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Outcome in head injured patients indian experience
![[object Object],[object Object],[object Object],[object Object],OBSERVATIONS AIMS & OBJECTIVES ,[object Object],[object Object],BACKGROUND ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ouch! One big bikes accident. It happened in 2008 in Matamoros, in Mexico at a family bicycling tour. According to newspapers, the driver was on drugs when it happened. PEDIATRIC (< 12 YR)= 328 ( 15 %) ELDERLY (>60 YRS)= 181 ( 8 %) MINOR HI - 29% MOD. HI - 18% SEVERE HI - 53% ,[object Object],[object Object],[object Object],LITERATURE REVIEW ,[object Object],[object Object],MATERIALS & METHODS Deepak Agrawal, Shameem Ahmed, Shabbir Khan, GD Satyarthee, S Sinha, D Gupta, BS Sharma, AK Mahapatra Department of Neurosurgery, JPN Apex Trauma Centre, All India Institute of Medical sciences, New Delhi Outcome in Head Injured patients: Indian Experience 2068 PATIENTS IN 18 MONTHS CONCLUSIONS References Mode of injury No. (%) ASSAULT 558 (26%) RTA 1328 (64%) FALL 165 (7.5%) OTHER 17 (2.5%) GROUP NO. OF IN-HOSPITAL MORTALITY TOTAL CASES % Overall 454 2068 22 Minor HI 14 598 2 Moderate HI 45 380 12 Severe HI 395 1090 36 Glasgow Outcome Score (In severe HI) % 1 Death 36% 2 Vegetative 19% 3 Severe disabled 13% 4 Mod. disabled 17% 5 Good recovery 28% PATTERN OF DEATHS MORTALITY (NO.) % EARLY DEATHS (<48 hours of admission) 178 39 Within 2 – 7 days of admission 187 42 LATE DEATHS (> 7 days of admission) 89 19 Author MORTALITY OVERALL MINOR MODERATE SEVERE Kagan RJ 1994 26.7% - - 41.4% Fakhry SM 2004 28.8% - - - Udekwu P 2004 21% - - 31.5% AIIMS 2008 22% 2% 12% 36% GROUP NO. OF MORTALITY TOTAL CASES % Children (< 12 yrs) 118 305 38 Adult ( 20-50 yrs) 191 1118 17 Elderly ( 50-80 yrs) 126 339 37](https://image.slidesharecdn.com/outcomeinheadinjuredpatients-indianexperience-100523115258-phpapp01/85/outcome-in-head-injured-patients-indian-experience-1-320.jpg)
