Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, India.
Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, India.
World Neurosurg. 2019 Jun;126:e699-e705. doi: 10.1016/j.wneu.2019.02.126. Epub 2019 Mar 4.
Traumatic brain injury (TBI) is a major health issue in developing nations such as India along with underreporting of TBI data because of a lack of major studies targeting the population with TBI. Various lacunae from field to tertiary centers are responsible for this significant burden of TBIs. We studied the epidemiologic profile of 1150 patients with TBI including the predictors of the outcome of TBIs in a tertiary health care institution in North India to identify the modifiable factors that could be used to improve the outcome and reduce the TBI burden.
Patients presenting with TBI to a level I trauma center were identified and enrolled in the study. Data regarding patient information from accident to discharge or death were collected as per designed format and analyzed to determine outcome predictors.
Mean age was 36 ± 15.8 years and 84.6% of patients were male; road traffic accident was the mode of injury in 64.26% of cases. Lack of adequate prehospital care was seen in our study. Glasgow Coma Scale score on admission, Injury Severity Score, and Rotterdam CT score were found to be the 3 statistically significant predictors of outcome in patients with TBI.
Knowledge about the causes, pattern, and distribution of patients with TBI from this study is helpful in policy making, research, health management, and rehabilitation at the national level in ours and in other nations.
创伤性脑损伤（TBI）是印度等发展中国家的一个主要健康问题，由于缺乏针对 TBI 患者的主要研究，TBI 数据的报告不足。从现场到三级中心的各种空白导致了 TBI 的负担如此沉重。我们研究了印度北部一家三级医疗机构 1150 名 TBI 患者的流行病学特征，包括 TBI 结局的预测因素，以确定可用于改善结局和减轻 TBI 负担的可改变因素。
在一级创伤中心就诊的 TBI 患者被确定并纳入研究。按照设计的格式收集有关从事故到出院或死亡的患者信息数据，并进行分析以确定结局预测因素。
平均年龄为 36 ± 15.8 岁，84.6%的患者为男性；64.26%的病例为道路交通伤害。我们的研究中发现缺乏足够的院前护理。入院时的格拉斯哥昏迷量表评分、损伤严重程度评分和鹿特丹 CT 评分是 TBI 患者结局的 3 个有统计学意义的预测因素。
从这项研究中了解 TBI 患者的病因、模式和分布情况有助于制定政策、开展研究、进行国家层面的健康管理和康复工作，不仅在我们国家，在其他国家也是如此。
