Incidence report of traumatic brain injury in Mimika Public Hospital Papua

Putra, Kevin Kristian; Wardani, Putu Ayu Indra Shanti; Niryana, I Wayan

doi:10.15562/ism.v12i3.853

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Most patients in our research were under the age of 60. This observation aligned with other studies that had identified a high incidence of TBIs within younger adult populations (Putra et al 2021, Magalhãess et al 2022. This was also consistent with the findings of a study conducted at a referral hospital in Uganda.…”

Section: Discussionsupporting

confidence: 92%

Traumatic Brain Injury Patients in the Emergency Unit of a Tertiary Hospital

Ramdinal Aviesena Zairinal,

Chandrika Najwa Malufti,

Yetty Ramli

et al. 2023

FMI

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Highlights: 1. The main focus of this study was to underscore the importance of exploring the characteristics of traumatic brain injury (TBI) patients, which have not been extensively investigated, to help establish effective clinical procedures and decisions.2. Three out of every four trauma patients in the emergency unit had mild TBIs, and those who did not survive showed a significant trend of rapid deterioration.3. It is crucial to consistently conduct a thorough and comprehensive head-to-toe examination for all trauma patients. Abstract Traumatic brain injury (TBI) is a prevalent neurological condition in emergency units. TBI cases are frequently diagnosed with severe conditions. Underdiagnosis is common in mild TBI cases. As a result, physicians have an uncomprehensive understanding of the patients' characteristics in their daily practice. This study aimed to discuss the characteristics of trauma patients who were diagnosed with TBIs in an emergency unit. We conducted a retrospective cohort observational study to examine the adult population of TBI patients from April 2022 to March 2023. This study collected several data points, including demographics, clinical characteristics, surgical procedures, and disposition distribution. All variables were compiled and summarized using descriptive statistics and analyzed by calculating frequencies and percentages. During the period of this study, 483 trauma patients were admitted to the emergency unit. A total of 361 (74.7%) of these cases were identified as TBIs. Most of the traumatic brain injuries occurred in men (75.6%), with the predominant age range being 18–22 years (22.4%). Mild TBI cases (74.5%) were the most prevalent, followed by moderate (20.2%) and severe (5.3%) TBI cases. The average score from the Glasgow Coma Scale assessment was 15. Most patients (80.9%) had no hypotension, while a greater number of patients (98.1%) did not exhibit hypoxia as a comorbidity. The Injury Severity Score revealed that the highest percentage of TBIs was categorized as minor (62.3%). It was found that 53.5% of the patients were discharged, while 36% of the patients were hospitalized. However, 7 patients (1.9%) passed in the emergency unit, and 30 patients (8.3%) opted to be discharged against medical advice. Only 21 patients (5.8%) received neurosurgical management. As the most prevalent trauma, TBI necessitates careful management to handle the implications of clinical decision-making. It is crucial to investigate the underlying risk of mortality in TBI cases because the majority of patients do not require neurosurgical intervention.

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Section: Discussionsupporting

confidence: 92%

Traumatic Brain Injury Patients in the Emergency Unit of a Tertiary Hospital

Ramdinal Aviesena Zairinal,

Chandrika Najwa Malufti,

Yetty Ramli

et al. 2023

FMI

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“…7 Penelitian sebelumnya di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar menunjukkan angka kejadian OA lutut yang tinggi, mendominasi jenis OA lainnya dengan proporsi sebesar 73,3%. 8 Penyebab utama dari OA lutut saat ini masih menjadi perdebatan, namun terdapat beberapa faktor risiko untuk terkena OA lutut. Faktor-faktor tersebut mencakup usia, jenis kelamin, dan pekerjaan.…”

Section: Pendahuluanunclassified

Hubungan Usia, Jenis Kelamin, Dan Pekerjaan Terhadap Derajat Keparahan Penderita Osteoartritis Lutut Berdasarkan Kellgren-Lawrence Di Rsup Sanglah Denpasar

Dhaifullah,

Meregawa,

Aryana

et al. 2023

eum

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Latar Belakang: Osteoartritis (OA) lutut merupakan penyakit pada sendi lutut yang paling umum terjadi. OA lutut umumnya terjadi pada lanjut usia, wanita, dan seseorang dengan pekerjaan berat yang derajat keparahannya dapat dinilai berdasarkan klasifikasi Kellgren-Lawrence. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara usia, jenis kelamin, dan pekerjaan terhadap derajat keparahan OA lutut berdasarkan kriteria Kellgren-Lawrence di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. Metode: Penelitian ini menggunakan metode potong-lintang analitik. Data penelitian merupakan data sekunder pasien OA lutut yang terdaftar dalam rekam medis RSUP Sanglah kota Denpasar periode Januari 2019 – Desember 2020 dan sudah menjalani pemeriksaan radiografi. Pengambilan data dilakukan dengan teknik consecutive sampling dan didapatkan 52 data yang memenuhi kriteria penelitian. Analisa data dilakukan dengan menggunakan SPSS versi 23. Hasil: Ditemukan hubungan positif yang cukup antara pekerjaan dengan derajat Kellgren-Lawrence (p = 0,001; r = 0,417). Ditemukan juga hubungan negatif yang lemah antara usia dengan derajat Kellgren-Lawrence (p = 0,040; r = -0,260). Namun, tidak ditemukan adanya hubungan antara jenis kelamin dengan derajat Kellgren-Lawrenece (p = 0,951). Simpulan: Pekerjaan memiliki hubungan yang lebih kuat terhadap derajat keparahan penderita OA lutut berdasarkan Kellgren-Lawrence di RSUP Sanglah Denpasar dibandingkan dengan usia dan jenis kelamin. Kata kunci : Jenis kelamin, Kellgren-Lawrence, osteoartritis lutut, pekerjaan, usia

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“…TBI accounts for 11.9% of trauma cases in Indonesia, making it the third most common cause of traumatic injury for the nation(30). Local 1-year single-centered studies from the national referral hospital and three other secondary-care hospitals in Belitung, Bali, and Papua presented 157, 270, 525, and 393 cases, respectively (26,[31][32][33]. Mortality rate ranges from 7.6 to 29.23%,…”

mentioning

confidence: 99%

Traumatic tension pneumocephalus: a case report and perspective from Indonesia

Harlyjoy,

Nathaniel,

Nugroho

et al. 2024

Front. Neurol.

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Traumatic tension pneumocephalus is a rare and life-threatening complication of traumatic brain injury necessitating prompt diagnosis and neurosurgical treatment. Nevertheless, various possibilities for impedance in timely management, including patient-related barriers are commonly experienced in low-and middle-income countries setting. Here we presented a delay of management in traumatic tension pneumocephalus case due to initial refusal for emergency surgery. A 59-year-old male presented to the emergency department following a motorcycle accident fully alert with no neurological deficit. He acknowledged clear nasal discharge within 1 h after the initial trauma, but no rhinorrhea or otorrhea was present during physical examination. Head CT revealed extensive pneumocephalus with “Mount Fuji sign,” anterior skull base fracture, and frontal sinus fracture. The patient initially refused immediate surgical intervention due to excellent clinical condition and financial scare. Acute decrease of consciousness occurred 40 h post-trauma: GCS of 6 with slight dilatation of both pupils (4 mm) and sluggish pupillary reflex. Emergency bifrontal craniotomy, subdural air drainage, and dura mater tear repair were performed afterwards. Postoperative care was uneventful, with rapid improvement of consciousness and follow-up head CT showing minimal subdural fluid collection and absence of remaining pneumocephalus. The patient was discharged from the hospital after 7 days with GCS of 15 and GOS of 5, proving the importance of overcoming barriers for delay in delivering neurotrauma care in low-and middle-income countries.

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Incidence report of traumatic brain injury in Mimika Public Hospital Papua

Cited by 3 publications

References 9 publications

Traumatic Brain Injury Patients in the Emergency Unit of a Tertiary Hospital

Traumatic Brain Injury Patients in the Emergency Unit of a Tertiary Hospital

Hubungan Usia, Jenis Kelamin, Dan Pekerjaan Terhadap Derajat Keparahan Penderita Osteoartritis Lutut Berdasarkan Kellgren-Lawrence Di Rsup Sanglah Denpasar

Traumatic tension pneumocephalus: a case report and perspective from Indonesia

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