A Comparison of Glasgow Coma Score with Computed Tomographic Findings in Cases of Traumatic Brain Injury – A Two Year Experience at a Tertiary care Hospital
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: Traumatic head injuries are one of the leading causes of disability, morbidity and mortality around the world in all age groups. Our present study aimed at correlation of Glasgow coma score (GCS) with computed tomographic (CT) findings in cases of head injury. Material and methods: A prospective study for a period of two years was conducted at a tertiary care hospital after ethical committee approval. 330 cases of TBI were subjected to Glasgow coma score scoring and computed tomography of all the cases was performed and findings were noted. Data was analyzed using IBM Corp. releases SPSS statistics for Windows, version 20.0 (NY: IBM Corp) Results: Of the present study, 64.55% were males and 34.45% were females. (M: F=1.8:1) and mean age of study group was 30.12± 11.2 years. 31-40 years was the commonest age group with TBI. RTA was the most common cause with 42.73% followed by fall from height (24.85%). Most of the cases 47.585 were identified as Mild head injury by GCS score and 30.91% moderate and 21.52% as severe cases. Loss of consciousness and vomiting were the most common clinical presentations. 89% of cases had abnormal CT findings with intraxial bleed (72.79%) as commonest followed by fracture of skull (70.75%). All the cases of severe head injury had abnormal CT findings. Discussion: To conclude from our study, patients with low GCS score was considered as severity risk factor in association with more number of abnormal CT findings. Patients with low GCS score are affected by severe morbidity and devastating effects as observed from other studies.
Authors and Affiliations
Ravi M Godavarthi, Gayatri Manam, Ramakrishna Baru, Sunitha . , Naveen Kumar B
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