Characteristics and clinical findings of traumatic brain injury patients in single referral hospital dr. Hasan Sadikin hospital, Bandung, West Java, Indonesia

M. Arifin, A. B. Sutiono, Rendy Febrian Badri
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Abstract

Introduction: Traumatic brain injury (TBI) is the leading cause of mortality and morbidity in children and young adults globally. Knowledge of TBI characteristics holds importance on the treatment improvement of and scientific progression. Thus, this study aimed to evaluate the characteristics of TBI in Hasan Sadikin Hospital. Methods: Analysis of data obtained from a retrospective review of medical records and from a systematic database pertaining to diagnostic criteria of TBI treated in the Department of Neurosurgery at Dr. Hasan Sadikin Hospital, Bandung, Indonesia from January 1st 2012 to December 31st 2018. Results: This study included 10,234 cases over the described time period. Men had a higher prevalence of TBI (7,539 patients or 73.7%) compared to women (2,695 patients or 26.7%). The majority of the cases were mild TBI (68.3%). The most common skull fracture was linear fracture (68.6%), while the majority of skull base fracture was anterior skull base fracture (66.7%). The majority of intracranial lesions were cerebral contusion (26.4%). Intracranial lesions were commonly observed in patients with moderate or severe than mild TBI. Conclusion: The incidence of accompanying intracranial lesions and skull fracture were commonly observed in patients with moderate or severe TBI than patients with mild TBI.
印度尼西亚西爪哇省万隆市Hasan Sadikin医生医院单一转诊医院外伤性脑损伤患者的特点和临床表现
外伤性脑损伤(TBI)是全球儿童和年轻人死亡和发病的主要原因。了解创伤性脑损伤的特点对治疗的改进和科学的进步具有重要意义。因此,本研究旨在评估Hasan Sadikin医院TBI的特点。方法:分析从2012年1月1日至2018年12月31日印度尼西亚万隆Dr. Hasan Sadikin医院神经外科治疗TBI诊断标准的病历和系统数据库中获得的数据。结果:该研究包括10234例病例。男性的TBI患病率(7539例或73.7%)高于女性(2695例或26.7%)。以轻度脑损伤为主(68.3%)。颅骨骨折以线状骨折最为常见(68.6%),颅底骨折以前颅底骨折居多(66.7%)。颅内病变以脑挫伤为主(26.4%)。颅内病变常见于中度或重度TBI患者,而非轻度TBI。结论:中重度TBI患者颅内病变及颅骨骨折发生率高于轻度TBI患者。
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