Characteristics and clinical outcome of traumatic brain injury in Lombok, Indonesia

Rosyidi, Rohadi Muhammad; Priyanto, Bambang; Laraswati, Ni Komang Putri; Islam, Andi Asadul; Hatta, Mochammad; Bukhari, Agussalim; Kamil, Muhammad; Wardhana, Dewa Putu Wisnu

doi:10.1016/j.inat.2019.04.015

Cited by 16 publications

(20 citation statements)

References 6 publications

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“…Based on the age variable, the result of this study had supported several previous studies, which found that the average age of the TBI patients was 32-41-year-old, and TBI is one of the leading cause of morbidity and mortality in individuals under 45-yearold [2], [34], [35]. The result of this study also supported the previous study, which found that TBI patients in the 21-30-year-old age group had the largest number of TBI cases compared to other age groups [36].…”

Section: Samples Characteristicssupporting

confidence: 90%

“…This study found that traffic accident was the leading mechanism of injury that could cause TBI, followed by fall and assault consecutively. It supported several previous studies which also found that traffic accident was the highest mechanism of injury that could cause TBI, then followed by fall and other causes, such as assault [29], [34], [35], [36]. Therefore, young adult men must be more vigilant in carrying out highrisk activities to prevent TBI.…”

Section: Samples Characteristicssupporting

confidence: 89%

“…This study found that men were more likely to had a TBI compared to women. It supported several previous studies, which found that men had a bigger proportion compared to women in experiencing TBI, reaching 77-88% of TBI cases [29], [30], [34], [35], [36], [37]. The high incidence of TBI in men can be due to the fact that men are more dominant in doing high-risk activities, experiencing work-related accidents, and experiencing assaultrelated injuries compared to women [38].…”

Section: Samples Characteristicssupporting

confidence: 88%

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Neutrophil-to-lymphocyte Ratio and Platelet-to-lymphocyte Ratio Correlations with C-reactive Protein and Erythrocyte Sedimentation Rate in Traumatic Brain Injury

Kusuma

Maliawan

Mahadewa

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Immune system and inflammatory response play an essential role in the development of secondary brain injury (SBI) after traumatic brain injury (TBI). An inflammatory biomarker that can reflect the SBI severity is needed to increase the effectivity of TBI management and prevent morbidity and mortality post-TBI. Neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR), which are more affordable than C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), theoretically have the potential to be used as a marker of the SBI severity. However, NLR and PLR in daily medical practice are not yet fully utilized. AIM: The aim of the study was to correlate NLR and PLR with CRP and ESR as a marker of SBI severity post-TBI. METHODS: This cross-sectional study was conducted at Sanglah Hospital Denpasar from January to April 2020. Patients diagnosed with TBI were included in this study by consecutive sampling. The blood samples were taken at 24-h post-TBI to obtain the NLR, PLR, CRP, and ESR results. Spearman’s correlation test was conducted to determine the correlation between NLR and PLR with CRP and ESR. RESULTS: Eighty-five patients were included in data analysis. Median ± (interquartile range) of the NLR, PLR, CRP, and ESR were 7.60 ± (6.83), 145.58 ± (76.95), 60.83 ± (66.3), and 12.50 ± (13.85) consecutively. NLR and PLR had a significant positive correlation with CRP (r = 0.472, **p < 0.01; r = 0.283, **p < 0.01 consecutively). But, NLR and PLR were not correlated with ESR. CONCLUSION: NLR and PLR can become a useful and more affordable marker for reflecting the SBI severity in acute TBI.

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Section: Samples Characteristicssupporting

confidence: 90%

Section: Samples Characteristicssupporting

confidence: 89%

Section: Samples Characteristicssupporting

confidence: 88%

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Neutrophil-to-lymphocyte Ratio and Platelet-to-lymphocyte Ratio Correlations with C-reactive Protein and Erythrocyte Sedimentation Rate in Traumatic Brain Injury

Kusuma

Maliawan

Mahadewa

et al. 2020

Open Access Maced J Med Sci

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“…Traumatic brain injury (TBI) is an injury that affects the structure of the skull that causes physiological changes in the brain which can be caused by mechanical or non-mechanical external forces. 1 TBI is a global problem and the biggest cause of mortality and disability of all trauma cases. 2 The global incidence of TBI reaches 939 cases per 100,000 people and it is estimated that almost 70 million people in the world sustain a TBI every year.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of mortality due to traumatic brain injury in Marsidi Judono general hospital, Belitung, Indonesia

Chandra¹,

Tobing²

2021

Indonesian Journal of Neurosurgery

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Introduction: Traumatic brain injury (TBI) is a global problem and the biggest cause of mortality and disability of all trauma cases. This study aimed to determine the characteristics and relationship between risk factors for TBI and its impact on mortality and also to provide epidemiological data related to TBI in Belitung regency. Methods: A retrospective study was conducted using secondary data from the medical records of participants who met the inclusion and exclusion criteria at dr. H. Marsidi Judono General Hospital Belitung from January to December 2019. Data were analyzed as univariate, bivariate, and multivariate using binary logistic regression. Results: Two hundred and seventy patients were included in this study. Men were more likely to have a TBI than women in all categories (65.9%). The adolescent age group (33.7%) followed by adults (31.5%) were the largest contributors to TBI. Road traffic accident cases (86.7%) dominated the incidence of TBI. The use of headgear was still lacking (36.7%) while cases of road traffic accidents were high. The use of ambulances was lacking (10.4%) compared to other vehicles. A total of 119 patients (44%) were hospitalized in either the general ward or ICU with an average length of hospitalization was 3 days. Of all TBI cases, the mortality rate was 11.9%. People with older age have a higher mortality rate compared to other age categories (OR 1.052; 95% CI: 1.001 -1.106). Conclusion:The mortality rate due to TBI reaches 11.9% in this region, with age as a statistically significant predictor of mortality due to TBI. Older patients tend to have a higher likelihood of death due to TBI. The data obtained can be used by general practitioners, disease preventative planners, and policymakers to reduce mortality due to TBI in Belitung regency.

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“…2 In Indonesia, it is reported that the average number of traumatic brain injury cases in Dr. Sutomo General Hospital from 2009 to 2013 was 1178 cases per year, with 6,1-11,2% mortality rates, while in Hasan Sadikin Hospital, the incidence of traumatic brain injury from 2008-2010 was 3578 cases. 3,4 A study by Putra, reported 186 cases of traumatic brain injury at the Umbu Rara Meha Waingapu Regional General Hospital for the period of January 1, 2017 to December 31, 2018. 5 '…”

mentioning

confidence: 99%

Characteristics of pediatric traumatic brain injury: study from Wongsonegoro Regional Public Hospital in Semarang

Diyo¹,

Budiman²,

Christian³

et al. 2021

hsji

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Background: Traumatic brain injury is one of the leading causes of morbidity and mortality in the world, as well as disability in the pediatric group. This study aimed to describe the characteristics of pediatric traumatic brain injury patients, considering the lack of data in Indonesia. Methods: We conducted a descriptive-retrospective study at Wongsonegoro Regional Public Hospital Semarang. Data were extracted from medical records of patients admitted during the period of January 2017-December 2019 using a purposive sampling method. Results: Out of 296 patients, most of the patients were male (59.13%; 66.30%). Based on age group, the highest percentage was found in the (11-18-year-old) (40.87%) in operative patients and 5-10-year-old (37.57%) in non-operative patients. The most common cause of traumatic brain injury in operative patients was falling from motor vehicle (37.39%) while in non-operative patients was falling while playing (32.60%). The most common type of injury in operative patients was epidural hematoma (49.57%) and in non-operative patients was brain concussion (53.59%). Most of the patients had minor head injury (75.65%; 81.22%). Most of operative patients spent 3-5 days (64.35%) in the hospital while most of non-operative patients spent 1-3 days (72.37%). Of all the subjects, the majority of patients recovered and discharged. Conclusion: remains as the most common type of pediatric traumatic brain injury in this study. This study provides an overview of traumatic brain injury in children and shows the importance of enforcing driving rules and supervision by parents which play an important role in child safety. Keywords: pediatric, traumatic brain injury, Indonesia Abstrak Latar belakang: Cedera kepala merupakan salah satu penyebab utama morbiditas dan mortalitas di dunia, serta disabilitas pada kelompok pediatri. Penelitian ini bertujuan untuk mendeskripsikan karakteristik pasien pediatri dengan cedera kepala, mengingat minimnya data cedera kepala pada anak di Indonesia. Metode: Penelitian ini merupakan penelitian deskriptif-retrospektif di RSUD Wongsonegoro Semarang. Data diambil dari rekam medis pasien anak yang dirawat selama periode Januari 2017-Desember 2019 dengan menggunakan metode purposive sampling. Hasil: Dari 296 pasien, sebagian besar merupakan laki-laki (59,13%; 66,30%). Berdasarkan kelompok umur, persentase tertinggi pada kelompok operatif terdapat pada (40,87%) dan pada kelompok non operatif terdapat pada kelompok usia 5-10 tahun (37,57%). Penyebab tersering cedera kepala pada pasien operatif yakni jatuh dari kendaraan bermotor (37,39%) sementara pada pasien non operatif penyebab tersering berupa jatuh saat bermain (32,60%). Jenis cedera kepala tersering pada pasien operatif adalah Epidural Hematoma (49,57%) dan pada pasien non-operatif berupa commotio cerebri (53,59%). Kebanyakan pasien mengalami cedera kepala ringan (75,65%; 81,22%). Sebagian besar pasien operatif dirawat selama 3-5 hari (64,35%) sedangkan mayoritas pasien non operatif dirawat selama 1-3 hari (72.37%) Dari semua subjek, mayoritas pasien sembuh dan dipulangkan. Kesimpulan: Jatuh dari kendaraan bermotor merupakan jenis cedera kepala yang paling umum ditemukan dalam penelitian ini. Studi ini memberikan gambaran umum tentang cedera kepala pada anak dan menunjukkan pentingnya penegakan aturan dalam berkendara serta pengawasan oleh orang tua yang berperan penting dalam keselamatan anak. Kata kunci: anak, cedera kepala, Indonesia

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Characteristics and clinical outcome of traumatic brain injury in Lombok, Indonesia

Cited by 16 publications

References 6 publications

Neutrophil-to-lymphocyte Ratio and Platelet-to-lymphocyte Ratio Correlations with C-reactive Protein and Erythrocyte Sedimentation Rate in Traumatic Brain Injury

Neutrophil-to-lymphocyte Ratio and Platelet-to-lymphocyte Ratio Correlations with C-reactive Protein and Erythrocyte Sedimentation Rate in Traumatic Brain Injury

Risk factors of mortality due to traumatic brain injury in Marsidi Judono general hospital, Belitung, Indonesia

Characteristics of pediatric traumatic brain injury: study from Wongsonegoro Regional Public Hospital in Semarang

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