUBUNGAN CEDERA KEPALA DENGAN DISORIENTASI PADA PASIEN KECELAKAAN LALU LINTAS

2020 ◽  
Vol 9 (2) ◽  
pp. 1173-1178
Author(s):  
Nuniek Tri Wahyuni ◽  
Winda Indahsari
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Sampling Technique ◽  
Correlation Study ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Spearman's Rho ◽  
Spearman’S Rho

Banyak hal yang menjadi penyebab terjadinya cedera kepala, salah satu penyebab terjadinya cedera kepala yang serius adalah kecelakaan lalu lintas (sekitar 60% kematian yang disebabkan kecelakaan lalu lintas merupakan akibat cedera kepala). Tujuan penelitian ini utuk mengidentifikasi cedera kepala dengan disorientasi pada pasien kecelakaan lalu lintas di IGD RSD Gunung Jati Kota Cirebon tahun 2018. Jenis penelitian yang digunakan dalam penelitian ini adalah studi kolerasi yang bersifat deskriptif, dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien cedera kepala di RSD Gunung Jati Kota Cirebon, teknik pengambilan sampel menggunakan accidental sampling dengan jumlah sampel 22 responden. Teknik pengumpulan data menggunakan lembar observasi penilaian GCS dan lembar kuesioner TOAG. Analisis bivariat  menggunakan uji  chi square. Hasil penelitian ini menunjukan bahwa sebagian besar cedera kepala ringan yaitu sebanyak 16 dari 22 responden atau sekitar (72.7%) dan sebagaian besar mengalami disorientasi sedang, yaitu sebanyak 14 orang dari 22 responden atau sekitar (63,6%). Berdasarkan analisa statistik uji Spearman’s Rho menunjukan bahwa terdapat hubungan cedera kepala dengan disorientasi pada pasien kecelakaan lalu lintas di IGD RSD Gunung Jati Kota Cirebon serta nilai probabilitas (p = 0.001). Kata Kunci : Cedera Kepala, Disorientasi  ABSTRACTMany of the causes of head injury, one of the causes of serious head injuries are traffic accidents (about 60% of deaths caused by traffic accidents are the result of head injury). The purpose of this study was to identify head injury with disorientation in traffic accident patients at IGD RSD Gunung Jati Kota Cirebon 2018.The type of research used in this study is a descriptive correlation study, using a cross sectional approach. The population in this study were head injury patients at IGD RSD Gunung Jati Kota Cirebon, the sampling technique used was accidental sampling with a sample of 22 respondents. Data collection techniques used the GCS assessment sheet and TOAG questionnaire sheet. Bivariate analysis using the chi square test.The results of this study indicate that, which is mostly light weight that is as much as 16 out of 22 respondents or approximately (72.7%) and most of moderate disorientation, which is as many as 14 people from 22 respondents or approximately (63.6%).Based on statistical analysis Spearman’s Rho showed that there was correlation with the patient in RSD Teachers Mountain Jati Cirebon City and probability value (p = 0,001).Keywords: Head Injury, Disorientation

scholarly journals DEMOGRAPHIC STUDY OF DEATHS DUE TO ROAD TRAFFIC ACCIDENTS, EXAMINED IN DR. S.N. MEDICAL COLLEGE, JODHPUR (RAJ.)

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Kana Ram Patel ◽  
Jagdish Jugtawat ◽  
Shalender Kumar ◽  
P.C. Vyas
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Subdural Hemorrhage ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female

Accidents are not due to external factors all the time but often they occur due to failure of control of self-conscience and free thoughts. Road Traffic Accidents is still the major cause of death worldwide including India. A retrospective study has been conducted in Dr. S.N. Medical College, Jodhpur (Raj.), in the year 2019 to study the pattern and distribution of Head Injuries of fatal road traffic accidents and to prepare the demographic profile of it. Out of total 901 cases, male to female ratio was 9:1, and commonest age group affected was 21-30 years (39.8%). Among total victims, Hindus were 748 (83%) and rests were Muslims 103 (11.4%) and other religions. Head injury was the most common injury, present alone in 509 cases (56.4%) and in 392 (43.6) cases along with other injuries. Skull fractures were found in 451 (50.5), in which linear/fissure fracture (32.9%) was most common. Most common bone fractured was temporal bone. The commonest variety of intracranial hemorrhage was subdural hemorrhage and craniotomy was done in 29 (3.2%) cases. Keywords: Accidents, Road traffic, Head injury, Fractures.

CHARACTERISTICS OF MODERATE AND SEVERE HEAD INJURIES AT EMERGENCY DEPARTMENT HUE CENTRAL HOSPITAL

2017 ◽  
pp. 122-126
Author(s):  
Trong Ai Quoc Hoang ◽  
That Hoang Quy Ton ◽  
Dang Tri Vo ◽  
Thi Kim Tram Hoang ◽  
Thi Thanh Nga Chau
Keyword(s):  
Risk Factors ◽  
Head Injury ◽  
Head Trauma ◽  
Traffic Accident ◽  
Head Injuries ◽  
Ct Scanner ◽  
Central Hospital ◽  
Term Outcome ◽  
Cross Sectional ◽  
Glasgow Score

Background: Head injury is one of common trauma at ED. It is also main cause of dead and disability of trauma. In Vietnam, accident traffic is most common cause of head injury. ED admits a large number of moderate and severe head injury patients everyday. These injuries can result in physical and mental consequences because of traumatic brain injury (TBI); burden to family and society. However, there is not a consensus in statistics of cause, severe symptom, risk factors to severity and short-term outcome at these patients. Objectives: assessement of cause, symptom and risk factors of moderate and severe head injuries as well as presentations of CT scanner. Materials and Methods: This is a cross sectional study. Population of interest: Patients with trauma who transported to ED of Hue Central Hospital and classified as moderate and severe head injuries were chosen conveniently into the study. Inclusion criteria: Patients with trauma by any reason; Glasgow score≤13, Sample size: There was not limitation of case number. Results: There were 50 patients with severe and moderate head injury. Main cause of trauma was traffic accident (92.2%). Patients were transported to ED by private vehicles (84,3%). Mean age of male was 38.20±14.28, female was 33.00±17.82 (p>0.05). Most of accident were not witnessed by family and not rescued by bystanders. There was an evaluable concentration of plasma ethanol in 88.2% of patients with mean level of 33.99±21.88 mmol/L in male and 12.90±19.98 mmol/L in female (p<0.05). Ethanol levels in severe head trauma were lower than ones in moderate head trauma (p<0.001). Ethanol levels were not different in patients with different lesions on CT scanners (p>0.05). It existed a correlation between Glasgow score and ethanol levels (r=0.43, p<0.01). Expired rate of patient at ED was 21.6%. Conclusion: Main cause of trauma was traffic accident (99.2%). There were 88.2% of patients used ethanol before trauma; 15.7% of patients were transported by ambulance. There were 64.7% with headache; amnesia of accident 82.4%; vomiting 78.4%; scalp wound 45.1%; ear bleeding 7.8%; nose bleeding 7.8%; raccoon eye 19.6%. It did not exist a difference of ethanol levels in different lesions on head CT scanner. Expired rate of patient at ED was 21.6%. Key words: head injury, traffic accident, ethanol, Glasgow

scholarly journals Analytical report on post traumatic hydrocephalus

YMER Digital ◽  
2022 ◽  
Vol 21 (01) ◽  
pp. 144-147
Author(s):  
R Srinivas ◽  
◽  
Mohamed Naleer ◽  
Kishore Kumar ◽  
◽  
...  
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Clinical Analysis ◽  
Medical College ◽  
Fall From Height ◽  
Post Traumatic ◽  
Set Up

Post-traumatic hydrocephalus (PTH) is a field and disorder less explored in neurosurgery though we see many cases. The commonest causes in our set up includes head injury for which people have undergone decompressive craniectomies, severe head injuries with raised ICP. We did a clinical analysis on 23 cases in a period of 3 years duration from 2018 -2021. We did Evd in few cases for emergency purposes when there was decerebration and we went ahead with VP shunt in all the patients who had gross ventricular dilatation. We have projected our analytical report in these cases. METHODS A retrospective study was conducted in the Department of Neurosurgery in Sri Ramachandra medical college. The clinical outcome of patients diagnosed with PTH was studied. These cases were treated by surgery. The stastical analysis along with cause of the hydrocephalus with the outcome in pre and postoperative period were studied. RESULTS Among the 23 patients studied 82% were males. Road traffic accident was the main cause of injury. The other main cause was a fall from height. Assault was another reason for head injuries which we recorded. We found all road traffic accidents were only because of bike riders either pillion or the people driving the vehicle. . Craniotomy was done in 50 % of the patients, 90 % of the patients recovered who had a gcs of 13 to 7. People with gcs lss than 7 were intubated recovery rate was 7.5 %. . There was 100%mortality because of primary head injury in all the patients who had brain stem contusions with dilated pupil. CONCLUSIONS Trauma to head and who were operated had the highest incidence of post tramatic head injury. Smaller the decompressive craniectomies had symptomatic post traumatic head ache with post traumatic hydrocephalus.. CT scan of the brain is considered the choice of investigation toearly diagnose PTH.we even analysed the ct scan and found when there was periventricular lucency the patient outcome after VP shunting is good. KEY WORDS Hydrocephalus, Head Injury, Trauma

Trends in admission and death rates due to paediatric head injury in England, 2000–2011

2015 ◽  
Vol 100 (12) ◽  
pp. 1136-1140 ◽  
Author(s):  
Robin Marlow ◽  
Julie Mytton ◽  
Ian K Maconochie ◽  
Hazel Taylor ◽  
Mark D Lyttle
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Hospital Admissions ◽  
Road Traffic ◽  
Head Injuries ◽  
National Guidelines ◽  
Number Of Children ◽  
Risk Of Death ◽  
Paediatric Head Injury ◽  
The Uk

BackgroundThe number of children admitted to hospital is increasing year on year, with very short-stay admissions doubling in the last decade. Childhood head injury accounts for half a million emergency department attendances in the UK every year. The National Institute for Health and Care Excellence (NICE) has issued three iterations of evidence-based national guidance for head injury since 2003.ObjectivesTo assess if any changes in the rates of admission, death or causes of head injury could be temporally associated with the introduction of sequential national guidelines by longitudinal analysis of the epidemiology of paediatric head injury admissions in England from 2000 to 2011.MethodsRetrospective analysis of English Hospital Episode Statistics data of children under the age of 16 years old admitted to hospital with the discharge diagnosis of head injury.ResultsThe number of hospital admissions with paediatric head injury in England rose by 10% from 34 150 in 2000 to 37 430 in 2011, with the proportion admitted for less than 1 day rising from 38% to 57%. The main cause of head injury was falls (42–47%). Deaths due to head injury decreased by 52% from 76 in 2000 to 40 in 2011. Road traffic accidents were the main cause of death in the year 2000 (67%) but fell to 40% by 2011. In 2000, children who were admitted or died from head injuries were more than twice as likely to come from the most deprived homes compared with least deprived homes. By 2011, the disparity for risk of admission had narrowed, but no change was seen for risk of death.ConclusionsTemporal relationships exist between implementation of NICE head injury guidance and increased admissions, shorter hospital stay and reduced mortality. The underlying cause of this association is likely to be multifactorial.

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