Clinical profile and management of head injury at tertiary health care center in rural area, India

Nandkishor Narwade, Pradnya Narwade, Mithilesh Ghosalkar, Tanveer Parvez Shaikh, Yashashvi Sharma, Naseem Khan, Sharique Ansari


Background: Trauma is a major public health issue and head injury is a frequent cause of morbidity and mortality worldwide. Head injury is the injury on head with alteration in the level of consciousness with or without vomiting. Alcohol is the major contributing factor causing majority of cases.

Methods: This study analyzes the increasing occurrence of head injury in the developing rural area in India. Because of increasing trend of head injury, a total of 100 cases were studied from a period of March 2012 to July 2015.  

Results: Most of the cases were due to road traffic accident, assault and fall from height with maximum cases in young age group. In our study CT scan was decisive in 43% cases which were operated. The role of paramedical staff taking care at the site of accident and on the way up to hospital causing reduction in the death and disability. For the improvement of outcome there should be easily recognition and prevention of secondary insults and for this CT scan has a decisive and important role.

Conclusions: By studying the common causes of head injury, identifying the preventable factors causing mortality and morbidity and explaining the important role of pre hospital management, we would like to conclude how we can prevent the morbidity and mortality and improving the overall outcome of head injury from road traffic accident by early treatment in the tertiary hospital.



Head injury, CT scan, Road traffic accident, Pre hospital management

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