Factors Influencing Outcome after Severe Traumatic Brain Injury in Krabi Hospital - ปัจจัยที่มีผลต่อผลการรักษา ผู้ป่วยบาดเจ็บที่สมองอย่างรุนแรงในโรงพยาบาลกระบี่

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.
Key words: severe traumatic brain injury, outcome