Incidence of Different Types of Head Injury Patients and their Functional Outcomes -- An Experience in a Superspeciality Hospital.

Introduction: The purpose of the study is to find out the incidence of different types of head injury patients and their outcome at the time of discharge. Method: All Traumatic Head Injury patients admitted during the period between 2013 to 2015 under the Medanta Institute of Neurosciences, Medanta the Medicity Hospital were included for the study after getting institutional consent form signed. Comprehensive assessment of the patients was done by the neuro physiotherapist including but not limited to Glasgow Coma Scale, Modified Rankin Scale, and Barthel Functional Index. All patients were provided neuro-rehabilitation as per the hospital protocol which includes maintaining chest hygiene, coma arousal techniques, appropriate positioning, limb exercises, mobilization, etc. Patients functional capacity and disability was assessed using barthel index and modified Rankin scale. Discharge counseling was given to the patients and attendants of the head injury patients at the time of the discharge and they were assessed again by Modified Rankin Scale and Barthel score. Results: The patients were categorized into mild, moderate and severe head injury based on their GCS at the time of admission - 140(40.9%) severe head injury patients, 62 (18.1%) moderate head injury patients, 140 (40.9%) mild head injury patients. Analysis of their outcomes showed that there is significant improvement in patients condition with respect to Modified Rankin Scale and Barthel Score in all 3 categories of head injury - mild, moderate and severe head injury (p<0.001). Inter-group comparison of outcomes revealed that there is significant improvement in Moderate head injury groups compared to other groups. Analysis also revealed that there is high correlation between mRS and Barthel scores at admission, discharge and mean difference between admission and discharge scores (p <0.001). Conclusion: The patients with different severity of injury improved significantly during hospital stay with respect to mRS and Barthel Score. [ABSTRACT FROM AUTHOR]