AN ANALYSIS OF TRAUMATIC BRAIN INJURY [TBI] IN TERMS OF 3-MONTH GLASGOW OUTCOME SCORE [GOS] AT A TERTIARY CARE CENTRE

- Traumatic brain injury [TBI] most affects the working population and their earning capacity. Thevarious sub categories of TBI in terms of clinical features,Glasgow coma scale [GCS] and radiology are well defined.Wehave attempted an analysis in terms of long term Glasgow outcome score [GOS] and tried to correlate with the variousfactors of TBI.MATERIALS AND METHODS – All patients of TBI over 12 years and below 60 years and those without other majortrauma were included over a period of about two years. The clinical features, presentation GCS, treatment given, andoutcomes were assessed.The three month GOS was scored for all patients and was used to analyse the the initial data inits light.RESULTS – A total of 200 patients were eligible for the study and were included. Of these 159 were males and 41 werefemales.The average age was 37.16 years.There was a relatively higher proportion of mild TBI and greater prevalence offractures and EDH [extradural hematoma].On analyzing with three month GOS we found that 90.4 % of the patients withmild TBI had a three month GOS of 5 whereas only 31.9% of patients with moderate or severe TBI had a three month GOSof 5.CONCLUSION – The long term GOS is most representative of the extent to which the patient has been able to return totheir pre TBI lives. In our study the three month GOS co related well with the initial GCS. Further prospective data canelaborate more on the effect of other clinical features and radiology on long term GOS