Outcomes of Patients with Traumatic Brain Injury between Two-Wheeler and Non-Two-Wheeler Vehicles: A Cohort Study

Shrestha, Bishwash; Sharma, Mohan Raj; Shilpakar, Sushil Krishna; Sedain, Gopal; Pradhanang, Amit; Jha, Prabhat

Publication:
Outcomes of Patients with Traumatic Brain Injury between Two-Wheeler and Non-Two-Wheeler Vehicles: A Cohort Study

creativeworkseries.issn	ISSN (Print) : 1993-2979 \| ISSN (Online) : 1993-2987
dc.contributor.author	Shrestha, Bishwash
dc.contributor.author	Sharma, Mohan Raj
dc.contributor.author	Shilpakar, Sushil Krishna
dc.contributor.author	Sedain, Gopal
dc.contributor.author	Pradhanang, Amit
dc.contributor.author	Jha, Prabhat
dc.date.accessioned	2025-11-03T09:15:16Z
dc.date.available	2025-11-03T09:15:16Z
dc.date.issued	2025
dc.description	Bishwash Shrestha Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Mohan Raj Sharma Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Sushil Krishna Shilpakar Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Gopal Sedain Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Amit Pradhanang Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Prabhat Jha Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
dc.description.abstract	Abstract: Introduction Traumatic brain injury (TBI) is growing public health concern and one of the most devastating types of injury. Pattern of injuries and outcome in two-wheeler and non-two-wheeler vehicular accidents should be evaluated and addressed separately. This study aimed to determine the outcome between two wheeler and Non two-wheeler vehicular Traumatic brain injury (TBI) patients. Methodology This was a retrospective cohort study which include the data from October 2020 to December 2022, of patients with vehicular traumatic brain injuries, admitted in Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal. Primary data was collected from emergency records, in-patient files, operative notes and post-operative discharge. Patients were followed up via phone calls and at follow up visits. Results A total of 75 patients with mean age of 39.39 ± 18.3 years and male to female ratio of 3.6:1 were enrolled in the study. 63 patients and 12 patients were included in two-wheeler and non-two-wheeler TBI patients. Among two wheeler patients, 39.68% used helmet whereas 16.6% of non two-wheeler patients used seatbelts. Alcohol consumption was high in 2 wheelers (52.38%) than in non two-wheelers (25%). Majority of the patients had mild head injury,73% among two wheelers and 83.3% in non 2-wheelers. Favourable Extended Glasgow Coma score (4-8) was seen in 98.4% of two-wheeler TBI patients and among all of non two-wheeler TBI patients. Conclusion There are differences in outcomes between TBI of two-wheelers and non-two-wheelers. Favourable outcomes in terms of Extended Glasgow coma score was seen in non-two-wheelers as compared to two-wheelers in our study.
dc.identifier	https://doi.org/10.59779/jiomnepal.1374
dc.identifier.uri	https://hdl.handle.net/20.500.14572/3021
dc.language.iso	en_US
dc.publisher	Institute of Medicine, Tribhuvan University
dc.subject	Extended Glasgow coma score
dc.subject	Glasgow coma scale
dc.subject	traumatic brain injury
dc.subject	two-wheeler
dc.title	Outcomes of Patients with Traumatic Brain Injury between Two-Wheeler and Non-Two-Wheeler Vehicles: A Cohort Study
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	65
oaire.citation.startPage	61
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