Jemds.com Original Research Article J. Evolution Med. Dent. Sci./eISSN- 2278-4802, pISSN- 2278-4748/ Vol. 7/ Issue 15/ Apr. 09, 2018 Page 1857 A RETROSPECTIVE DESCRIPTIVE STUDY OF HEAD INJURY PATIENTS ADMITTED IN MY HOSPITAL, INDORE, BETWEEN 2011-2013 Paresh Sodhiya 1 , Zafar Ahmed H. Sheikh 2 , Mukesh Sharma 3 , Vineet Mandrah 4 1 Assistant Professor, Department of Neurosurgery, MGMMC and MYH, Indore, Madhya Pradesh. 2 Assistant Professor, Department of Surgery, MGMMC and MYH, Indore, Madhya Pradesh. 3 Senior Resident, Department of Surgery, MGMMC and MYH, Indore, Madhya Pradesh. 4 Resident, Department of Surgery, MGMMC and MYH, Indore, Madhya Pradesh. ABSTRACT BACKGROUND Traumatic brain injury is an alarming and rising epidemic disease affecting the majority of population of Indore. A detailed epidemiological study was therefore much needed to analyse its impact on the health of people, availability of health resources and plan future strategies based on them. MATERIALS AND METHODS This is a retrospective analysis of head injury cases admitted at MYH Indore, between January 2011 and December 2013. RESULTS A total of 2822 cases of head Injury were admitted. 1291 patients of head injury were victims of RTA. Of these 51% were occupants of two-wheeler, 31% were of four-wheeler and 18% were pedestrians. The head injury victims between the ages of 21 and 40 years accounted for 46.7% of all. Of the total 2822 patients of head injury, 55.5% patients suffered from mild head injury, while 44.5% patients had moderate-to-severe head injury. 7.8% of mild head injury still needed emergency neurosurgical intervention. In comparison 71% of all patients were having moderate-to-severe head injury, did not need neurosurgical procedure. CONCLUSION The severity of head Injury can be reduced by enforcing existing traffic rules strictly which includes use of helmets for two wheelers, safety seat belts for four wheelers and setting speed limits. This study clearly highlights the fact that even mild head injury patients need observation and may need referral to a suitable neurosurgical centre, whereas majority of patients with moderate-to-severe head injury could also be managed at nearest urban and rural centres with ICU care setup under active supervision of neurosurgeons to optimise their management. KEYWORDS Head Injury, Neurotrauma. HOW TO CITE THIS ARTICLE: Sodhiya P, Sheikh ZAH, Sharma M, et al. A retrospective descriptive study of head injury patients admitted in MY hospital, Indore, between 2011-2013. J. Evolution Med. Dent. Sci. 2018;7(15):1857-1861, DOI: 10.14260/jemds/2018/419 BACKGROUND Maharaja Yeshwantrao Hospital (MYH), Indore (MP), is a multispecialty 1200 bedded hospital. This tertiary health centre in public sector was established in 1955 and caters to the population of MP and adjacent areas of states of Gujarat, Rajasthan and Maharashtra. The nearest similar public sector tertiary centres are located in more than 200 km radius. This hospital alone holds the burden of Indore region including 8 districts of the surrounding area. Everyday approximately 2000 patients visit the hospital. On an average about 150 patients per day are examined as outdoor patients in the surgery department daily and 25 - 35 patients are hospitalised for indoor management. ‘Financial or Other Competing Interest’: None. Submission 27-02-2018, Peer Review 11-03-2018, Acceptance 13-03-2018, Published 09-04-2018. Corresponding Author: Dr. Zafar Ahmed H. Sheikh, G1 Kasturi Apts., 12 Shankar Nagar, Saket Extension, Indore-452018, Madhya Pradesh. E-mail: zafar18@gmail.com DOI: 10.14260/jemds/2018/419 The demographic, epidemiological and economic transition in this region has changed significantly during the last two decades. The rapid urbanisation, industrialisation, motorisation, immigration etc. have changed the lifestyles of individuals giving rise to a plethora of problems, among which injuries top the list. It is estimated that traumatic head injury is a major emerging epidemic affecting thousands of working population at Indore and adjacent region. A detailed epidemiological study is therefore much needed to analyse its impact on the health of people, availability of health resources and plan future strategies based on them. Aims and Objectives 1. To analyse the epidemiology of head injury patients in tertiary referral centre of Indore MYH retrospectively between year 2011 and 2013. 2. Assessment of available resources to deal with cases of Neurotrauma and need to upgrade the facilities. MATERIALS AND METHODS This is a retrospective analysis of head injury cases admitted at MYH Indore between January 2011 and December 2013.