Aetiology and treatment outcome of severe traumatic brain injuries in neurosurgical center with inadequate facilities

Abstract

Background: Severe traumatic brain injury (TBI) is a major challenge to the patient, the relatives, the care givers, and the society in general. The primary and secondary injuries, and the high metabolism are formidable stages of the injury, each capable of taking the life of the patient. The objectives were to determine the etiology and outcome in severe traumatic brain injuries patients.

Methods: This was a prospective study on patients with severe traumatic brain injury patients managed in our center from August 2010 to December 2014. Patients were resuscitated in accident and emergency unit using Advanced Trauma Life Support protocols. Those with Glasgow Coma scale scores ≤8 were included in the study.Data were collected with structured proforma which was component of our prospective data bank that was approved by our ethics committee, and were analyzed with Environmental Performance Index info 7 software

Results: One hundred and ten patients were studied. Males were 86. The mean age Was 31.43 years. Ninety six were involved in road traffic accident. Seventy seven patients had favorable outcome.

Conclusion: The commonest etiology was road traffic accident.Seventy seven patients had favorable outcome.

Keywords: etiology, outcome, severe traumatic brain injury