Outcome in Moderate and Severe Traumatic Brain Injury among Elderly Individuals Analytical Study in Government Rajaji Hospital Madurai

  • H Balasubramanian Madurai Medical College, Madurai, Tamil Nadu, India
  • G.Rajasekaran Madurai Medical College, Madurai, Tamil Nadu, India,
  • T Gandhi Raj Madurai Medical College, Madurai, Tamil Nadu, India
  • M Shek Mohamed Samir Khan Madurai MedicalCollege, Madurai, Tamil Nadu, India
Keywords: Diffuse axonal injury, Extradural hemorrhage, Glasgow coma scale, Intracerebral hemorrhage, Intracranial pressure, Sub arachnoid hemorrhage, Sub dural hemorrhage, Traumatic brain injury


Background: Head injuries are among the most common types of trauma encountered in emergency department. Many
patients with severe brain injuries die before reaching a hospital; in fact, nearly 90% of pre hospital trauma related deaths
involve brain injury.
Objectives: Aim of the study was to study the age as an important prognostic factor in the prediction of outcome in Head
Injury patients, to find out the incidence and type of traumatic intracranial lesions in the elderly, to study and analyze the cause
of head injury among elderly patients, and to compare conservative, medical, emergency surgical treatment, and outcome.
Results: The poor outcome at all levels in the elderly patients, even with good Glasgow coma scale (GCS) on admission.
Although they have lower impact injuries and multiple injuries, their computed tomography scan show more number of intracranial
mass lesions, sub arachnoid hemorrhage, and midline shift. Age has been cited as a significant risk factor for the poor outcome
in this study.
Conclusion: The mortality rate increases with age mainly from the medical complications to prolonged coma. GCS is a good
reliable predictor of prognosis even in the 1st day after admission. If the doctors are persuaded to elicit and record them carefully,
predictions can be made reasonably accurate at the bed side

Author Biographies

H Balasubramanian, Madurai Medical College, Madurai, Tamil Nadu, India

Assistant Professor, Department of Neurosurgery

G.Rajasekaran, Madurai Medical College, Madurai, Tamil Nadu, India,

Professor, Department of Neurosurgery

T Gandhi Raj, Madurai Medical College, Madurai, Tamil Nadu, India

Final Year Post Graduate Student, Department of Neurosurgery

M Shek Mohamed Samir Khan, Madurai MedicalCollege, Madurai, Tamil Nadu, India

Fifth Year Post Graduate Student, Department of Neurosurgery


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Original Articles