An Audit of Head Injury at Bir Hospital
Journal Title: Nepal Journal of Neuroscience - Year 2013, Vol 10, Issue 2
Abstract
Bir Hospital receives many trauma patients of which high proportion are head injuries. Over the last 30 years there have been improvements in the provision of care and facilities available at Bir Hospital. It is a high time to evaluate the current trend of head injury and their outcomes. This is a retrospective study to find the frequency and aetiology of head injury and their final outcome at a tertiary level referral hospital. This study intends to find the changing trends of head injury over time, too. Data on all patients with head injury attending Bir Hospital were collected retrospectively for a period of six months (April 2008-October 2008). Conscious level was assessed in terms of Glasgow Coma Scale. There were 342 admissions out of the total patients who attended Bir Hospital Casualty. Only a minority of patients with head injury who attended Bir Hospital casualty were admitted. Male and female ratio was 3:1. Surgery including evacuation of intracranial haematomas was required in 95 (28%) cases. Majority (74%) of the patients had favourable outcome at discharge. The number of patients who died during hospital admission was 24, the head injury mortality being 7%. The mortality of head injury at Bir Hospital is low in this study and seems to be on the decreasing trend over the last 30 years.
Authors and Affiliations
Nilam N K Khadka, MCh
Keywords
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