1Chief, Physiotherapist, Medanta Institute of Neurosciences, Medanta the Medicity, Gurgaon
2Physiotherapist, Medanta Institute of Neurosciences, Medanta the Medicity, Gurgaon
3Junior, Physiotherapist, Medanta Institute of Neurosciences, Medanta the Medicity, Gurgaon
4Chairman, Medanta Institute of Neurosciences, Medanta the Medicity, Gurgaon
*Corresponding author: Jayaprakash Jayavelu, Chief Physiotherapist, Medanta the Medicity, Sector 38, Gurgaon. Haryana-122001. Email: jjpm_2001@yahoo.com
Online published on 17 October, 2016.
The purpose of the study is to find out the outcome of head injury patients with different severity over the period of time.
Overall 267 head injury patients admitted in the Medanta Institute of Neurosciences were included for the study. Out of these patients, 29 (10.8%) patients died during the hospital stay. We could follow up only 191 patients (80.25%) over the period of one year and found that 20 patients (10.47%) died after their discharge due to unknown reasons. Excluding the patients died, a total of 218 patients were categorized into mild, moderate and severe head injury based on their GCS at the time of admission-68 (31.2%)severe head injury patients, 27 (12.4%)moderate head injury patients, 123 (56.4%) mild head injury patients. The patients were analyzed for their improvement during their hospital stay with respect to Modified Rankin Scale and Barthel Functional Index and the patients were followed up in one year.
The results revealed that significant number of patients moved to mild GCS category (87.2%) irrespective of admission GCS status (Chi square = 43.90, p value = 0.00). There is significant improvement in condition of the patient with respect to modified rankin scale in all the 3 groups from admission to discharge and from discharge to follow up. At one year follow up, 58 patients (30.4%) had no signs and symptoms of disease (mRS-0), 82 patients (42.9%) has some symptoms but no disability (mRS-1), 17 patients (8.9%) had mild disability (mRS-2), 5 patients (2.6%) had moderate disability (mRS-3) and 9 patients (4.7%) had severe disability (mRS-4, mRS-5). At one year follow up, 142 (76%) patients were completely independent (Barthel-100), 15 patients (8%) were more than 80% independent (Barthel >80<100), 14 patients (16%) need varying amount of assistance and they are dependent.145 (84.8%) patients returned to work and 26 (15.2%) patients did not return to work.
The study reveals that significant proportion of the patient with head injury became functionally independent as well as they returned to work (84%).
mRS, Barthel, GCS, Return to Work
