Journal of Trauma & Treatment

Comparison of the Admission Characteristics and Outcomes of Indian Severe TBI Cohort with Earlier Epidemiologic Studies of Developed Nations

Abstract

Vineet Kumar Kamal*, Dolly Kumari, Ravindra Mohan Pandey, Deepak Agrawal and Anita Pal

From policymaking and research point of view, our aim is to compare data of patients with severe traumatic brain injury (TBI) with developed
settings, where health care facilities are much enhanced as compared to developing settings. In this retrospective study, we described and
compared demographic, clinical, secondary insult related characteristics, and outcomes at 6-months (based on Glasgow outcome scale) of our
patients with severe TBI; based on emergency department Glasgow coma scale, admitted to neurosurgery Intensive Care Unit at Jai Prakash
Narayan Apex Trauma Centre (JPNATC), AIIMS, New Delhi, during May 2010–July 2012; with famous studies from developed settings using
descriptive statistics. We found that there is a huge burden of young patients, mostly males with severe TBI in India as compared to developed
settings. Follow-up data for 6-months outcome were very much lesser and outcome as death was in high proportion as compared to developed
settings. In case of severe TBI, this information can be valuable in formulation of policies and programmes at centre/national/international level,
increasing public awareness, developing new action plans.