ORIGINAL ARTICLE

Clinical characteristics of traumatic brain injury patients in Dr. Zainoel Abidin Public Hospital Banda Aceh, Indonesia

Syahrul Syahrul , Imran Imran, Nurul Fajri

Syahrul Syahrul
Department of Neurology, Faculty of Medicine, Universitas Syiah Kuala - Dr. Zainoel Abidin Public Hospital, Banda Aceh, Indonesia. Email: [email protected]

Imran Imran
Department of Neurology, Faculty of Medicine, Universitas Syiah Kuala - Dr. Zainoel Abidin Public Hospital, Banda Aceh, Indonesia

Nurul Fajri
Department of Neurology, Faculty of Medicine, Universitas Syiah Kuala - Dr. Zainoel Abidin Public Hospital, Banda Aceh, Indonesia
Online First: April 01, 2020 | Cite this Article
Syahrul, S., Imran, I., Fajri, N. 2020. Clinical characteristics of traumatic brain injury patients in Dr. Zainoel Abidin Public Hospital Banda Aceh, Indonesia. Bali Medical Journal 9(1): 194-200. DOI:10.15562/bmj.v9i1.1726


Background: Traumatic brain injury (TBI) is responsible for more than one million hospital visits and causes disability and death in all age groups and genders. Every day, 153 people die from injuries including traumatic brain injury.

Methods: We use a retrospective, cross-sectional study design. We collect data from patients admitted to our hospital on November 2018 that was diagnosed and treated for traumatic brain injury. The clinical information at follow-up was also analyzed.

 

Results: We collected 60 cases of TBI, that consist of 35 male (58%) and 25 females (42%) with an average age of  18-39 years. 42% of patients had post-traumatic amnesia. The leading cause of TBI was from motor vehicles accident, which constitutes to 90%, followed by falls (8%) and others (i.e. self-harm and assaults 2%). Glasgow Coma Scale (GCS) were examined, and we found 85% of patients presented with GCS scores ≥ 9 and 25% with score ≤ 8. Brain Ct scanning findings showed cerebral oedema (25%), epidural hemorrhage (18%), intracranial hemorrhage (15%), and subarachnoid haemorrhage (12%). Laboratory findings showed an increase of leukocyte count (80%), high segmented neutrophils count (72%), hyperglycemia after TBI (7%), hyponatremia (2%), hypernatremia (11%), hypokalemia (22%), hyperkalemia (17%) and hyperchloremia (30%).

Conclusion: We reported 60 cases of TBI and collected demographic data upon patients arrival in the hospital, such as; GCS score, brain imaging and laboratory findings. This information can help prevention strategies, identify research and education priorities, and support service needs among those living with TBI.

 

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