Burden of Moderate and Severe Head Injury in Kashmir Valley
Background Head injury is a major health hazard throughout the world. Overall, the mortality/morbidity has not changed much in the last few decades. In developing nations, the situation is worse.
Methods The study was conducted for a period of 1 year. The data collected include demographic profile, mode, circumstances and timing of the injury, neurological assessment using Glasgow Coma Scale (GCS) scoring, computed tomography (CT) scan findings, type of management, and outcome.
Results Transport-related injuries and falls were the common cause of head injury, with more severe injuries seen in patients without wearing helmets and seat belts. The youth is at high risk of receiving head injuries. The summer season showed a maximum incidence of head injuries. The most common lesions on CT scan were linear fracture of the skull and brain contusion. Mortality rate was 26% and it correlated with the GCS at presentation.
Conclusion Head injury mostly affects young people and males outnumber females. Road traffic accident is the major cause. People not abiding by the traffic rules, such as wearing helmets and seat belts, were at high risk of developing head injury and poor outcome.
Keywordshead injury - contusion - subdural hematoma - moderate head injury - severe head injury - burden of head injury
Received: 29 May 2020
Accepted after revision: 30 July 2020
29 September 2020 (online)
Thieme Medical and Scientific Publishers Private Ltd.
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- 1 Farooqui JM, Chavan KD, Bangal RS. et al. Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J 2013; 6 (09) 476-482
- 2 Amaranath JE, Ramanan M, Reagh J. et al. Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia. ANZ J Surg 2014; 84 (06) 424-428
- 3 Borg J, Röe C, Nordenbo A, Andelic N, de Boussard C, af Geijerstam JL. Trends and challenges in the early rehabilitation of patients with traumatic brain injury: a Scandinavian perspective. Am J Phys Med Rehabil 2011; 90 (01) 65-73
- 4 Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974; 2 (7872) 81-84
- 5 Jennett B, Bond M. Assessment of outcome after severe brain damage. Lancet 1975; 1 (7905) 480-484
- 6 Anil MB, Rahul P, Amit A, Joharapurkar SR. Demographic profile, clinical presentation, management options in cranio-cerebral trauma: an experience of a rural hospital in Central India. Pak J Med Sci 2007; 23 (05) 724-727
- 7 Monsef V Kasmaei, Asadi P, Zohrevandi B, Raouf MT. An epidemiologic study of traumatic brain injuries in emergency department. Emergency (Tehran) 2015; 3 (04) 141-145
- 8 Paiva WS, Oliveira AM, Andrade AF, Amorim RL, Lourenço LJ, Teixeira MJ. Spinal cord injury and its association with blunt head trauma. Int J Gen Med 2011; 4: 613-615
- 9 Yattoo G, Tabish A. The profile of head injuries and traumatic brain injury deaths in Kashmir. J Trauma Manag Outcomes 2008; 2 (01) 5
- 10 Chalya PL, Kanumba ES, Mabula JB, Giiti G, Gilyoma JM. Aetiological spectrum, injury characteristics and treatment outcome of head injury patients at Bugando Medical Centre in north-western Tanzania. Tanzan J Health Res 2011; 13 (01) 74-81
- 11 Patil SS, Kakade R, Durgawale P, Kakade S. Pattern of road traffic injuries: a study from Western Maharashtra. Indian J Community Med 2008; 33 (01) 56-57
- 12 Pedersen K, Fahlstedt M, Jacobsson A. Kleiven S, von Holst H. A national survey of traumatic brain injuries admitted to hospitals in Sweden from 1987 to 2010. Neuroepidemiology 2015; 45 (01) 20-27
- 13 Adeleye AO, Olowookere KG, Olayemi OO. Clinicoepidemiological profiles and outcomes during first hospital admission of head injury patients in Ikeja, Nigeria. A prospective cohort study. Neuroepidemiology 2009; 32 (02) 136-141
- 14 Ravikumar R. Patterns of head injuries in road traffic accidents involving two wheelers: an autopsy study. J Indian Acad Forensic Med 2013; 35 (04) 342-359
- 15 Styrke J, Stålnacke BM, Sojka P, Björnstig U. Traumatic brain injuries in a well-defined population: epidemiological aspects and severity. J Neurotrauma 2007; 24 (09) 1425-1436
- 16 Singha Y, Das G, Phukon S. Pattern of head injuries in fatal RTA’s in tertiary care hospital, Assam. Int Med J 2014; 1 (04) 149-152
- 17 Singh A, Meena RN, Sharma V, Kumar N, Meena LP. Evaluation of the incidence, nature of injury and clinical outcomes of head injuries in North-Eastern part of India. Int J Med Sci Public Health 2013; 2: 287-289
- 18 Caradoc-Davies TH, Dixon GS. Hospital morbidity due to head injuries in New Zealand in 1980-1988. Neuroepidemiology 1995; 14 (04) 199-208
- 19 Gbalipre FB, Cliford OE. Pattern, outcome and management of head injury by general surgeons at the accident and emergency department of the Niger Delta University teaching hospital (Nduth) Okolobiri, Bayelsa state of Nigeria. Palgo J Med Medical Sci 2014; 1: 1-6
- 20 Hassan N, Ali M, Haq NU. et al. Etiology, clinical presentation and outcome of traumatic brain injury patients presenting to a teaching hospital of Khyber Pakhtunkhwa. J Postgrad Med Inst 2017; 31 (04) 365-370
- 21 Kool B, Chelimo C, Ameratunga S. Head injury incidence and mortality in New Zealand over 10 years. Neuroepidemiology 2013; 41 (3-4) 189-197
- 22 McIntyre A, Mehta S, Aubut J, Dijkers M, Teasell RW. Mortality among older adults after a traumatic brain injury: a meta-analysis. Brain Inj 2013; 27 (01) 31-40
- 23 Rajeev K, Ashish J, Jayanthi Y, Dubey B. Pattern and distribution of head injuries in fatal road traffic accidents in Bhopal region of Central India. J Indian Acad Forensic Med 2015; 37 (03) 242-245
- 24 Servadei F, Verlicchi A, Soldano F, Zanotti B, Piffer S. Descriptive epidemiology of head injury in Romagna and Trentino. Comparison between two geographically different Italian regions. Neuroepidemiology 2002; 21 (06) 297-304
- 25 Andriessen TM, Horn J, Franschman G. et al. Epidemiology, severity classification, and outcome of moderate and severe traumatic brain injury: a prospective multicenter study. J Neurotrauma 2011; 28 (10) 2019-2031