Traumatic Brain Injury among Patients Admitted in Neurosurgical Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Authors

  • Ajit Shrestha Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Nimesh Paudel Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Ganesh Adhikari Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Swikriti Shrestha Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Sandesh Lamichhane Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Subash Subedi Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal
  • Neelam Jaishwal Department of Emergency Medicine, Namaste Public Hospital, Damak, Jhapa, Nepal

DOI:

https://doi.org/10.31729/jnma.8197

Keywords:

contusion; craniotomy; traumatic brain injury.

Abstract

Introduction: Traumatic brain injuries are one of the leading causes of mortality, morbidity, and economic burden in context to Nepal. Non-contrast computed tomography is used for rapid diagnosis and repeat computed tomography helps to detect the progression and complications of cerebral injury. The aim of this study was to find out the prevalence of traumatic brain injury among patients admitted in the neurosurgical unit in a tertiary care centre.

Methods: This descriptive cross-sectional study was conducted among patients admitted to the neurosurgery unit in the tertiary care centre from 1 August 2019 to 29 August 2020. Ethical approval was taken from Institutional Review Committee (Reference number: CMC-IRC/075/076-156). Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

Results: Among 350 patients admitted in the neurosurgical unit, the prevalence of traumatic brain injury was 140 (40%) (34.87-45.13, 95% Confidence Interval). Change in management was required among 28 (20%) when computed tomography was done within 12-24 hours. Among them, 27 (19.29%) underwent surgical intervention after a repeat computed tomography scan.

Conclusions: The prevalence of traumatic brain injury was found to be higher than similar studies done in similar settings.

Author Biographies

Ajit Shrestha, Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal

 

 

Nimesh Paudel, Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal

 

 

Ganesh Adhikari , Department of Neurosurgery, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal

 

 

Swikriti Shrestha, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal

 

 

Sandesh Lamichhane, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal

 

 

Subash Subedi, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal

 

 

Neelam Jaishwal, Department of Emergency Medicine, Namaste Public Hospital, Damak, Jhapa, Nepal

 

 

Downloads

Published

2023-06-01

How to Cite

Shrestha, A. ., Paudel, N., Adhikari , G., Shrestha, S. ., Lamichhane, S. ., Subedi, S. ., & Jaishwal, N. . (2023). Traumatic Brain Injury among Patients Admitted in Neurosurgical Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study. Journal of Nepal Medical Association, 61(262), 514–518. https://doi.org/10.31729/jnma.8197

Issue

Vol. 61 No. 262 (2023): JNMA: Published Monthly

Section

Original Article

License

Copyright (c) 2023 Ajit Shrestha, Nimesh Paudel, Ganesh Adhikari , Swikriti Shrestha, Sandesh Lamichhane, Subash Subedi, Neelam Jaishwal

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.

Most read articles by the same author(s)