Clinico-radiologic Profile of Pediatric Traumatic Brain Injury in Western Rajasthan

Dara, Pawan; Parakh, Manish; Choudhary, Shweta; Jangid, Hemant; Kumari, Poonam; Khichar, Satyendra

doi:10.4103/jnrp.jnrp_269_17

Cited by 7 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Focusing on mortality the data shows that 24 patients expired, out of which 21 had severe head injury. It again signals that GCS as a predictor of outcome, similarly shown by study from Dara et al 2…”

Section: Discussionsupporting

confidence: 70%

“…This difference may be there because of difference in age distribution. 2,3 It is noticed that 33% of this population accounts for severe head injury, while Garg et al reported 47% as severe one, while Dara et al reported it to be about 22%. The CT scan finding clearly points that skull fractures (88 patients) are far more common than contusion (53 patients).…”

Section: Discussionmentioning

confidence: 99%

“…This can be explained as there may be permanent functional loss of that brain area, which is damaged in head injury. [1][2][3]5 One of the commonest causes of paediatric head injury is road traffic accidents with 470 cases. Out of these 303, that is 65 percentage is within 14 to 18 years of age, which is similar to the report by Garg et al that motor vehicle accidents were the leading cause of trauma in older children.…”

Section: Discussionmentioning

confidence: 99%

“…Loss of productive life and burden to the society is enormous, especially due to accidents in paediatric population. [1][2][3] Though, there is no age-specific division of RTA deaths in India, but according to National Crime Records Bureau (NCRB) 2015, total no. of road accident deaths is increasing per year with 5.1% increase seen during 2015 compared to 2014.…”

Section: Introductionmentioning

confidence: 99%

“…Children driving the two wheelers is one of the major causes of TBI. [1][2][3] No study has been done in Eastern part of Uttar Pradesh regarding profile of adolescent head injury. Therefore, this study will provide the profile of adolescent head injury due to road traffic accidents.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Motorised Two-Wheeler Traumatic Head Injury- A Profile of Patients Within 14 to 18 Years of Age, Admitted in Trauma Centre of Medical University in Lucknow

Bajaj¹,

Srivastava²,

Ojha³

2019

jemds

View full text Add to dashboard Cite

BACKGROUND Traumatic brain injury is one of the leading causes of death in children. Although, no age-specific division of road traffic accident mortality data is available in India, according to National Crime Records Bureau, maximum fatalities in traffic accidents was reported by Uttar Pradesh in the country. MATERIALS AND METHODS The descriptive study was conducted in the Trauma Centre of King George's Medical University, a tertiary care centre in Lucknow. The admitted traumatic patient's profile, detailed data of injury, general physical and neurological examination, radiological findings, management details and outcome were noted. All patients were managed according to protocols laid down by standards and departmental protocols. Patients were grouped under minor head injury (GCS 13-15), moderate head injury (GCS 9-12) and severe head injury (GCS 8 or less). Post resuscitation GCS was considered as baseline and outcome was assessed at 3 months by Glasgow Outcome Scale (GOS). RESULTS Road traffic accident was one of the major causes of paediatric head injury accounting for 470 children being admitted/observed by Neurosurgeon in Trauma Centre of University College of Lucknow. On further analysis, we found that there were 303 patients between 14 and 18 years, which account for approximately 65 percent. It was noticed that out of these 303 head injury cases, about 80% (243 patients) were those, who were either driving or riding a pillion on two-wheeler. Out of these, 172 patients were driving a two-wheeler and it was shocking to notice that 96% (165 patients) were those who were not wearing the helmet with mortality of 14.5% (24 patients). CONCLUSION Unauthorised driving at adolescent age group makes them vulnerable to accidental head injury, that too of increased severity when the majority of these can be prevented. The present data may provide the inside to the policy makers for implementation of various policies to ensure the traffic rules are strictly followed. Parents should be acting responsible enough not to give two wheelers before the appropriate age and also be vigilant that their child follows traffic rules strictly.

show abstract

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Motorised Two-Wheeler Traumatic Head Injury- A Profile of Patients Within 14 to 18 Years of Age, Admitted in Trauma Centre of Medical University in Lucknow

Bajaj¹,

Srivastava²,

Ojha³

2019

jemds

View full text Add to dashboard Cite

show abstract

Temporal lobe contusions on computed tomography are associated with impaired 6-month functional recovery after mild traumatic brain injury: a TRACK-TBI study

Yue

Winkler

Puffer

et al. 2018

Neurological Research

View full text Add to dashboard Cite

show abstract

Factors associated with the severity of traumatic brain injury

Lafta

Sbahi

2023

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

Introduction. Traumatic brain injury (TBI) is a defect in the brain function resulting from the action of external factors. The condition ranges from transient shifts in cellular ionic concentrations to total structural damage; the clinical symptoms can vary from brief confusion to death. The current classification system, based on the Glasgow Coma Scale (GCS), divides TBI into mild (GCS 14 to 15), moderate (GCS 9 to 13), and severe TBI (GCS 3 to 8). The leading causes of head injury in the population can be falls, motor vehicle collisions, blasts, and bullet injuries. The ultimate survival and neurologic outcome of the head trauma patient depend on the extent of TBI occurring at the time of injury. The aim of the study is to assess the factors associated with brain injury and their effect on its severity. Method. A cross sectional, retrospective study including 469 adult patients with head injury was carried out in the emergency department of Baghdad teaching hospital between 1 October 2016 - 30 October 2017. Data of all the patients were entered and analyzed using the statistical package for social sciences (SPSS) software for Windows, version 24. The significance of correlation was assessed using a Chi-square test. Level of significance was set at ≤ 0.05. Final findings were presented in tables with an explanatory paragraph for each table using the MS. Office (Word 2013) for Windows. Results. A total number of 469 patients were enrolled in this study with a mean age of 42.6 ± 13.7 years. The vast majority of the patients were males (383/469), which represented 81.7%. The male to female ratio was 4.45 to 1. The distribution of the patients according to their traumatic brain injury was 241 patients (51.4%) with mild, 99 (21.1%) with moderate and 129 (27.5%) with severe TBI. Associated injuries among the studied group were facial injuries in 133 (28.4%), skull fracture in 150 (32%), and thoracolumbar fracture in 51 (10.9%). The associated injuries were more frequent in the extremities - 112/469 (23.9%), combined injuries in 112 (23.9%), chest and abdomen injuries were reported in only 6% and 6.8%, respectively. The causes of injuries in the studied group were road traffic accidents (RTA), the most frequent mechanism - 37.1% of the cases, followed by fall from height (FFH) (23.9%), blast injury (16.8%), bullet injury (13%), while other mechanisms represented only (9.2%). There is a significant association reported with gender, where severe injuries were more frequent among males than females (P=0.014). All associated injuries were significantly associated with severe traumatic brain injury (P<0.05), also bullet injury was significantly associated with severe traumatic brain injury, followed by blast injury (P<0.001). Severe traumatic brain injury was significantly associated with the presence of clinical and radiographic findings (P<0.001). Conclusion. The severity of TBI is significantly related to the type of the associated injury, mechanism of injury, clinical and radiological findings, and to the male gender, while it is not dependent on the age of the patient.

show abstract

Clinico-radiologic Profile of Pediatric Traumatic Brain Injury in Western Rajasthan

Cited by 7 publications

References 18 publications

Motorised Two-Wheeler Traumatic Head Injury- A Profile of Patients Within 14 to 18 Years of Age, Admitted in Trauma Centre of Medical University in Lucknow

Motorised Two-Wheeler Traumatic Head Injury- A Profile of Patients Within 14 to 18 Years of Age, Admitted in Trauma Centre of Medical University in Lucknow

Temporal lobe contusions on computed tomography are associated with impaired 6-month functional recovery after mild traumatic brain injury: a TRACK-TBI study

Factors associated with the severity of traumatic brain injury

Contact Info

Product

Resources

About