Epidemiological pattern and outcome of head injuries during festive and non-festive periods in a tertiary hospital, Nnewi, Nigeria

Adogu, Prosper O. U.; Egenti, Nonye B; Ubajaka, Chika Florence; Anakwue, Jude C.; Ugezu, Anthony I.

doi:10.18203/2320-6012.ijrms20150683

Cited by 6 publications

(8 citation statements)

References 11 publications

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“…In this study, both normal and abnormal CT outcomes were noted with male preponderance. This finding is in consonance with existing literatures also observing the same outcomes (Adogu et al, 2015;Akanji et al, 2015;Jamal, 2018;Onwuchekwa and Alazigha, 2017).…”

Section: Discussionsupporting

confidence: 93%

“…In radiology departments of other countries, the trends of head trauma CT findings have been studied (Adogu et al, 2015;Itanyi and Kolade-Yunusa, 2017a;Onwuchekwa and Alazigha, 2017;Tandle and Keoliya, 2011) however, in our study setting no such specific research has been conducted. Thus, there is dearth of data on patterns of CT findings in TTH, hence the need for this study.…”

Section: Introductionmentioning

confidence: 99%

“…Traumatic head injury (THI) is notably the leading cause of death and disability in more than 50% of cases of all trauma related incidence, particularly in low-and middle-income countries (LMICs). THI refers to any trauma resulting in damage to the scalp and or skull, and or brain (Adogu et al, 2015;Onwuchekwa and Alazigha, 2017). Another literature defines THI as, "a morbid state, resulting from gross or subtle structural changes in the scalp, skull, and/or the contents of the skull, produced by mechanical force'' (Tandle and Keoliya, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Aetiology of THI includes road traffic accident (RTA), falls, sports and assault among others. An individual with head trauma may experience one or a combination of the following injury outcomes; scalp abnormalities, intracranial bleedings, skull fractures and other secondary sequelae (Adogu et al, 2015;Jamal, 2018;Uduma et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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2019

IRJPEH

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Traumatic head injury (THI) is of great public health importance as it account for over 40% of morbidities presenting at various hospitals annually. This study evaluated the patterns of head CT findings of 53 head trauma patients that visited the Tamale Teaching Hospital (TTH) from 2016 to 2018. A retrospective approach was adopted for the study. Tables and graphical descriptors were used to summarise the extracted data using the Statistical Package for the Social Sciences (SPSS) version 21.0. The results revealed that 21 (39.62%) and 26 (49.06%) of patients sustained intracranial and extra-cranial injuries respectively. Unspecified source and RTA contributed 60.36% and 33.97% of the sources of trauma respectively. Fractures (92.31%) and sinusitis (76.91%) were the major leading extraaxial lesion whereas brain contusions (33.32%) and intra-cranial haematomas (52.36%) were the most predominant intra-axial lesions. The sex outcome was 41 (77.36%) males and 12 (22.64%) females. Occurrence of trauma and THI were frequent in the age groups 21-40 years and ≤10 years than any other age categories. In conclusion, greater percent of the assessed patients with THI were males, young persons and ≤10years of age. Both intra and extra-cranial injuries were observed in our study sample except that normal findings were more common.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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2019

IRJPEH

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“…Recent epidemiological trend of TBI have shown that the cases occur in every age group, sex and nations. [1][2][3][4][5] In Indonesia, the transition of demographic and epidemiology were affected by modernization in transportation modes. According to Ministry of Health (MOH), in 2013 almost half (40,6%) of all traumatic cases were due to traffic accidents.…”

Section: Introductionmentioning

confidence: 99%

The association between blood glucose level and cognitive dysfunction among acute traumatic brain injury in Manado, Indonesia

Sekeon

Kembuan

2018

Int J Res Med Sci

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Background: Traumatic brain injury (TBI) is a public health challenge. TBI contributes to chronic physical impairment and also disrupt mental and personality aspects. Cognitive dysfunction is influenced by multiple factors, including blood glucose level. The objective of the study was to analyze the association between blood glucose level and cognitive dysfunction among TBI patients.Methods: A hospital-based observational study was conducted with cross-sectional design for six months period. Population of research were all of TBI patients treated at the emergency unit. Eligible sample were obtained with total sampling technique. Dyslgycemia was defined as random blood glucose level outside the range of 80-200mg/dl; cognitive dysfunction was defined as MMSE score <26. Statistical analysis with SPSS version 17.0 was employed. Chi square test and odd ratio were executed, p value <0,05 were regarded as significant level.Results: Majority of the 124 patients was male (75.8%), in 21-30 age group (20.7%), mostly due to RTA, specifically from motorcycle-related accident. Most of the motorcyclist (56,5%) were not using helmet. Unconsciousness was in 65.8% sample. Seizure was found in 3.9% of total patients; almost half of patients had history of headache (40.8%). Vomit was found in 30.3% of patients. Vertigo or dizziness post-trauma was in 3.9% patients; almost one third of patients had history of alcohol consumption (30.3%). Majority (65.8%) were in GCS 13-15. Proportion of dysglycemia and cognitive dysfunction were 4.8% and 14.5% consecutively. Odd ratio analysis revealed that dysglycemic group have 3 times higher risk to develop cognitive dysfunction, but the association was statistically not significant.Conclusions: The association between random blood glucose level and cognitive dysfunction among acute traumatic brain injury was statistically not significant.

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