ANALYTICAL CORRELATIVE STUDY OF GCS AND MARSHALL CLASSIFICATION AS PROGNOSTIC FACTORS IN TRAUMATIC BRAIN INJURY

H M Baba Dhoulath Khan, G M Niban

Abstract


Care of head injured patients forms an important aspect of emergency neurosurgical practice especially in developing
countries with optimal facilities. The maintenance of adequate and evidence based standards in head injury care is a
multifactorial approach with the whole gamut of social, educational, attitudinal and medical aspects being involved and hence prognostication of
the severity and outcome of head injury is paramount in evolving adequate guidelines for care. The aim of the study is to study the significance of
Glasgow Coma Scale and Marshall Classification of CT criteria as prognostic factors in traumatic brain injury. This analysis was done in a cohort
of patients in the age group of 18 to 40 admitted with head injury during the two year period. The main prognostic factors in traumatic main injury
were analyzed. Patients with diffuse injury IV in the Marshall Classification had worse outcome across all age groups with high mortality rates in
intraparenchymal injuries and patients with sub dural hemorrhages and linear correlation between age, surgical intervention and degree of
injury.The study validates the importance of the basic clinical and radiological examination as quintessential prognostic markers in traumatic
brain injury.


Keywords


Traumatic Brain Injury, Glasgow Coma Scale(GCS), Marshall Ct Classification, Prognostic Outcome In Head Injury, Glasgow Outcome Score (GOS)

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References


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