PROGNOSTIC FACTORS AFFECTING SURGICAL OUTCOME IN DEPRESSED SKULL FRACTURE PATIENTS AT A TERTIARY CARE CENTRE IN NORTH INDIA-Reference-Cited by-同舟云学术

PROGNOSTIC FACTORS AFFECTING SURGICAL OUTCOME IN DEPRESSED SKULL FRACTURE PATIENTS AT A TERTIARY CARE CENTRE IN NORTH INDIA

Published:2022-01-01 Issue: Volume: Page:30-33
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Sachdeva Sahil¹,Ahmad Imtiyaz²,Pratap Prakhar³,Tiwari K K⁴

Affiliation:

1. Senior Resident, Department of General Surgery, Dr. Sonelal Patel Autonomous State Medical College Pratapgarh

2. MS, Assistant Professor, Department of General Surgery, Dr. Sonelal Patel Autonomous State Medical College Pratapgarh

3. Senior Resident, Department of General Surgery Motilal Nehru Medical College, Prayagraj.

4. Assistant Professor, Department of General Surgery, Dr Sonelal Patel Autonomous State Medical College, Pratapgarh

Abstract

BACKGROUND:Head injury is an important public health problem today and a major worldwide health and social issue. There has been a substantial increase in the number of cases with head injuries in the past few decades especially in congested cities which has simultaneously led to increase in the annual rate of depressed skull fractures AIM AND OBJECTIVES: Identify the prognostic factors which affect surgical outcome in depressed skull fracture patients. MATERIAL AND METHODS: study was conducted in P.G. Department of surgery, S.R.N. Hospital associated with M.L.N Medical College, Prayagraj for a period of 12 months. Approval from the ethical committee and written and informed consent either from patient or their legal heirs was obtained before starting the study. Outcome was measured using Glasgow outcome scale score at discharge and divided into two groups good outcomes (GOS4,5) and poor outcomes (GOS1,2,3) RESULTS: total of 97 patients underwent surgical intervention during the study period. A total of 80 patients, i.e., 82.47% of study participants had a favorable Glasgow outcome scale score while 17 patients (17.53%) had an unfavorable Glasgow outcome score. GCS score at admission: Around 48.45% of the study participants had a GCS of 13–15, and 38.15% had a GCS score of 9–12 and 13.4% had a GCS score 8 at admission. Better GCS ≤ score at admission with minimal pre-hospital delay was found to be correlated statistically with better outcome (p<0.05).Patients with non reactive pupil and anisocoric pupil at admission had more unfavorable outcome as 10.31% and 5.16% respectively while patient will responsive pupil at admission had better surgical outcome with 2.06% as unfavourable outcome. There was signicant statistical association between pupillary response and surgical outcome. There was positive statistical association between pre-hospital delay and surgical outcome of patient.

Publisher

World Wide Journals

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