Characteristics of Traumatic Brain Injury in Sanglah Hospital, Bali, Indonesia: A Retrospective Study

Niryana, I Wayan; Jorden, I Wayan; Darmawan, Rizky; Widyadharma, I Putu Eka

doi:10.13005/bpj/2014

Cited by 7 publications

(5 citation statements)

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“…Considering that many motorized vehicles are in Indonesia, accompanied by a lack of awareness of wearing helmets according to standards and using safety belts for car drivers. [8]These results are similar to a study conducted at H. Adam Malik General Hospital, where it was found that the most common etiology was an accident (93.33%), followed by a fall (6.67%). [9]Kumar et al also reported that accidents (86.4%) the most common etiology, followed by falls (8.9%), violence (1.8%), and others.…”

Section: Discussionsupporting

confidence: 86%

“…In 2013 in Indonesia, the prevalence of head trauma was 8.2%, with the most common causes of injury falling at 40.9%, motorcycle accidents at 40.6%, injuries from sharp and blunt objects at 7.3%, other land transportation at 7 .1%, and fell at 2.5%. [8]Likewise, this study found that out of a total of 81 samples, the majority, namely 65 people, had accidents.…”

Section: Discussionmentioning

confidence: 81%

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Predictors of Intracranial Lesions in Le Fort II and III Maxillofacial Trauma Fractures in Prof. Dr. Igng Ngoerah Hospital

Paramesta¹,

Wiargitha²,

Niryana³

et al. 2023

International Journal of Scientific Advances

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Identifying intracranial lesions in patients with maxillofacial injuries is crucial to improving survival. The purpose of this study was to compile a predictive index of the occurrence of intracranial lesions based on age, location of trauma, and cause of injury in maxillofacial trauma patients. An analytical observational study with a retrospective cohort design. Bivariable analysis and Multivariate analysis using SPSS IBM 26. The value of p<0.005 is significant. There were 81 subjects with maxillofacial trauma with intracranial lesions. Most of the samples were 25 years old (71.6%). Meanwhile, based on the location of the fracture, most of the subjects suffered from Le Fort I, Le Fort II, or a combination of both (70.4%). Only 12.3% of subjects had Le Fort III fractures (with or without Le Fort I or II fractures), and only 17. 3% had concurrent Le Fort II and III fractures. As for 80.2% of the subjects suffered injuries caused by traffic accidents. Intracranial lesions were found in 59.3% of subjects with predominant EDH (21%). Age 25 years increased the risk of intracranial lesions with adjusted OR 19.77 (95% CI 3.77–103.67). Le Fort II & III fractures adjusted OR of 52.68 (95%CI 2.50–112.188). Traffic accident an adjusted OR of 16.75 (95%CI 2.83–99.29). There was a significant and independent relationship between age 25 years, location of Le Fort II & III fractures, and traffic accidents as a cause of injury with intracranial lesions in patients with maxillofacial fractures.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 81%

Predictors of Intracranial Lesions in Le Fort II and III Maxillofacial Trauma Fractures in Prof. Dr. Igng Ngoerah Hospital

Paramesta¹,

Wiargitha²,

Niryana³

et al. 2023

International Journal of Scientific Advances

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“…In Sanglah Hospital, the most common causes of death due to accidents are multiple trauma (16%), head trauma (4%), abdominal trauma (1%) and thoracic trauma (1%). [10] Based on research conducted at Hasan Sadikin Hospital from 2008-2018, TBI was found to be 3578 cases, the incidence in men (79.8%) was higher than women (20.2%), with the highest age group 18-45 years. [11] Age in the study with average 29 years old with min-max .…”

Section: Discussionmentioning

confidence: 99%

Correlation of Bleeding Volume and Cognitive Function Impairment in Hemorrhage Traumatic Brain Injury

2023

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Background/aim: Traumatic Brain Injury (TBI) is a neurological emergency. When a traumatic brain injury occurs, there will be short-term and long-term effects that will affect the brain. This study was aimed to determine the correlation of bleeding volume and cognitive function impairment in hemorrhagic traumatic brain injury. Method: This study uses data collection methods in the form of interviews with samples which will later be presented in the form of analytical observational study. Consecutive data collection on TBI patients in poly and unit room medical neurosurgery at Sanglah Hospital from August – Oktober 2021. The questionnaire used to cognitive function impairment with Montreal Cognitive Assessment version Indonesia (MoCA-INA). Data analysis using SPSS Version 23 for windows. Results: A total of 42 subjects were divided into normal and decreased cognitive function The patients’ mean age was average 29 (17-49) years old, Man 62%, cases epidural hemorrhagic 50 %, subdural 38% and intracerebral 12%, and their mean Glasgow Coma Scale score at admission was 11.5 ± 1.7 and significant with OR = 0.1 (95% CI = (0.02-0.4; p = 0.003) were. Lesions were predominantly localized to the frontal (14 lesions) and temporal (10 lesions) lobes. Lobe lesion volume did not correlate with cognitive function. The volume bleeding average 10.43 (1-40) significant with p= 0.016 (OR 5.2 (95% CI (1.3-19.7). Conclusion: Bleeding volume in hemorrhagic TBI increased five times in volume > 10 mL and GCS 9-13 first times came emergency room significant increased 0.1 times decreased function cognitive. Keywords: sleep quality, non-vegetarian, diet, serotonin, vegetarian

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“…Local 1-year single-centered studies from the national referral hospital and three other secondary-care hospitals in Belitung, Bali, and Papua presented 157, 270, 525, and 393 cases, respectively ( 26 , 31–33 ). Mortality rate ranges from 7.6 to 29.23%, where the lowest percentage is found in the national referral hospital, and the highest occurred in a secondary-care hospital in Bandung ( 26 , 27 , 31 , 32 , 34–36 ). Higher patient volume and mortality rate shown in secondary-care hospitals revealed the underperformance of overwhelmed medical service, further proving the need for upgrades in the health care system.…”

Section: Discussionmentioning

confidence: 99%

Traumatic tension pneumocephalus: a case report and perspective from Indonesia

Harlyjoy,

Nathaniel,

Nugroho

et al. 2024

Front. Neurol.

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Traumatic tension pneumocephalus is a rare and life-threatening complication of traumatic brain injury necessitating prompt diagnosis and neurosurgical treatment. Nevertheless, various possibilities for impedance in timely management, including patient-related barriers are commonly experienced in low-and middle-income countries setting. Here we presented a delay of management in traumatic tension pneumocephalus case due to initial refusal for emergency surgery. A 59-year-old male presented to the emergency department following a motorcycle accident fully alert with no neurological deficit. He acknowledged clear nasal discharge within 1 h after the initial trauma, but no rhinorrhea or otorrhea was present during physical examination. Head CT revealed extensive pneumocephalus with “Mount Fuji sign,” anterior skull base fracture, and frontal sinus fracture. The patient initially refused immediate surgical intervention due to excellent clinical condition and financial scare. Acute decrease of consciousness occurred 40 h post-trauma: GCS of 6 with slight dilatation of both pupils (4 mm) and sluggish pupillary reflex. Emergency bifrontal craniotomy, subdural air drainage, and dura mater tear repair were performed afterwards. Postoperative care was uneventful, with rapid improvement of consciousness and follow-up head CT showing minimal subdural fluid collection and absence of remaining pneumocephalus. The patient was discharged from the hospital after 7 days with GCS of 15 and GOS of 5, proving the importance of overcoming barriers for delay in delivering neurotrauma care in low-and middle-income countries.

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Characteristics of Traumatic Brain Injury in Sanglah Hospital, Bali, Indonesia: A Retrospective Study

Cited by 7 publications

References 0 publications

Predictors of Intracranial Lesions in Le Fort II and III Maxillofacial Trauma Fractures in Prof. Dr. Igng Ngoerah Hospital

Predictors of Intracranial Lesions in Le Fort II and III Maxillofacial Trauma Fractures in Prof. Dr. Igng Ngoerah Hospital

Correlation of Bleeding Volume and Cognitive Function Impairment in Hemorrhage Traumatic Brain Injury

Traumatic tension pneumocephalus: a case report and perspective from Indonesia

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