1Assistant Professor, Department of Surgery, Subharti Medical College, Meerut, U.P.
2Assistant Professor, Department of Surgery, Rama Medical College, Hapur
3Assistant Professor, Department of Surgery, Saraswati Institute of Medical Sciences, Hapur
4Professor, Department of Surgery, Venkateshwara Institute of Medical Sciences, Gajraula, U.P
Head injuries have existed as long as mankind. Today head injury constitutes a major problem equally in underdeveloped, developing and highly developed countries. It is the leading cause of death and disability from childhood to early middle age. Road traffic accidents are the leading cause of head injury, being responsible for up to 50% of causes. Although outcome of head injury depends on many factors such as age pre-existing illness, associated injuries etc. The most significant factors among them responsible for outcome are clinical status of the patient, G.C.S. at the time of arrival.
To study G.C.S. at the time of presentation and at 48 hours in patients with moderate to severe head injury and to correlate G.C.S. with outcome in these patients.
Out of 332 patients of head injury who came to this hospital, 82 patients belong to present study group. Incidence of moderate head injury is 12.95% (43 patients) while that of severe head injury is 11.75% (39 patients). 23 patients (58.98%) of severe head injury and 3 patients (6.98%) of moderate head injury expired. Mortality also correlates with change in G.C.S. at 48 hours. In 26 expired patients none of the patient showed improved G.C.S. at 48 hours while 71.43% patients out of 35 fully recovered patients showed improved G.C.S. at 48 hours. In 14 patients with residual neurological disability 50% showed improved G.C.S. at 48 hours.
The mortality correlates with G.C.S. at presentation and G.C.S. at 48 hours. Mortality was found to increase with fall in G.C.S. G.C.S. is the best predictor of outcome in patients with moderate to severe head injury.
Moderate to Severe Head Injury, G.C.S., Outcome
