Retrospective analysis of baseline laboratory findings in patients with traumatic brain injury from a rural set up

Autores: Agrawal Amit, Goyal Madhur M., Selokar Deepak, Mittal Rashee, Kakani Anand, Swarnnkar Manish

Resumen

Background: Injuries represent a growing public health concern in India. Head injuries need more emphasis because it is more likely to result in permanent disability or mortality. Rural places where surgical resources and other medical facilities are limited, update on baseline data can provide significant help to clinicians in management of head injury. Objectives: he aim of this retroprospective study was to analyse hospital based data for baseline findings among head injury cases. Methods: Data was reviewed from consecutive head injury patients’ records who presented to the emergency departments of AVBRH in Wardha, India, in past one year. Data was analysed using percentages and frequency distribution table. Chi-square test was used for the test of significance. Results: 342 head injury cases were included in the study of whom 289 (84.5 %) were male, 53 (15.5%) were female. Site, mode and extent of injury like bruise, abrasion, ENT bleed, fracture etc. was examined as well as diagnostic like biochemical, hematological and radiological findings were also subjected to statistical analysis. Conclusion: Road traffic accidents accounted for the major proportion of head injuries. Among radiological findings, CT scan and X-ray skull showed significant changes whereas biochemical parameters did not change significantly. GCS correlated with outcome of the patient management whereas there was no correlation of leucocytes count with GCS or other parameter on first presentation, as expected. Data presented on the nature and severity of head injuries sustained in rural places can assist with planning to deal with these consequences as well as for prospective studies.

Palabras clave: Head injury; complete blood cell count leucocyte white blood cells biochemical findings traumatic brain injury.

2012-08-08   |   863 visitas   |   3 valoraciones

Vol. 19 Núm.1. Enero-Marzo 2012 Pags. 27-35 Neurocien Colom 2012; 19(1)