The Evaluation of Frequency of Intracranial Haemorrhage in Patients of Head Trauma with GCS 10-15 on Computed Tomography Scan

Abstract

Quick Response Code Abstract: Traumatic head injuries are a prominent cause of death. The privilege of intracranial hemorrhage is one of the fatal problems. CT-scan is considered the gold standard for the traumatic brain injuries diagnosis. GCS of the patients is helpful in patient evaluation. Patient with high GCS are neglected but it may be considered that they can develop significant problems. However, it is controversial whether to perform CT-scan in patients that have 13-15 GCS or not. Purpose: I hereby to evaluate the patients of head trauma with high GCS 10-15 on CT-scan that may be neglected but they may develop symptoms. My aim of study was to determine whether it is safe to discharge such patients or performing CT scan is safe. Besides this, I mainly found the frequency of different types of ICH in 50 patients that have 10-15 GCS. Approach: 50 patients of head trauma injuries were evaluated on computed tomography. All the patients had undergone non-contrast computed tomography scan of brain with the axial images and slice thickness of 5mm from foramen magnum to vertex. A Performa was filled for patient’s name, age, gender and other findings. Any statistical variables were correct by putting some exclusion criteria i.e. bleeding disorder and anti-coagulant therapy so that it might not influence the desired conclusions. Results: Out of 50 patients 22 (44.00%) patients had intracranial hemorrhage. Out of these 22 patients 9 (40.91%) had EDH, 9 (40.91%) had subdural, 2 (9.09%) had SAH and 2 (9.09%) had ICrH. Conclusion: This study demonstrates that the frequency of ICH is 44% and the incidence of SDH and EDH is equally higher than other types. Patients with RTA have higher risk of ICH and it is more in females than in males. Data analysis for different variables was done by using Microsoft excel 365. Graphs and charts were used to explain the results.