A Cross-Sectional Study: Head Injury in Children of Karachi

Ahmed, Abu Saleh; Mustahsan, Syed Muhammad; Tariq, Fateeha; Abidi, Syed Muhammad Ali; Aslam, Muhammad Owais

doi:10.29052/ijehsr.v3.i2.2015.18-20

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…In the present study road traffic accidents were the commonest cause of injuries followed by falls and assault and in literature the incidence of injuries from RTAs ranges from 55 to 72%, followed by falls ranging from 20 to 30% and assaults ranging from 1 to 10% respectively. [5,[18][19][20][21][22] Most of the incident victims were motorcycle riders (skid and fall) followed by motor vehicle drivers and pedestrian injuries These findigns were similar to the fidnigns reopprted in a a prospective case-study from Eastern China where the authors observed that 61% of traumatic brain injuries were related to road traffic injuries, of these approximately one-third were motorcyclists, 31%…”

Section: Discussionsupporting

confidence: 59%

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Sivakumar¹,

Subrahmanyam²,

Phanindra³

et al. 2018

Romanian Neurosurgery

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Introduction: Demographic and clinical profile of traumatic brain injury (TBI) of a particular place is very crucial for strengthening the guidelines. The details of same are scant from a tertiary institute, Nellore district. The present study aims to explore the demographic, injury and clinical aspects of cerebro-cranial injury patients from an institute setup. Methods: The study consists of two years retrospective data and one year prospective data. The study was approved by institute ethical committee. The patient data was entered on pre designed proforma that includes the desired variables. The data analysis was done using StatsDirect software. Both prospective and retrospective data was merged for analysis. Percentages for categorical data and mean values for continuous data were calculated. Results: There were total of 336 patients. Patients in age group of 21 to 50 years constituted 67% and males were four times higher than females. Nearly one fourth of patients were influenced by alcohol. Three fourth of accidents were due to road traffic accidents (RTAs) followed by falls (17%) and assault (6%). About one tenth of patients were pedestrians. One fourth of patients had associated injuries other than head and brain. On CT findings majority of patients had cerebral contusion (46%) followed by skull fracture (40%), SDH (28%) and EDH (23%). Twenty two patients died in the study period. Conclusion: Knowledge of injury and its later consequences to public is very important. Strict rules to consider safety precautions and compulsory family insurances should be encouraged. Rules to prevent paediatric drive.

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Section: Discussionsupporting

confidence: 59%

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Sivakumar¹,

Subrahmanyam²,

Phanindra³

et al. 2018

Romanian Neurosurgery

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“…[ 22 23 24 25 26 27 28 29 ] Reverdin reported that 60%–70% of incidence of TBI was among young adults. [ 30 ]…”

Section: Discussionmentioning

confidence: 99%

Morbidity audit of 704 traumatic brain injury cases in a dedicated South Indian trauma center

et al. 2018

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Background: In the era of evidence-based health care, protocol of intervention in traumatic brain injury (TBI) cases help decide more easily and safely about patients and prevent unnecessary transfer of patients to other centers. Objectives: The objective of this study is to provide protocol-based intervention and evaluate the epidemiological, clinical characteristics of TBI cases. Methods: This prospective study was conducted on 704 patients who were suspected of TBI at the Department of Neurosurgery, Narayana Medical College and Hospital, followed by protocol-based intervention assessed and reassessed repeatedly. Results: Overall, TBI involved 569 (80.82%) adults in the productive age groups (21–60 years); among males 81.47%. Among males, highest (23.15%) cases were in the age group of 31–40 years while in females, majority (27.04%) was among 41–50 years. Road traffic accidents were the most common (54.12%) mechanism of injury followed by fall (21.31%) and two-wheelers (15.20%). More than half sustained mild TBI (51.42%) while 26.28% moderate TBI and 22.30% severe TBI; among males, severe TBI victims 102 (18.82%) were in the productive age group. Loss of consciousness was almost a universal and significant observation (95.45%); vomiting was next common finding (76.42%). Bleeding from the ear-nose-throat (ENT) region was more in males (33.58%) than females (20.75%). Glasgow coma scale was significantly related with loss of consciousness (91.08%), vomiting (63.06%), and ENT bleeding (44.59%) in severe, moderate, and mild injuries. Conclusion: A rational clinical acumen with judicious use of diagnostic protocol leads to better management of TBI without unnecessary imaging and thus reduce total health-care costs.

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A Cross-Sectional Study: Head Injury in Children of Karachi

Cited by 2 publications

References 15 publications

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Morbidity audit of 704 traumatic brain injury cases in a dedicated South Indian trauma center

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