Characteristics of Traumatic Brain Injury in Sanglah Hospital, Bali, Indonesia: A Retrospective Study
I Wayan Niryana1, I Wayan Jorden Junior1, Rizky Darmawan1 and I Putu Eka Widyadharma21Neurosurgery Department, Faculty of Medicine, Udayana University, Bali, Indonesia
2Neurology Department, Faculty of Medicine, Udayana University, Bali, Indonesia
Corresponding Author E-mail : iwayanniryana@unud.ac.id
Abstract: Introduction: Traumatic head injury is the most common trauma found in the emergency department, and is the most significant cause of morbidity as well. There are many traumatic head injuries in Sanglah Hospital which caused by traffic accidents. Epidemiological studies of traumatic head injuries are still limited. The purpose of this study is to describe the characteristics of traumatic head injury patients at Sanglah Hospital. Material and Methods: This study is a retrospective study centered at Sanglah Hospital (single-centered). The data used are secondary data based on medical records from January to December 2017. Data were analyzed with SPSS version 21.0. Multivariate regression analysis was performed to determine the predictive variable for the first 24-hour mortality of traumatic head injury. Results: From January to December 2017, a total of 525 samples were collected. Most of the samples are males (68.2%), with no significant differences in gender variable. The data also showed that mostly aged 19-40 years (47.6%), traffic accidents (86.3%), have a history of unconsciousness (74.1%), duration of unconsciousness <10 minutes (32.8%), time interval to hospital <1 hour (49.1%), GCS admission 13-15 (55.8%), blunt head injury (78.7%), 1 intracranial hemorrhage (43.2%). Multivariate regression analysis showed increased age, increased time to the hospital, decreased GCS scores, airway disturbance, decreased oxygen pressure in the blood, and increased types of intracranial hemorrhage significantly associated with first 24-hour mortality. Conclusion: Having data on head injury incidents in Bali is an important key to know the characteristics of head injury cases that can intervene in the future in the form of public health and prevention. Further research is needed to be able to represent the characteristics and to give appropriate management for traumatic head injury patient in order to decrease the mortality and morbidity especially for oxygen and airway management that are found to be significant risk of death in this study.
Keywords: Bali; Sanglah Hospital; Traumatic Brain Injury Back to TOC