Traumatic brain injuries represent 12% global burden of disease and main cause of death among 1-40 year old. Though some studies have described about traumatic brain injuries in India, very limited information is available from central part of India Aims and objectives: To evaluate the incidence, Mode, severity, 128 Slice Computed tomography scan findings, and clinical outcome of head injuries at central part of India (Haroti area of Rajasthan and Malwa area of Madhya Pradesh). Materials and Methods: For the study 800 patient's of Traumatic head injuries that admitted between April 2018-march 2019 in Jhalawar medical College Jhalawar Rajasthan India were included. Their medical records were reviewed and data on epidemiology, clinical characteristics, and outcomes analysed. Results: Among 800 patient's of head injuries, median age was 28 year (range 1-90 years) Road traffic accident (60%) was most common mode of injuries followed by accidental fall from height (25%). Cerebral contusion (16%) was most common finding on 128 slice Computed tomography scan followed by acute subdural hematoma (11%) and skull bones fracture (10%). Good recovery (independent for day to day activities) was seen in 70%, mild disability was seen in 27%, severe disability in 3% and persistent vegetative state seen in 1% patient's. Conclusion: Road traffic accident are the most common cause of traumatic head injuries in central part of India and mainly occurs in young productive age groups. At least 10% mortality or severe disability occurred in Traumatic head injury patients. Knowledge about epidemiology, etiology, clinical outcome are extremely helpful for further policy making, research and health management at national level in developing countries. Higher incidence of Post traumatic seizures occurred in severe head injuries (12.5%) followed by Moderate (2%) and least (1%) in mild head injuries patient's.
Background and Aims: Traumatic spinal injuries (TSI) are major source of morbidity and motility throughout the world. Epidemiological study of TSI has an important role in future planning for prevention and management of them. Aim of this study was determine epidemiology of TSI in Jhalawar Rajasthan state of India. Materials and Methods: Retrospective analysis of patients hospital data records, admitted in Jhalawar medical college Rajasthan from January 2018 to Dec. 20019 (Period of Two Years). Result: One hundred and fifty eight cases of traumatic spinal injuries reported in period of two years from January 2018 to December 2019. Male to female ratio was 2.16:1, the most prevent age group was 30-39 years (27.8%) followed by 20-29 years (19%). Fall from height (unprotected roof, well, tree, construction site/electric pole) was most common mode of injuries (44.9%) followed by road traffic accidents (43%). Most common level of injury was lumbar spine (55%) followed by thoracic spine (22.78%). Other associated injuries with TSI were head injuries (9.5%) and extremities injuries (9.5%). Maximum number of TSI cases was reported during summer season (may-14.5% and June 15.8%). Conclusions: TSI is major source of morbidity and mortality in Rajasthan India. Younger age group and Male are more commonly affected as compare to older age group and female. Accidental fall and RTA are major cause of TSI.
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