Factors Influencing Outcome after Severe Traumatic Brain Injury in Krabi Hospital

Abstract

Traumatic brain injury was recognized as a major health problem. Severe traumatic injuries of the brain are an important cause of death. This is a retrospective study of patients with severe traumatic brain injury at Krabi Hospital from January 2012 to July 2014. This study was undertaken to evaluate various factors associated with outcomes in patients with severe traumatic brain injury. There were 147 cases during the study period. The mean age of patients was 31.18 years, with male to female ratio of 2.8 : 1. Road traffic accident was the most common cause of severe traumatic brain injury (87.76%). According to the Glasgow outcome scale, 58.50% of patients had moderate disability or good recovery, 6.80% of patients had persistent vegetative state or severe disability, and 34.69% died. Age, mode of injury, Glasgow coma scale, abnormal pupillary reflex and computed tomography findings were the main factors associated with treatment outcomes and the prognosis of the patients with brain injury.