International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Since Year 2012 | Open Access | Double Blind Reviewed

ISSN: 2319-7064


Downloads: 2 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Research Paper | Nursing | Nepal | Volume 11 Issue 8, August 2022


Predictors of Outcome in Pediatric Head Injury at a Teaching Hospital, Chitwan

Subina Bajracharya | Ajit Shrestha


Abstract: Head injury a significant cause of morbidity and mortality in children worldwide. The outlook of head injury still continues to be a major challenge in our part of the world. This study explored the predictors of outcome in pediatric head injury.All the patients from 1 day to 18 years admitted with head injury in different departments of Chitwan Medical College over the period of 5 years (2016/1/1 to 2020/12/31) were studied retrospectively. Data were collected from patient?s record using semi-structured data collection performa and analyzed using descriptive and inferential statistics. The outcome of all these patients was assessed by Glasgow outcome scale and divided into favorable (normal, moderate disability) and unfavorable (severe, vegetative, dead) outcome. Outcome was assessed in relation to age, sex, mode of injury, diagnosis, surgical intervention, associated injury and GCS at admission. A total of 419 patients were included in the study comprising 69.2% males and 30.8% females, 36.8% were from age group 1-5 years (mean age 8.56 years S.D. 5.41). The common modes of injury were road traffic accidents (52.7%) followed by fall (43.4%). Highest number of patients had skull fracture (28.9%), followed by EDH (22.2%). Surgical interventions were required in 24.3% and 16.5% had other associated injuries. Majority of patients had mild head injury (63.5%), followed by moderate head injury (25.1%) and severe head injury (11.5%). Favorable outcome was seen in 95.2% while 4.8% had unfavorable outcome with mortality rate of 3.6%.Association between outcomes of head injury with diagnosis and severity of head injury were statistically significant (p<0.05). Outcome was greatly influenced by GCS at admission, as ratio of unfavorable outcome was greater with severe head injury.


Keywords: Head injury a significant cause of morbidity and mortality in children worldwide. The outlook of head injury still continues to be a major challenge in our part of the world. This study explored the predictors of outcome in pediatric head injury. All the patients from 1 day to 18 years admitted with head injury in different departments of Chitwan Medical College over the period of 5 years (2016/1/1 to 2020/12/31) were studied retrospectively. Data were collected from patient?s record using semi-structured data collection performa and analyzed using descriptive and inferential statistics. The outcome of all these patients was assessed by Glasgow outcome scale and divided into favorable (normal, moderate disability) and unfavorable (severe, vegetative, dead) outcome. Outcome was assessed in relation to age, sex, mode of injury, diagnosis, surgical intervention, associated injury and GCS at admission. A total of 419 patients were included in the study comprising 69.2% males and 30.8% females, 36.8% were from age group 1-5 years (mean age 8.56 years S.D. 5.41). The common modes of injury were road traffic accidents (52.7%) followed by fall (43.4%). Highest number of patients had skull fracture (28.9%), followed by EDH (22.2%). Surgical interventions were required in 24.3% and 16.5% had other associated injuries. Majority of patients had mild head injury (63.5%), followed by moderate head injury (25.1%) and severe head injury (11.5%). Favorable outcome was seen in 95.2% while 4.8% had unfavorable outcome with mortality rate of 3.6%.Association between outcomes of head injury with diagnosis and severity of head injury were statistically significant (p<0.05). Outcome was greatly influenced by GCS at admission, as ratio of unfavorable outcome was greater with severe head injury.


Edition: Volume 11 Issue 8, August 2022,


Pages: 708 - 711


How to Download this Article?

You Need to Register Your Email Address Before You Can Download the Article PDF


How to Cite this Article?

Subina Bajracharya, Ajit Shrestha, "Predictors of Outcome in Pediatric Head Injury at a Teaching Hospital, Chitwan", International Journal of Science and Research (IJSR), Volume 11 Issue 8, August 2022, pp. 708-711, https://www.ijsr.net/get_abstract.php?paper_id=SR22810122724

Similar Articles with Keyword 'vegetative'

Downloads: 115

Research Paper, Nursing, India, Volume 8 Issue 1, January 2019

Pages: 1467 - 1467

A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge Regarding Fluorosis in Selected Schools of Udaipur City

Ashok Kumar [59]

Share this Article

Downloads: 157

Review Papers, Nursing, India, Volume 8 Issue 3, March 2019

Pages: 1067 - 1069

Work Place Violence on Nurses and Doctors in India: Review Paper

Naveena J H [5]

Share this Article
Top