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Volume 13 Issue 7 (July) 2024

Original Articles

To analyze demographic profiles, clinical features, imaging findings, and outcomes in patients with TBI at a tertiary care hospital
Dr. Raghvan Iyengar, Dr. Gourav Jatav, Dr. Prakash Goswami, Dr. Alok Kumar, Dr. Alok Sharma

Aim: To analyze demographic profiles, clinical features, imaging findings, and outcomes in patients with TBI at a tertiary care hospital. Material and Methods: The study included a total of 100 patients diagnosed with TBI who presented to the emergency department. Patients of all ages presenting to the emergency department with a confirmed diagnosis of TBI were included in this study. Glasgow Coma Scale (GCS) score was noted at time of admission of patient. Neuroimaging reports, including CT scans results, were analyzed for structural and functional insights. Short-term recovery, long-term functional status, and quality of life outcomes were assessed using standardized outcome measures. Results: The Glasgow Coma Scale (GCS) scores at admission showed that 30% of patients had severe TBI (GCS 3-8), 40% had moderate TBI (GCS 9-12), and 30% had mild TBI (GCS 13-15). Short-term recovery outcomes showed that 60% of TBI patients achieved full recovery within the study period, indicating a favorable prognosis for the majority. Partial recovery was observed in 25% of patients, while 10% showed no improvement, and 5% experienced deterioration in their condition. The duration of hospital stay varied, with 20% of patients being discharged within a week, 50% staying for 1-2 weeks, and 30% requiring hospitalization for more than two weeks. Long-term Functional Outcomes and Quality of Life, assessed using the Glasgow Outcome Scale (GOS), revealed that 40% of patients achieved a good recovery (GOS 5). Moderate disability (GOS 4) was observed in 30% of patients, while 15% experienced severe disability (GOS 3). A vegetative state (GOS 2) was noted in 5% of patients, and 10% of patients succumbed to their injuries (GOS 1). Quality of life assessments indicated that 50% of patients had a good quality of life post-TBI, 30% had a fair quality of life, and 20% had a poor quality of life. Conclusion: The research highlights the need of understanding demographic, clinical, and imaging factors in order to effectively treat and evaluate the prognosis of traumatic brain injury (TBI).

 
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