Management and outcome of moderate head trauma: our experience

Abstract

AbstractObjective: The aim of this study is to follow up patients with moderate head trauma who were admitted to Mansoura University Hospital in the period from 1 Dec. 2015 to 30 Jul. 2016 until discharge and determine the outcome of head trauma.Material and Methods:This prospective study were conducted on all patients with moderate head trauma admitted to Mansoura Emergency Hospital during the period from 1 Dec. 2015 to 30 Jul. 2016 with exclude Polytrauma, bleeding disorders, severe liver and kidney disease patients.Results: In this study, we correlated different risk factors with management and with outcome. Management may be surgical or conservative and outcome may be alive or dead. We have 60 patients with 17 cases (28.3%) were treated surgically and 43 cases (71.6%) were treated conservatively. According to outcome 36 cases (60%) were alive and 24 cases (40%) died, all cases managed in ICU. According to sex, 10 cases (17%) were female and 50 cases were male (83%) with statistically nonsignificant effect on outcome (P = 0.7) and management (P =0.7). road traffic accidents is most common cause of injury with 33 cases (55%), and Cause of injury had statistically significant effect on management (P = 0.02) and statistically non-significant effect on outcome (p = 0.4). GCS on admission had no statistically significant effect on management (P=0.8) and outcome (P=0.1) with mean of 10.1±1.2 and GCS on discharge had no statistically significant effect on management (P=0.6).Conclusion: There were significant effect of age of patients, systemic diseases (such as DM, HTN, chronic kidney diseases, and chronic liver diseases), type of lesions (especially SDH, SAH), and serum electrolytes (especially serum Sodium) on outcome which determined by GCS at discharge, length of hospital stay, and the state of the patient at discharge.