Outcome of surgically treated head injury in unattended patients at Neurosurgery Department in Tertiary Care Centre

• Main Authors: Praveen Kumar Tripathi, Vardan Kulshreshtha, Gaurav Jaiswal, Tarun Kumar Gupta
• Format: Article
• Language: English
• Published: London Academic Publishing 2017-06-01
• Series: Romanian Neurosurgery
• Subjects: anonymous patient; head Injury; nameless patient; outcome; unidentified patient
• Online Access: https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1002
• ISSN: 1220-8841; 2344-4959

This is a prospective study, carried out at our department. Many patients with history of trauma with head injury, whose identity cannot be ascertained, are admitted in our hospital. The management of these unattended patients from pre-hospital till discharge, rehabilitation or death is full of difficulties especially when surgical intervention has to be done. We conducted a prospective study by enrolling 11 consecutive unattended patients in whom neurosurgical procedures performed at our hospital. Out of 11 patients, 9 (82%) were male, most were in the age group of 21-30 years. The mean age was 30 years. Mean duration of hospital stay was 11.27 days. The cause of head injury was road traffic accident in all patients. Majority of the patients 10 (90%) had Glasgow coma scale less than 8 on admission. Two patients 2 (18%) died in hospital, 7 (63%) patients had good recovery. During the course of treatment identity of all 11 patients was established and 8 (72%) patients who survived were discharged to home. All discharged patients were followed at interval of 1 month and 3 months. Four (50%) & 5 (62%) patients showed good recovery (GOS) at 1 month & 3 month respectively.