To Prognosticate the Final Outcome in a Traumatic Brain Injury Patient based on their Electrolyte Changes

Abstract

electrolyte Aims & Objective : To prognosticate the final out come in a traumatic brain injury patient based on there electrolyte changes. Material & Method : A Hospital based Prospective type Cross Sectional Study . The study was conducted over a period of 18 month In our institute. This study includes all Traumatic Brain Injury patients without poly trauma who were admitted through Emergency as well as OPD . This study exclude patients with any co morbidity like diabetes mellitus, hypertension, thyroid derangement and poly trauma etc. Observation & Results : We observed significant difference of sodium, potassium, and chloride levels following TBI recorded at the time of admission, 24 hours, after 4 days, 8 days, 12 days and 16 days . There was positive correlation of hyponatremia, hypokalemia, hypochloremia, with outcome of the patient. Conclusion : we concluded that electrolyte imbalance following traumatic head injury is an important cause to look for in patient monitoring. Sodium potassium and chloride chief electrolyte of concern. Serum calcium and Phosphate levels also under goes notable changes.