CLINICAL AUDIT OF PATIENTS WITH TRAUMATIC BRAIN INJURY ADMITTED TO NEUROSURGERY UNIT LADY READING HOSPITAL, PESHAWAR

Abstract

Objectives: The aim of this study is to present data from Lady Reading Hospital (LRH) and describe the most common causes of traumatic brain injury (TBI), presenting symptoms along with severity, methods of management and finally clinical outcomes.

Methods: This observational study was conducted in the Department of Neurosurgery at LRH, Peshawar, Pakistan from 01/08/21 to 31/07/22. After receiving approval from the Institutional Review Board of LRH, information was obtained from the Medical Record Department and data collection was initiated. The following variables were taken into consideration and recorded using a Performa: patient information, type of brain injury, GCS, severity of injury, intervention and clinical outcome. Data was analyzed using Microsoft Excel and expressed using tables.

Results: A total of 1512 patients were included in this study of which 985 (65.14%) were male. Patients’ age ranged between 1-80 years. 1028 (68%) patients were from major cities of Khyber Pakhtunkhwa (KPK) and experienced moderate head injury (982, 65%). Surgery was performed on 604 (40%) patients of which 312 (51.65) cases were depressed skull fractures whereas 908 (60%) cases were managed conservatively. The most common finding on imaging was subarachnoid hemorrhage and the leading cause of TBI was road traffic accidents.

Conclusion: TBIs are more common in young adults and middle-aged individuals of which the leading cause was road traffic accidents. Subarachnoid hemorrhage was the most common finding on imaging with depressed skull fractures being a common finding subsequently managed surgically