@article{Ali_Khan_Kamran_Said_Hussain_Khan_Khan_2011, title={AN AUDIT OF THE MORTALITY DUE TO SEVERE HEAD INJURIES IN A NEURO-SURGICAL INTENSIVE CARE UNIT}, volume={25}, url={https://www.jpmi.org.pk/index.php/jpmi/article/view/1124}, abstractNote={<strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Objective:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">To analyze the data of patients died in neurosurgical intensive care unit due to severe head</span><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Methodology:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">This retrospective study was conducted in neurosurgical intensive care unit in Lady Reading<p>Hospital, Peshawar from January to December 2007. The Clinical record of all the patients presenting</p><p>with severe head injuries, who then expired in neurosurgical intensive care unit was collected. The record</p></span></p><p>was analyzed accordingly for discussion and recommendations.</p><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Results:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">Out of 112 patients, majority were young adults (n=64, 57.14%) followed by children (n=34,<p>30.35%) and elderly (n=10, 8.92%). Road traffic accidents were the major cause of presentation (n=75,</p><p>66.96%) followed by history of fall (n=23, 20.53%) and fire arm injuries (n=13, 11.60%). The correctable</p><p>surgical causes were present only in 18 patients (16.07%) and the majority 94 (83.92%) were given</p><p>conservative management. Among the non-surgical cases, both ventilatory therapy in 7 (6.25%) and</p></span></p><p>tracheostomy in 39 (34.82%) patients failed to change the outcome.</p><strong><em><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><strong><span style="font-family: TimesNewRomanPSMT,BoldItalic; font-size: x-small;"><p>Conclusion:</p></span></strong></span></strong></span><p> </p></em></strong><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;"><em><p><span style="font-family: TimesNewRomanPSMT,Italic; font-size: x-small;">Road traffic accident was the major contributor in the mortality in patients presenting to</span></p><p>neurosurgical intensive care unit. Most involved were young adults.</p></em></span></em></span></em></span></p><p>injuries.</p></em></span>}, number={1}, journal={Journal of Postgraduate Medical Institute}, author={Ali, Mumtaz and Khan, Khalid Mahmood and Kamran, Muhammad and Said, Muhammad and Hussain, Ramzan and Khan, Hamzullah and Khan, Naeem}, year={2011}, month={Oct.} }