Correlation of GCS and CT-Scan Score In Predicting the Mortality and ICU Stay In Moderate to Severe TBI Adult Victims In Ed.

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (55) Last page: (77)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Shopping Mall, Consumption Culture And Different Age Group:  Review Of Literature In A Sociological Comparative Framework
Rushi N Patel1, Bhavesh S Jarwani2*, Rajvi R Dave3, Prakruti P Patel4, Sanket P Nandani5,Advait V Thakor6
1Resident doctor of emergency medicine, 2Associate professor of emergency medicine, 3,4Resident doctor of emergency medicine, 5,6Professor of emergency medicine, Sheth V.S. General Hospital, Smt. N.H.L. Municipal medical college, Ellis Bridge, Paldi, Ahmedabad.380006.
Corresponding author email id: bhaveshjarwani@hotmail.com

Online Published on 02-Jan-2020

ABSTRACT

Background: Traumatic brain injury is burning health issue in patients with trauma. RTAs (59%), Fall down (25%) and Violence (10%) are major aetiology of head injury 1,4. In 2011, 4.97 lakhs RTA out of that around 1.42 lakhs deaths. On an average RTA every 1 min and death every 3.5 minutes. Economical loss of 3.7% in national GDP 3. At the global level,annual incidence and mortality from TBIs is 200 and 20 per 1 lakh per year, respectively 1. GC Scale and Rotterdam CT scan score can predict in-hospital mortality in TBI victims.Materials and method: The observational, descriptive study was conducted on 50 adult (age≥18 years) TBI patients with GCS <13 presented in ED. Non-ionic contrast CT (NCCT) scan brain as a part of radiological investigation in trauma patients after resuscitation and Rotterdam scoring applied. Data was collected from iHis and analysed in Stata 13.0 and Epi (version 7.3.2.1) CDC software. P <0.05 was considered statistically signifcant.Results: The mean Rotterdam CT score and GCS was 3 and 10 respectively for ICU stay, mean age was 39.24±18.33, sex ratio 3.9:1, RTAs was the most common mode of injury in 70% TBIs victims, mortality 24% and mean ICU stay 8.64±14.81 days. Mean GCS of 8.25±2.60 and 10.95±1.71 for the un-favourable and favourable outcomes respectively. Mean Rotterdam CT score was 4±1.52 for predicting mortality and outcome.

Keywords

TBI, GCS, Rotterdam CT score

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