Volume 33 Number 3 (2024)
Multicenter Cohort Study to Evaluate the Relationship between Radiological Findings and Disability in Moderate and Severe Head Injury Patients
Talha KA1 , Ahmed MT2 , Ahmed SN3 , Choudhury MMK4 , Sulaiman M5 , Selina F6 , Begum K7 , Depok NH8 , Momo FR9
Mymensingh Med J 2024 Jul; 33 (3): 856-860
PMID: 38944732
Abstract
This was a multicenter cohort study to evaluate the relationship between radiological findings and disability in moderate and severe head injury patients. The study places were the Neurosurgery department of Sylhet M A G Osmani Medical College Hospital, Sylhet Women’s Medical College Hospital (SWMCH) and King Faisal Hospital (KFH), Taif, KSA. Sample size was 104 and the study period was 36 months (July 2021 to December 2022). On the basis of radiological findings the participants were divided into three arms. The different arms were diffused traumatic brain injury (arm-1), focal traumatic brain injury (arm-2) and both (diffused and traumatic) types traumatic brain injury (arm-3). Outcome was assessed by modified Rankin Score (mRS). Mean age was significantly higher in female. Overall mean age was 40.28 year. Highest number was in the below 20-year age group followed by the 41-50-year age group. Lowest number of participants was in the above 60-year group. Improved group was significantly higher than ‘not improved’ and the ‘died’ group (p<0.00001). Improved participants were significantly higher in the arm-1 and arm-2. Mortality was significantly higher (p<0.00001) in the arm-3 group.
Keywords: Radiological findings, Disability, Moderate head injury, Severe head injury
- Professor of Neurosurgery