ANALYSIS OF FACTORS CAUSING DELAY IN ARRIVAL OF HEAD INJURY PATIENTS AT TERTIARY CARE CENTRE: A PROSPECTIVE OBSERVATIONAL STUDY

Dr. TUSHARKANT ARORA; DR SHANKAR KB; SHARMA KC; MANKOTIYA S DEEPANKAR

Volume : VII, Issue : XI, November - 2018

ANALYSIS OF FACTORS CAUSING DELAY IN ARRIVAL OF HEAD INJURY PATIENTS AT TERTIARY CARE CENTRE: A PROSPECTIVE OBSERVATIONAL STUDY

Dr. Tusharkant Arora, Dr Shankar Kb, Sharma Kc, Mankotiya S Deepankar

Abstract :

Background: India accounts for six percent of world�s Road traffic accidents (RTA).^[1] Nearly half of all traumatic ain injuries(TBI) patients are transported to a hospital without neurosurgical expertise which increases morbidity and mortality^[2,3]. Methods: A total of 412 head injuries cases were included. A complete history, clinical examination, routine and special investigation, method of transportation, alcohol or substance abuse and outcome were noted.

Results: Most common cause of head injuries was RTA (76%) followed by fall (15.78%) and assault (7.52%). After performing univariate logistic regression, first hospital, time for CT, mode of injury, gender, education level, injury place, referral, alcohol/drug, handicap and high energy injury were the significant factors responsible for late admission.

Conclusions: The common reason due to the delay in arriving the hospital being lack of neurosurgeons, computerized tomography(CT) scan head followed by lack of beds or ICU facilities and high cost in private hospitals.