BRAIN INJURY REHABILITATION

Abstract

This letter is in response to a recently published article in Oct-Dec 2017 issue of JPMI by Hassan et al regarding traumatic brain injury (TBI) at a teaching hos- pital in Khyber Pakhtunkhwa1. The article included 1338 patients with brain injury secondary to trauma over a period of one year. It reflects a considerable turnout of patients with TBI; however, it is interesting to note that one of the outcomes of TBI included in the study was Glasgow Coma Scale (GCS) at discharge. GCS is a measure of consciousness and is an important marker in determining the prognosis in TBI, but it is not a reli- able marker for determining the prognosis at discharge from the hospital. Additionally, the details of Glasgow Outcome Scale (GOS) after three months of injury was probably the most significant element in this study in terms of outcomes; however, a detailed analysis of GOS scores could have further highlighted the impact of TBI on outcomes. There was neither any discussion of out- come findings in the discussion, nor there were any de- tails of how GOS was measured.