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Research Paper | Neuroscience | India | Volume 12 Issue 4, April 2023

Outcome and Prognosticators of Head Injury - Our Experience

Dr. R. K. Barooah | Dr. Dhrubajyoti Das

Abstract: Background: Management of patients with head injury is a difficult and challenging job and the outcome depends on various clinical and metabolic factors. Protocols followed for management, purposively same, may vary between institutions. Material and Methods: In this report, we present our experience with head injury patients in age group above 12 years and among the patients treated both conservatively and operatively from May 2021 to December 2021. Patients were assessed clinically with Glasgow Coma Scale (GCS), pupillary size and reaction and NCCT head. Patients requiring surgery were operated upon after stabilization of their hemodynamic and metabolic parameters. All patients were analyzed prospectively by evaluating their hospital clinical, laboratory and radiological data. Patients outcome were measured using Glasgow outcome score (GOS). Results and observation: Out of total 367 patients who were taken for the study males outnumber females. Poor prognosis was seen in patients with increasing age, male age group, poor GCS and pupillary inequality at admission, poor metabolic parameters and positive CT scan findings. There was an overall mortality of 16.6% (n=60). Of the survivors who were followed up, about 80% achieved a favorable functional outcome. An aggressive approach aimed at early evaluation and adequate treatment protocols resulted in survival in a significant proportion of patients who would have otherwise died. However use of protective gear like helmets has a great influence in the severity of injury. In the long - term follow - up, the surviving patients showed significant improvement in GOS.

Keywords: Glasgow coma scale, pupillary inequality, hemodynamic and metabolic parameters

Edition: Volume 12 Issue 4, April 2023,

Pages: 523 - 526