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ISSN 2063-5346
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CORRELATION OF CLINICAL FINDINGS WITH ICU DISCHARGE STATUS IN TRAUMATIC BRAIN INJURY

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R. I. Mulla, Dr. S.V. Kakde, Dr. Neelkamal Singh
» doi: 10.48047/ecb/2023.12.si4.1269

Abstract

Trauma is one of the most common causes of death and lifelong disability in the early decades of life, of which the majority of cases are neurological trauma. Traumatic brain injury remains an important cause of death and disability in young adults. So, objective of this study was to correlate the clinical findings with patients' ICU discharge status in traumatic brain injury. 130 subjects were included in the study. The present study was an observational prospective study undertaken to evaluate the correlation between clinical findings and patients' ICU discharge status following acute trauma. The study was conducted in the Department of Neurosurgery, Krishna Medical College and Hospital. All the patients presenting to the hospital with a history of head injury and polytrauma to admit Department of Neurosurgery in the intensive care unit (ICU) were included as the study population. A careful history was collected from the patient and/or attendants to reveal the mechanism of injury and the severity of trauma. The outcome at ICU discharge will be concerned with the patient's aliveness status. According to age ranged between 25 years and > 80 years with a mean age of 45.83±14.47 years. The majority of patients were in the age group of 41 - 50 years (30.77%) followed by elderly patients aged > 60 years represented (15.38%). In gender majority of patients were males (60.77%) and females (39.23%). The male: female ratio was 1.55:1. Although more males suffered TBI, more females had a better outcome. (p=0.907). According to the cause of head injury, Road traffic accidents represented the most frequent cause of TBI (56.15%), followed by assault (1.5%), fall (23.8%), IC bleed (11.5%) and headache (6.9%). The history of alcohol consumed was given by (37.69) % of patients. Patients according to CT scan findings. It was observed that the majority of patients were having normal CT findings (52.31%) and (47.69%) of patients had abnormal CT findings. It is very essential on part of clinician to know the clinical parameters that are significantly associated with such patient’s outcome. Since, knowledge of such parameter (s) is indispensable in management of the treatment of better recovery, this study was undertaken to correlate the clinical findings with traumatic brain injury patients ICU discharge status.

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