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 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.

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 Study of cases of head injury in a government hospital in rural Indian setting

2018 ◽  
Vol 5 (10) ◽  
pp. 3252
Author(s):  
Vinod Pusdekar ◽  
Sandeep Ambedkar ◽  
Ritesh Bodade
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Government Hospital ◽  
History Of ◽  
Gcs Score

Background: Head injury can be defined as trauma in which the head is struck or moves violently, resulting in transient or permanent alteration of consciousness of an individual. We profiled and analyzed the cases of head injuries reporting to a government hospital a rural Indian setting.Methods: All the patients with history of antecedent head injury were firstly assessed by detailed history, with emphasis on history of unconsciousness/vomiting/convulsions/ENT bleed. Then a thorough clinical examination was undertaken, including Glasgow Coma Scale (GCS) scoring. Further, all the patients were subjected to CT scan of head for correlation of clinical findings, confirmation of diagnosis, delineation of extent of disease and suitability of operative intervention etc.Results: Majority of the patients belonged to 15-44 years age group (30, 60%) and were males (38, 76%). Road traffic accidents accounted for majority (38, 76%) of the cases. GCS score was found to range between 13-15 (mild) in 18 (36%) patients, 9-12 (moderate) in 21 (42%) patients and 3-8 (severe) in 11 (22%) patients. Best recovery (88%) was shown by patients of GCS score between 13-15. Among the critical symptoms and signs, unconsciousness and abnormal plantar reflex were the commonest ones. Generalized cerebral edema without associated lesion (50%) was the commonest finding followed by extradural hematoma (EDH) (40%) on CT scan of head. As for recovery w.r.t. CT scan findings, highest rate of recovery (100%) was reported in patients with fracture without intracranial pathology, while highest mortality was reported in those having mixed lesion (90%).Conclusions: Road traffic accidents in young age group is the commonest mode of head injury and GCS score is a good predictor of recovery in head injury cases.

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

scholarly journals Emergency Department Visits From 2014 to 2018 for Head Injuries in Youth Non-Tackle Football Compared With Other Sports

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097540
Author(s):  
Jessica M. Zendler ◽  
Ron Jadischke ◽  
Jared Frantz ◽  
Steve Hall ◽  
Grant C. Goulet
Keyword(s):  
United States ◽  
Emergency Department ◽  
Head Injury ◽  
Head Injuries ◽  
The United States ◽  
Emergency Department Visits ◽  
Head Region ◽  
Cerebral Contusion ◽  
Common Diagnosis ◽  
Tackle Football

Background: Non-tackle football (ie, flag, touch, 7v7) is purported to be a lower-risk alternative to tackle football, particularly in terms of head injuries. However, data on head injuries in non-tackle football are sparse, particularly among youth participants. Purpose: To describe the epidemiology of  emergency department visits for head injuries due to non-tackle football among youth players in the United States and compare the data with basketball, soccer, and tackle football. Study Design: Descriptive epidemiology study. Methods: Injury data from 2014 to 2018 were obtained from the National Electronic Injury Surveillance System database. Injury reports coded for patients aged 6 to 18 years and associated with basketball, football, or soccer were extracted. Data were filtered to include only injuries to the head region, specifically, the head, ear, eyeball, mouth, or face. Football injuries were manually assigned to “non-tackle” or “tackle” based on the injury narratives. Sports & Fitness Industry Association data were used to estimate annual sport participation and calculate annual injury rates per 100,000 participant-years. Results: A total of 26,770 incident reports from 2014 to 2018 were analyzed. For head region injuries in non-tackle football, the head was the most commonly injured body part, followed by the face; the most common diagnosis was a laceration, followed by concussion and internal injury (defined as an unspecified head injury or internal head injury [eg, subdural hematoma or cerebral contusion]). The most common contacting object was another player. The projected national rate of head region injuries was lowest for non-tackle football across the 4 sports. In particular, the projected rate of injuries to the head for non-tackle football (78.0 per 100,000 participant-years) was less than one-fourth the rates for basketball (323.5 per 100,000 participant-years) and soccer (318.2 per 100,000 participant-years) and less than one-tenth the rate for tackle football (1478.6 per 100,000 participant-years). Conclusion: Among youth in the United States aged 6 to 18 years who were treated in the emergency department for injuries related to playing non-tackle football, the most common diagnosis for injuries to the head region was a laceration, followed by a concussion. Head region injuries associated with non-tackle football occurred at a notably lower rate than basketball, soccer, or tackle football.

CHARACTERISTICS OF PATIENTS WITH BRAIN INJURY DUE TO LAND TRAFFIC ACCIDENTS TREATED AT NINH BINH PROVINCIAL GENERAL HOSPITAL IN 2018

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong
Keyword(s):  
Brain Injury ◽  
General Hospital ◽  
Medical Records ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
First Aid ◽  
Temporal Region ◽  
Age Group ◽  
Research Subjects ◽  
Broken Bones

This was an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Theresults showed that the majority of research subjects were male, accounting for 80.5%; The age group with higher prevalence of accidents was under 30 years old, accounting for 31.2%; The agegroup of 50-59 years old was at lower prevalence of accidents accounting for 15.8%. The time of the higher chance of occurring accident was between 4p.m and 11p.m daily. The majorityof traffic accidents occurred when riding motorbikes and electric bicycles (82.3%). About 75.0% of the victims received first aid with a gauze bandage; 5.4% of them had broken bones fixed. Amongthe brain injuries, 34.4% of the victims suffered from frontal trauma; 29.3% had unilateral cerebral hemisphere injury, 24.2% had temporal region injury, 15.8% had occipital region injury, and 8.4% ofvictims had parietal injury. More than half of the study subjects (53.5%) were hospitalized for 7-10 days. The rate of patients who have been discharged from the hospital with improved symptoms was81.4%; and 14.9% of patients were transferred to higher level hospitals.

scholarly journals Gambaran Pasien yang Menjalani Prosedur Bedah Emergensi di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari - September 2019

e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Utrecht Suleman ◽  
Angelica M. J. Wagiu ◽  
Stephanus J. Ch. Tangel
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Surgical Procedures ◽  
Emergency Surgery ◽  
Medical Records ◽  
Health Centers ◽  
Surgical Patients ◽  
Age Group ◽  
Adult Age ◽  
Epidural Hemorrhage

Abstract: Emergency surgery is performed to avoid further complications of the disease or to save the patient's life. Albeit, there are lack of data in various health centers in Indonesia regarding the evaluation of emergency surgical patients, This study was aimed to obtain the profile of patients undergoing emergency surgical procedures in the Emergency Department of Surgery at Prof. Dr. R. D. Kandou Hospital Manado from January to September 2019. This was a retrospective and descriptive study using patients’ medical records. The results showed that there were 540 patients in this study. Most of the patients were adult age group (18-59 years) as many as 343 patients (63.5%), males 366 patients (67.8%), and non-traumatic cases 436 patients (80.4%). The most common cases of trauma was epidural hemorrhage as many as 23 patients (4.3%) meanwhile the most common non-traumatic cases was chronic kidney disease as many as 122 patients (22.6%). According to the type of surgery, CDL insertion and laparotomy were performed on 131 patients each (24.3%). In conclusion, most patients undergoing emergency surgical procedures were 18-59 years old, males, and non-traumatic cases.Keywords: emergency surgery, traumatic cases, non-traumatic cases Abstrak: Bedah emergensi dilakukan dalam keadaan sangat darurat untuk menghindari komplikasi lanjut dari proses penyakit atau untuk menyelamatkan jiwa pasien. Data mengenai pasien bedah emergensi di berbagai pusat kesehatan di Indonesia masih sangat kurang. Penelitian ini bertujuan untuk mendapatkan gambaran pasien yang menjalani prosedur bedah emergensi di IGD Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Januari sampai September 2019. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik pasien. Hasil penelitian menunjukkan bahwa dari 540 pasien, didapatkan pasien terbanyak dari golongan usia dewasa (18-59 tahun) yaitu 343 pasien (63,5%), jenis kelamin laki-laki 366 pasien (67,8%), dan kasus non-trauma 436 pasien (80,4%). Kasus trauma terbanyak yaitu epidural hemorrhage pada 23 pasien (4,3%) sedangkan kasus non trauma terbanyak chronic kidney disease pada 122 pasien (22,6%). Menurut jenis tindakan operasi yang terbanyak ialah insersi CDL dan laparotomy, masing-masing 131 pasien (24,3%). Simpulan penelitian ini ialah pasien yang menjalani prosedur bedah emergensi terbanyak ialah usia 18-59 tahun, jenis kelamin laki-laki, dan jenis kasus non-trauma.Kata kunci: bedah emergensi, kasus trauma, kasus non-trauma

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 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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