Publication: Traumatic Brain Injury among Patients Admitted in Neurosurgical Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2023
Authors
Shrestha, Ajit
Paudel, Nimesh
Adhikari, Ganesh
Shrestha, Swikriti
Lamichhane, Sandesh
Subedi, Subash
Jaishwal, Neelam
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Traumatic brain injuries are one of the leading causes of mortality, morbidity, and economic burden in context to Nepal. Non-contrast computed tomography is used for rapid diagnosis and repeat computed tomography helps to detect the progression and complications of cerebral injury. The aim of this study was to find out the prevalence of traumatic brain injury among patients admitted in the neurosurgical unit in a tertiary care centre.
Methods: This descriptive cross-sectional study was conducted among patients admitted to the neurosurgery unit in the tertiary care centre from 1 August 2019 to 29 August 2020. Ethical approval was taken from Institutional Review Committee (Reference number: CMC-IRC/075/076-156). Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.
Results: Among 350 patients admitted in the neurosurgical unit, the prevalence of traumatic brain injury was 140 (40%) (34.87-45.13, 95% Confidence Interval). Change in management was required among 28 (20%) when computed tomography was done within 12-24 hours. Among them, 27 (19.29%) underwent surgical intervention after a repeat computed tomography scan.
Conclusions: The prevalence of traumatic brain injury was found to be higher than similar studies done in similar settings.
Description
Ajit Shrestha
Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
Nimesh Paudel
Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
Ganesh Adhikari
Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
Swikriti Shrestha
Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
Sandesh Lamichhane
Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
Subash Subedi
Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
Neelam Jaishwal
Department of Emergency Medicine, Namaste Public Hospital, Damak, Jhapa, Nepal