Main Article Content
To analyze the data of patients died in neurosurgical intensive care unit due to severe head
This retrospective study was conducted in neurosurgical intensive care unit in Lady Reading
Hospital, Peshawar from January to December 2007. The Clinical record of all the patients presenting
with severe head injuries, who then expired in neurosurgical intensive care unit was collected. The record
was analyzed accordingly for discussion and recommendations.
Out of 112 patients, majority were young adults (n=64, 57.14%) followed by children (n=34,
30.35%) and elderly (n=10, 8.92%). Road traffic accidents were the major cause of presentation (n=75,
66.96%) followed by history of fall (n=23, 20.53%) and fire arm injuries (n=13, 11.60%). The correctable
surgical causes were present only in 18 patients (16.07%) and the majority 94 (83.92%) were given
conservative management. Among the non-surgical cases, both ventilatory therapy in 7 (6.25%) and
tracheostomy in 39 (34.82%) patients failed to change the outcome.
Road traffic accident was the major contributor in the mortality in patients presenting to
neurosurgical intensive care unit. Most involved were young adults.
Work published in JPMI is licensed under a
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.