TY - JOUR AU - Hassan, Naseer AU - Ali, Mumtaz AU - Haq, Naeem Ul AU - Azam, Farooq AU - Khan, Sajjid AU - Khan, Zahid AU - Ahmad, Sajjad PY - 2017/12/09 Y2 - 2024/03/29 TI - ETIOLOGY, CLINICAL PRESENTATION AND OUTCOME OF TRAUMATIC BRAIN INJURY PATIENTS PRESENTING TO A TEACHING HOSPITAL OF KHYBER PAKHTUNKHWA JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 31 IS - 4 SE - Original Article DO - UR - https://jpmi.org.pk/index.php/jpmi/article/view/2154 SP - AB - Objectives: To determine the frequency of patients presenting to Department<br />of Neurosurgery, Lady Reading Hospital, Peshawar with traumatic brain injury,<br />and recognize its etiology, clinical and presentation and outcome.<br />Methodology: This observational study was conducted in the Department of<br />Neurosurgery, Lady Reading Hospital, Peshawar from 1st September 2013 to<br />31st August 2014. Patients of all ages, both sexes and having brain injury secondary<br />to trauma were included. Patients having other associated injuries along<br />with TBI and minor head injuries treated without admission were excluded from<br />the study. Different variables including age, gender, mechanism &amp; type of injury<br />and surgical outcome of patients were obtained. Data were analyzed by SPSS<br />version 17 and was expressed by charts and tables.<br />Results: Out of 1338 patients, 827 (65%) were males and 466 (35%) were females.<br />Age ranged from 1-80 years with a mean age of 40 ±9.65 years. Road<br />traffic accidents (RTA) as a cause of injury was present in 45% of cases. Subarachnoid<br />hemorrhage was found in 24% cases on the CT Brain. Surgical treatment<br />was carried out in 50% of the patients. Mortality was 15%.<br />Conclusion: Patients withTBI frequently present to LRH. It was most common<br />in young to middle aged people and leading cause was RTA. Sub-arachnoid<br />hemorrhage was the commonest CT scan finding followed by depressed skull<br />fracture. Most of these patients have mild type of head injury and are managed<br />conservatively with good Glasgow coma scale on discharge.<strong></strong> ER -