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

Sivakumar, R.; Subrahmanyam, B. V.; Phanindra, S.V.; Munivenkatappa, Ashok; Kumar, S. Satish; Agrawal, Amit

doi:10.2478/romneu-2018-0048

Cited by 3 publications

(5 citation statements)

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“…The current study was conducted on dead cases due to traumatic causes in Soad Kafafy Hospital. As regards the age of cases, most cases (85.7 %) were below 40 years, whereas the lowest number were more than 40 years (14.3 %) of all cases, this was in line with research from India (Sivakumar et al, 2018) and studies from England, Belgium and South Africa, that revealed that young individuals in active age groups had the highest risk of traumatic injuries (Jasper, 2014). The study's findings may be the consequence of young adults as young adults often engage in riskier activities compared to other age groups, such as extreme sports, reckless driving, or participating in dangerous stunts, which increases their chances of experiencing traumatic injuries (El-Farouny, 2021).…”

Section: Discussionsupporting

confidence: 89%

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

Khater,

Ramadan,

Khattab

2023

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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Background:The fifth most frequent cause of reported impairment is trauma, and is thought to be responsible for 10% of all deaths globally. For the first four decades of life, it continues to be the biggest threat to public health and the main reason for death and disability. Objectives: The current study aims to evaluate cases of death due to traumatic injuries admitted to Soad Kafafy Hospital regarding the manner of exposure, causes of injury, mechanism of injury, and time between admission and death. Methods: This study was a cross-sectional retrospective study conducted on cases of traumatic injury admitted to Soad kafafy hospital from the first of January till the last day of December 2019. Data was collected from the patient's records regarding demographic data, department of admission, and other data on medico-legal aspects such as exposure, causes of injury, mechanism of injury and time between admission and death. Results: thirty-five deaths due to traumatic causes were included within the study period. The majority of cases were males (71.4%) and the majority of them were within the first (< 10 years) and the fourth (30-40 years) age groups. The majority of cases were exposed to motor vehicle accidents and died due to head trauma. There was a significant correlation between the cause of injury, cause and manner of death, and period of survival. Conclusions and Recommendations: Motor vehicle accidents were the most common cause of injury-related deaths, the majority of causes fall under category A (CNS causes) and the highest percentage of deaths occurred after more than seven days. however, homicidal physical attacks, with Class A (CNS) injuries, and acute or early mortality were anticipated. Therefore, Prompt identification and early treatment are critical when a patient meets those criteria.

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Section: Discussionsupporting

confidence: 89%

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

Khater,

Ramadan,

Khattab

2023

The Egyptian Journal of Forensic Sciences and Applied Toxicolog

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“…Two-wheelers, whether motorised or non-motorised are the most common type of vehicle in LMICs as they are the cheaper and more widely available form of transportation in these countries [15]. Other epidemiological studies from India and Pakistan also show that RTCs occur more often in this group of road users, with the most common injury being TBIs [16][17][18][19][20]. The vulnerability to RTCs with a greater risk of sustaining a TBI arises because they are generally less protected than four-wheeler occupants where the current infrastructure, especially in LMICs, tends to prioritise cars and other motorised four-wheelers [21].…”

Section: Discussionmentioning

confidence: 99%

A Survey of Traumatic Brain Injuries from Road Traffic Collisions in a Lower Middle-Income Country

Barki¹,

Filza²,

Khattak³

et al. 2023

Cureus

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The burden of traumatic brain injury (TBI) from road traffic collisions (RTCs) is great in low-and middleincome countries (LMICs) due to shortfalls in preventative measures, and the lack of relevant, accurate data collection. To address this gap, we sought to study the epidemiology of TBI from RTCs in two LMIC neurosurgical centres in order to identify factors amenable to preventative strategies. A prospective survey of all adult and paediatric cases of TBI from RTCs admitted to Northwest General Hospital (NWGH) and Hayatabad Medical Complex (HMC) over a four-week period was carried out. Data on patient demographics, risk factors, injury details, pre-hospitalisation details, admission details and post-acute care was collected and analysed. A total of 68 patients were included in the study. 18 (26%) of the patients were male and in the 30 to 39 age group. Fifty-two percent were two-wheeler riders and/or passengers. 51 (75%) of the RTCs occurred between 12 noon and 12 midnight and in rural areas (66.2%). The most commonly documented risk factor that led to the RTC was speeding (35.3%). Pre-hospital care was either absent or undocumented. Up to two-thirds of patients were not direct transfers, and most were transported in private vehicles (48.5%) arriving later than an hour after injury (94.1%). Less than half with documented disabilities were referred for rehabilitation (38.5%). There are still gaps in the prevention of TBI from RTCs and in relevant data collection. Data collection systems must be strengthened, and further exploratory research carried out in order to improve the prevention of TBI from RTCs.

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“…Majority of the head and spine injury patients (around two-thirds) in our study were middle-aged earning members of the family, which is similar to other studies. 1,3 Less than 5% of patients were under 10 years of age. Males were four times more commonly involved in injuries compared with females.…”

Section: Neurotrauma Auditmentioning

confidence: 99%

“…Mode of injury was found to be similar to those reported in other studies found in the literature. 1,3,6 Few cases of trauma due to animal attack were also encountered in regions with dense forest areas in the vicinity. Around 25 and 18% of head and spine injury patients, respectively, were under alcohol influence at the time of injury, suggesting a need for strict implications of traffic rules as well as awareness in general population.…”

Section: Neurotrauma Auditmentioning

confidence: 99%

“…2 Middle-aged males are involved most commonly, adding to the magnitude of socioeconomic burden. 3,4 As road traffic accident (RTA) is the most common cause, developing countries are more affected due to poor infrastructure and noncompliance with traffic rules. The outcomes are also worse in developing and poor countries due to limited resources and financial constraints.…”

Section: Introductionmentioning

confidence: 99%

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Neurotrauma Audit at Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh

Kumar

Hedaoo

Bajaj

et al. 2019

IJNT

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Introduction For the prevention and better management of traumatic brain and spine injury patients, it is mandatory to understand the demographic and clinical profiles of cases of a particular region. This study was aimed at describing the epidemiology, pattern, and outcomes of head and spine injury patients at a tertiary care center in central India. Materials and Methods All the patients with head and spine injury admitted to the Department of Neurosurgery between September 1, 2018, and August 31, 2019 were included in the study. Data of all these patients were collected from the medical record section and analyzed for age, sex, mode of injury, severity of injury, management, and outcomes. Results During the study period, 932 patients with head injury and 241 patients with spine injury were admitted to our department. Around 65% of the patients in both head and spine injury categories fell in the age group of 26 to 55 years. Approximately 80% of all neurotrauma patients were male. The most common mode of injury was road traffic accident followed by fall from height. Mortality for severe head injury was 39% and that for ASIA A (American Spinal Injury Association grade A) cervical spine injury was 65%. Conclusion Even after aggressive treatment strategies, morbidity and mortality are very high, and the ultimate outcome depends mainly on the clinical status immediately after trauma. The data from this study can be helpful in strategy-making for the prevention and management of head and spine injury patients, especially in the central Indian population.

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

Cited by 3 publications

References 10 publications

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

Pattern of Traumatic Deaths in Patients Admitted to Soad Kafafy Hospital. Medicolegal Study

A Survey of Traumatic Brain Injuries from Road Traffic Collisions in a Lower Middle-Income Country

Neurotrauma Audit at Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh

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