Clinico-Epidemiological Study in Admitted Patients with Traumatic Brain Injury (TBI) in two selected Tertiary Care Centers in Dhaka City

Md Joynul Islam, Md Shafiqul Islam, F. Haseen, A. Ashadullah, Md. Zahed Hossain, Md. Abdus Salam, Kalim Uddin, M. Rashid, Md Golam Mustofa
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Abstract

Traumatic brain injury is a significant public health problem. Objective: This study was aimed to clinical characteristics of traumatic brain injury patients by collection of detailed data on demography, clinical, injury patterns, co-morbidities, laboratory findings, and outcome of mild and moderate TBI. Methodology: This cross-sectional study was conducted from September 2019 to June 2020. Patients attending Department of Trauma Neurosurgery of National Institute of Neurosciences & Hospital, Dhaka, Bangladesh and Department of Neurosurgery of Dhaka Medical College Hospital, Dhaka, Bangladesh with a history of having mild or moderate traumatic brain injury and patients of 18 years and above irrespective of their sex were included in the study after informed written consent. The study included socio-demographic information and history of injury, mechanism of injury, information of physical examination, clinical features including cognitive change and co-morbidities were recorded. Results: A total number of 210 patients were included in this study. Motor vehicle related accident was 56.2% cases. About 21.4% cases of them were assaulted (physically), 12.9% cases of them were fall from the height. About 58.0% patients were normal cognition; 22.0% cases were mild cognitive impairment; 17.6% cases were moderate cognitive impairment and only 2.0% cases were severe cognitive impairment during discharge. Glasgow Coma Scale (GCS) during admission after resuscitation around 78.0% cases were moderate head injury and 22.0% cases were mild head injury. About 47.14% patients had single or multiple cerebral hemorrhagic contusion; 13.8% patients had traumatic subarachnoid hemorrhage; 8.6% cases had thin layer of subdural hematoma; 6.2% cases had epidural hematoma; Conclusion: Traumatic brain injury patients have mostly due to road traffic accidents and are presented with cerebral hemorrhagic contusion, subarachnoid hemorrhage and subdural hematoma Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):105-111
达卡市两所三级医疗中心收治的外伤性脑损伤(TBI)患者的临床流行病学研究
外伤性脑损伤是一个重大的公共卫生问题。目的:本研究旨在通过收集轻、中度创伤性脑损伤患者的人口学、临床、损伤模式、合并症、实验室结果和转归的详细数据,了解创伤性脑损伤患者的临床特征。方法:本横断面研究于2019年9月至2020年6月进行。在孟加拉国达卡国立神经科学与医院研究所创伤神经外科和达卡医学院医院神经外科就诊的有轻度或中度创伤性脑损伤史的患者以及18岁及以上的患者,无论其性别,均在知情书面同意后纳入研究。研究内容包括社会人口学信息和损伤史、损伤机制、体格检查信息、临床特征(包括认知改变和合并症)。结果:本研究共纳入210例患者。机动车相关事故占56.2%。约21.4%的人被殴打(身体),12.9%的人从高处摔下。58.0%的患者认知正常;22.0%为轻度认知障碍;出院时中度认知功能障碍17.6%,重度认知功能障碍仅2.0%。复苏后入院时格拉斯哥昏迷评分(GCS)为中度颅脑损伤,22.0%为轻度颅脑损伤。单发或多发脑出血挫伤约占47.14%;13.8%的患者发生外伤性蛛网膜下腔出血;8.6%为硬膜下薄层血肿;硬膜外血肿6.2%;结论:外伤性脑损伤患者多为道路交通事故所致,主要表现为脑出血性挫伤、蛛网膜下腔出血、硬膜下血肿。孟加拉国家神经科学研究所学报,2022;8(2):105-111
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