109 Invited Article
Neurotrauma Audit at Netaji Subhash Chandra Bose
Medical College, Jabalpur, Madhya Pradesh
Ambuj Kumar
1
Ketan Hedaoo
1
Jitin Bajaj
1
Mallika Sinha
1
Shailendra Ratre
1
Vijay Parihar
1
Narayan Swamy
1
Y. R. Yadav
1
1
Department of Neurosurgery, Netaji Subhash Chandra Bose
Medical College, Jabalpur, Madhya Pradesh, India
received
November 5, 2019
accepted
November 11, 2019
Address for correspondence Ambuj Kumar, MCh, Department
of Neurosurgery, Netaji Subhash Chandra Bose Medical College,
Tilwara Road, Doctors Colony, Medical College Colony, Jabalpur,
Madhya Pradesh 482003, India (e-mail: drambuj21@gmail.com).
Introduction For the prevention and better management of traumatic brain
and spine injury patients, it is mandatory to understand the demographic and clin-
ical profiles of cases of a particular region. This study was aimed at describing the
epidemiology, pattern, and outcomes of head and spine injury patients at a tertiary
care center in central India.
Materials and Methods All the patients with head and spine injury admitted to the
Department of Neurosurgery between September 1, 2018, and August 31, 2019 were
included in the study. Data of all these patients were collected from the medical record
section and analyzed for age, sex, mode of injury, severity of injury, management, and
outcomes.
Results During the study period, 932 patients with head injury and 241 patients with
spine injury were admitted to our department. Around 65% of the patients in both
head and spine injury categories fell in the age group of 26 to 55 years. Approximately
80% of all neurotrauma patients were male. The most common mode of injury was
road traffic accident followed by fall from height. Mortality for severe head injury was
39% and that for ASIA A (American Spinal Injury Association grade A) cervical spine
injury was 65%.
Conclusion Even after aggressive treatment strategies, morbidity and mortality are
very high, and the ultimate outcome depends mainly on the clinical status immedi-
ately after trauma. The data from this study can be helpful in strategy-making for
the prevention and management of head and spine injury patients, especially in the
central Indian population.
Abstract
Keywords
► neurotrauma audit
► head injury
► morbidity
► mortality
► neurotrauma
► spine injury
DOI https://doi.org/
10.1055/s-0039-3402931
ISSN 0973-0508.
Copyright ©2019 Neurotrauma
Society of India
Introduction
Traumatic brain injury and spine trauma are usually dev-
astating injuries with significantly high morbidity and
mortality.
1
They constitute a significant proportion of global
trauma burden and their incidence is expected to increase
with time due to the increasing population and use of motor
vehicles.
2
Middle-aged males are involved most commonly,
adding to the magnitude of socioeconomic burden.
3,4
As road
traffic accident (RTA) is the most common cause, develop-
ing countries are more affected due to poor infrastructure
and noncompliance with traffic rules. The outcomes are
also worse in developing and poor countries due to limited
resources and financial constraints. For the prevention and
better management of these patients, it is mandatory to
understand the demographic and clinical profile of cases of
a particular region. A few studies have been published from
India describing the neurotrauma epidemiology and out-
comes; however, there are no studies from central India.
This study was aimed to describe the epidemiology,
pattern, and outcomes of head injury and spine injury
Indian J Neurotrauma 2019;16:109–112
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