A Study Of Severe Traumatic Brain Injury At A Tertiary Care Center

Abstract

Background: Traumatic brain injurycauses headaches, memory loss, and mood changes due to external influences. Global incidence rates fluctuate, making it a major public health issue. Traumatic brain injuryseverity affects prognosis for closed and penetrating head injuries. Life-threatening severe traumatic brain injuryis more common in low-and middle-income nations and has enduring physical, cognitive, emotional, and social effects on patients and carers. Aims and objectives:The objective of this study was to conduct an analysis of outcomes and identify potential areas for improvement in the management of severe traumatic brain injury in a Tertiary care centre. Method: This study, conducted from February 2023 to September 2023 at Teerthanker Mahaveer hospital& Research Center, Moradabad, focused on traumatic brain injury (TBI). Assessed patient's through glasgow coma scale (GCS),Inclusion criteria covered traumatic brain injury patients with 15-45 years age. Result:The study declare predictors of 2-week mortality in severe traumatic brain injury patients. Age, GCS, and pupillary response significantly influence outcomes. The study involved 80 patients with severe traumatic brain injuries (TBIs), analyzing demographics, treatments, and mortality outcomes. Most patients were males (85%) aged 25-40 (47.5%). Common causes included road accidents (70%) and assaults (18.75%). Medical interventions varied, with 27.5% needing ventilator support, 20% receiving anti-seizure medication, and 30% treated for brain swelling. Surgery was conducted in 26.25% of cases, challenging current intracranial pressure monitoring standards. Mortality was significant, with a 2-week mortality rate of 37.5%, highlighting the challenges in treating severe traumatic brain injury. Age and time until treatment were identified as significant predictors of mortality. Conclusion:Countries have greater fatality rates for severe Traumatic brain injurydue to fewer resources. Pre-hospital, education, and collaboration can improve care for traumatic brain injurypatients.