Head Injury in Nepal: An Institutional Based Prospective Study on Clinical Profile, Management and Early Outcome of Traumatic Brain Injury in Eastern Part of Nepal

  • Prakash Kafle Nobel Medical College and Teaching Hospital, Biratnagar https://orcid.org/0000-0001-5298-1128
  • Babita Khanal Nobel Medical College and Teaching Hospital, Biratnagar
  • Dipak Kumar Yadav Nobel Medical College and Teaching Hospital, Biratnagar
  • Deepak Poudel Nobel Medical College and Teaching Hospital, Biratnagar
  • Tejendra Karki Nobel Medical College and Teaching Hospital, Biratnagar
  • Iype Cherian Nobel Medical College and Teaching Hospital, Biratnagar
Keywords: Road traffic accidents, traumatic brain injury, glasgow coma scale, glasgow outcome scale, mortality

Abstract

Introduction: Traumatic brain injuries (TBI) are among the worst consequences and are the major causes of death and disability worldwide. It is considered as silent epidemics affecting individuals of all the ages and one of the major burden of neorological disease. Hence, TBIs are often overlooked and are sometimes called “the neglected disease of modern society”. Presenting GCS is the best predictor of outcome.

Objective: The present study aims to portray the epidemiology, clinical profile, its management, early outcome and to evaluate the outcome predictors in a tertiary care center in eastern part of Nepal.

Methodology: This is a prospective cross-sectional study conducted at the Department of Neurosurgery, Nobel Medical College Teaching Hospital, Biratnagar, Nepal over the period of 1 year (October, 2016 - December 2017). The primary objective of this study was to review the etiology, clinical profile and early outcome of patients with TBI.

Results: During the study period, 1056 patients with head injuries were studied. Of these 202 cases required surgical intervention and 32 were excluded. Mean age of the study population was 38.7 years with the male to female ratio of 3.49:1. Road traffic accident was the most common cause of TBI (76%). Overall mortality rate was 11.17%. Unfavorable GOS at discharge was 43.5% and 26.1% at three months follow-up.

Conclusion: TBI continues to be a significant burden of neurosurgical care in major neurosurgical centers in Nepal. This study contributes data on the etiology and clinical profile of patients with TBI from tertiary care center of Nepal.

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Author Biographies

Prakash Kafle, Nobel Medical College and Teaching Hospital, Biratnagar

Department of Neurosurgery

Babita Khanal, Nobel Medical College and Teaching Hospital, Biratnagar

Department of Paediatric Medicine

Dipak Kumar Yadav, Nobel Medical College and Teaching Hospital, Biratnagar

Department of Neurosurgery

Deepak Poudel, Nobel Medical College and Teaching Hospital, Biratnagar

Department of Anaesthesiology

Tejendra Karki, Nobel Medical College and Teaching Hospital, Biratnagar

Department of Radiology

Iype Cherian, Nobel Medical College and Teaching Hospital, Biratnagar

Department of Neurosurgery

Published
2019-09-04
How to Cite
Kafle, P., Khanal, B., Yadav, D., Poudel, D., Karki, T., & Cherian, I. (2019). Head Injury in Nepal: An Institutional Based Prospective Study on Clinical Profile, Management and Early Outcome of Traumatic Brain Injury in Eastern Part of Nepal. Birat Journal of Health Sciences, 4(2), 750-754. https://doi.org/10.3126/bjhs.v4i2.25459
Section
Original Research Articles