Abstract
BACKGROUND: People who have suffered brain injuries have very high rehabilitation needs, and these needs are growing yearly. In order to lessen the incidence of traumatic brain injuries, India and other developing nations must address the significant difficulties of prevention, pre-hospital treatment, and rehabilitation in their quickly changing surroundings. Early identification of clinical and functional outcome variables would facilitate the implementation of suitable interventions aimed at enhancing functional status. Injury severity, together with other clinical criteria, can predict both the functional and clinical outcome.
MATERIAL & METHODS: All traumatic brain injury patients who visit the Medical College Hospital's Department of Neurosurgery are included in the study's population. A sample is a little section of the population that has been chosen for examination and study. The process of choosing a subset of the population to represent the complete population is known as sampling. At the time of hospital discharge, patients who had undergone treatment for traumatic brain injury at the neurosurgery department of the Medical College Hospital were recruited for the study.
RESULTS: Comparison of mean GCS Score (overall score) at admission was 12.495 at discharge 14.340 and after one year 14.876. This difference in scores/rank was found significant as per Friedman Test. Mean GCS eye opening at admission (3.216), discharge (3.893) and score at one year (4.00), GCS verbal response at admission (3.631), at discharge (4.631) and score at one year (4.953) and GCS motor response at admission (5.491), at discharge 5.918 and at one year (5.976) was found to be statistically significant (p<0.001).
CONCLUSION: While a single burr hole craniectomy and craniotomy were associated with a clinically significant improvement in the GCS score, this was not statistically significant in this investigation. While there is no discernible primary brain trauma seen in single burr hole craniectomy instances, primary brain damage will be more common in surgical intervention cases. It was discovered that those who had decompressive craniectomy had lower mean scores for all outcome variables, and this difference was statistically significant.
KEY WORDS: Brain Injury, Traumatic Brain Injury, Rehabilitation and Neurosurgery.