Naseer Hassan, Mumtaz Ali, Naeem-ul Haq, Farooq Azam, Sajjid Khan, Zahid Khan, Sajjad Ahmad.
Etiology, Clinical Presentation And Outcome Of Traumatic Brain Injury Patients Presenting To A Teaching Hospital Of Khyber Pakhtunkhwa.
J Postgrad Med Inst Jan ;31(4):365-70.

Objectives: To determine the frequency of patients presenting to Department of Neurosurgery, Lady Reading Hospital, Peshawar with traumatic brain injury, and recognize its etiology, clinical and presentation and outcome. Methodology: This observational study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar from 1st September 2013 to 31st August 2014. Patients of all ages, both sexes and having brain injury secondary to trauma were included. Patients having other associated injuries along with TBI and minor head injuries treated without admission were excluded from the study. Different variables including age, gender, mechanism & type of injury and surgical outcome of patients were obtained. Data were analyzed by SPSS version 17 and was expressed by charts and tables. Results: Out of 1338 patients, 827 (65%) were males and 466 (35%) were females. Age ranged from 1-80 years with a mean age of 40 ±9.65 years. Road traffic accidents (RTA) as a cause of injury was present in 45% of cases. Subarachnoid hemorrhage was found in 24% cases on the CT Brain. Surgical treatment was carried out in 50% of the patients. Mortality was 15%. Conclusion: Patients withTBI frequently present to LRH. It was most common in young to middle aged people and leading cause was RTA. Sub-arachnoid hemorrhage was the commonest CT scan finding followed by depressed skull fracture. Most of these patients have mild type of head injury and are managed conservatively with good Glasgow coma scale on discharge.

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