Original Research Article http://doi.org/10.18231/j.ijashnb.2020.004 IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain, January-March 2020;6(1):14-15 14 Outcome of head injury patients admitted as unknown: A retrospective study Anuj Kumar Tripathi 1* , Raj Awasthi 2 1,2 Assistant Professor, Dept. of General Surgery, Career Institute of Medical Sciences and Hospital, Lucknow, Uttar Pradesh, India *Corresponding Author: Anuj Kumar Tripathi Email: dranujkumartripathi@gmail.com Abstract "Unknown" head injury patients are a major burden for our country. Government has provided road side aid for such victims throughout the country. A retrospective analysis was done on 52 head injury patients admitted in the department of Neurosurgery as 'unknown' closed head injury cases between September 30 th 2018 to 31 st December 2019. The paper also emphasises on the treatment aspect of such patients. Keywords: Unknown, Head injury, Highway. Introduction Road traffic accidents are one of the causes of debility, wound and mortality. India has the utmost road traffic accident rate worldwide with over 140000 deaths annually. Hence road accident is ‘a global tragedy’ with ascending trend. “Unknown" head injury patients are a major burden for highway based hospital. Unknown patients are someone who are not identified at admission. The term “unknown” means when the head injury patient and gets admitted through someone other than their own relative for the treatment. Career institute of medical sciences and hospital, I.I.M Road, Ghailla, Lucknow, Uattar Pradesh. situated on link road of Hardoi and Sitapur highway. It has a quite high trauma load per day. Most of the cases are of villagers, who are brought by police and other people. A survey according to the Times of India on 19 th November, 2019 road traffic accident (RTA) patterns 1 shown in Fig. 1. Fig. 1 Materials and Methods A retrospective analysis was done from 30 th September, 2018 to 31 st December, 2019. During the study period, 52 head injury patients were admitted to the department of Neurosurgery as 'unknown'. Conscious head injury patients who could identify themselves or serious head injury patients who were accompanied by somebody known to them or could be identified within 24 hr were excluded from the study group. None of the patient were deprived of any medicine, Intensive Care Unit (ICU) care, computerized tomography (CT) scan, nutritious food or surgery. Result Table 1: Demographic profile S. No. Age group(years) Number of cases 1 10-20 2 2 20-30 17 3 30-40 13 4 40-50 9 5 Above 50 11 Table 2: Severity of head injury Glasgow coma scale score Number of cases 13-15 29 9-12 10 8 or less than 8 13 In the study male to female ratio was 8:1. Out of 52 patients, 19 (36.5%) cases were operated for head injury and mortality rate was seen in 7 (36.8%) cases. Out of 52 cases, 37 (82.2) cases were identified and sent home. Eight cases (17.7%) remained unknown and were sent to rehabilitation/poor homes with the help of medical social worker. Discussion In all unknown cases of head injury medico legal formalities were performed. None of the patient was deprived of any medicine, ICU care, CT scan, nutritious food or surgery because of hospital policy (as decided by our Hon’ble