Clinical and subclinical characteristics of traumatic brain injury patients aged 18 and above treated at the Department of Neurosurgery, Xanh Pon General Hospital in 2021

Abstract

Project "Description of clinical and subclinical characteristics of patients with traumatic brain injury from 18 years old at the Department of Neurosurgery - Saint Paul General Hospital in 2021" was conducted with the aim of contributing to improving clinical and paraclinical skills and consolidating knowledge of traumatic brain injury (TBI) for students. The specific objectives were to describe some clinical and paraclinical characteristics and compare the rate of skull fracture between the group of patients with epidural hematoma (MI) and the group of patients without hematoma due to TBI. The study included 50 patients aged 18 to 65 years in a cross-sectional descriptive design. The most common age group was 18-29 (30%). Gender distribution comprised 35 men (70%) and 15 women (30%). The causes of traumatic brain injury varied, with 39 cases (78%) resulting from traffic accidents and 11 cases (22%) from other accidents. The time from the accident to hospital admission showed that the highest rate (64%) occurred within 4 hours, while the lowest rate (6%) occurred after 12 hours. Clinical features were classified into three groups: alertness (72%), perceptual disturbances (22%), and forgetting events (6%). Computed tomography (CT) scan results revealed the presence of lesions in the majority of cases (98%). A statistical analysis comparing the rate of skull fracture between the group of patients with hematoma and the group of patients without hematoma yielded a significant difference with P = 0.03.