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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Reverse Shock Index and Glasgow Coma Scale: Early Predictors Of Mortality In Traumatic Brain Injury In A Rural Setup |
| Authors Name: | Dr Kalyani Sisode , Dr Padmakar Baviskar , Dr Pratik Gond |
| Unique Id: | IJSDR2210177 |
| Published In: | Volume 7 Issue 10, October-2022 |
| Abstract: | Abstract Introduction: It is estimated that nearly 1.5 to 2 million persons are injured and 1 million succumb to death every year in India due to traumatic brain injury (TBI). Road traffic injuries are the leading cause (60%) of traumatic brain injuries followed by falls (20%-25%) and violence (10%).1 Half of those who die from TBI do so within the first two hours of injury. It is now known that only a portion of neurological damage occurs at the moment of impact (primary injury); damage progresses during the ensuing minutes, hours and days. The secondary brain injury can result in increased mortality and disability. Consequently, the early and appropriate management of TBI is critical to the survival of these patients. This while being a critical factor in the overall prospects of a patient is yet to be fully appreciated.2 Therefore, it is important to identify trauma patients with high mortality risk and commence aggressive resuscitation and proper medical intervention. Aims and objective: The goal of this study was to create a simplified prediction model that might detect high death risk in severely head-injured patients early , leading to the development of an effective and efficient treatment strategy to decrease the mortality associated with traumatic brain injury. Material and methods: This was a retrospective observational study at a tertiary care centre in a rural setup. Consecutive patients from 17 years to 80 years of age who presented to our institute’s emergency department between January 2021 to December 2021 were included. A total of 178 patients were studied and detailed data collected which included age, sex, mode of head trauma, systolic blood pressure, heart rate and glass go coma scale. Results: The ability to predict mortality risk using rSI, GCS, and rSIG among the examined variables is 93%, 96.5%, and 99.3%, respectively. The best cut off level rSI, GCS and rSIG to predict mortality in adult severe trauma patients with head injury is 0.921, 7.50 and 6.07, respectively. Conclusion: Our analysis of the data on trauma patients revealed that rSIG, GCS, rSI, and SI are readily measurable indicators with equivalent ability to predict mortality, with rSIG being the most accurate among them. These are feasible methods for categorizing traumatised patients according to risk in overcrowded emergency rooms, and they may be especially valuable in low-resource regions like low and middle income countries (LMICs). |
| Keywords: | Keywords: Traumatic brain injury, Reverse shock index , Shock index, Glasgow coma scale, Trauma and Injury Severity Score, Injury severity score. |
| Cite Article: | "Reverse Shock Index and Glasgow Coma Scale: Early Predictors Of Mortality In Traumatic Brain Injury In A Rural Setup", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 10, page no.1038 - 1042, October-2022, Available :http://www.ijsdr.org/papers/IJSDR2210177.pdf |
| Downloads: | 000337067 |
| Publication Details: | Published Paper ID: IJSDR2210177 Registration ID:202323 Published In: Volume 7 Issue 10, October-2022 DOI (Digital Object Identifier): Page No: 1038 - 1042 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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