Profile of traumatic brain injury (TBI) in relation with maxillofacial and thoracic injury Dr. Hasan Sadikin General Hospital, Bandung

https://doi.org/10.19106/JMedScie/005003201808

Padmini Laxmi Pathmanathan(1*), Gibran Tristan Alpharian(2), Agung Budi Sutiono(3)

(1) Faculty of Medicine, Universitas Padjadjaran, Bandung
(2) Department of Orthopedic and Traumatology Faculty of Medicine, Universitas Padjajaran/Dr. Hasan Sadikin General Hospital Bandung
(3) Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran/ Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
(*) Corresponding Author

Abstract


Traumatic brain injury (TBI) has a relation with concomitant injuries, which are mostly
maxillofacial and thoracic injury. This study aimed to know which injury was common in
TBI patients and the difference in the severity of TBI when patients were associated with
one or both types of injuries. This was a descriptive retrospective study. The data used was
medical records from Department of Neurosurgery, Dr. Hasan Sadikin General Hospital,
Bandung, Indonesia from the period of August 2015 to July 2016. Total sampling method
was used in this study. The variables were patients with TBI, maxillofacial injury, thoracic
injury, accident related mechanism and non-accident related mechanism and the Glasgow
Coma Score (GCS). The total cases for this study were 47 patients. The highest case was
males with 37 cases and 10 for females. Accident related trauma had 23 cases whereas
non accident related trauma had 24 cases. The total cases of maxillofacial injury were 32,
thoracic were 6 cases whereby for both injuries were 9 cases. Patients with mild TBI were
28 cases, moderate TBI were 13 cases, and severe TBI had 6 cases in total. The rate of
TBI was higher in single injury which was the maxillofacial injury. However, the thoracic
and both injuries combined had higher severity of TBI compared to maxillofacial injury.


Keywords


traumatic brain injury -maxillofacial - thoracic injury – accident – Glasgow Coma Scale

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References

Reference 1. Leitgeb J, Mauritz W, Brazinova A, Majdan M, Wilbacher I. Impact of concomitant injuries on outcomes after traumatic brain injury. Arch Orthop Trauma Surg. 2013;133(5):659–68. 2. Simard JM, Pampori A, Keledjian K, Tosun C, Schwartzbauer G, Ivanova S, et al. Exposure of the thorax to a sublethal blast wave causes a hydrodynamic pulse that leads to perivenular inflammation in the brain. J Neurotrauma. 2014;31(14):1292–304. 3. Yoganandan N, Arun MWJ, Halloway DE, Pintar FA, Maiman DJ, Szabo A, et al. Crash characteristics and injury patterns of restrained front seat occupants in far-side impacts. Traffic Inj Prev . 2014;15 Suppl 1(0 1):S27–34. 4. Dai D, Yuan Q, Sun Y, Yuan F, Su Z, Ding J, et al. Impact of Thoracic Injury on Traumatic Brain Injury Outcome. 2013;8(9):1–9. 5. Ramneesh G, Gulzar G, Sanjeev U, Rajinder M, Ranabir P, Nikhil G. A retrospective audit of hundred patients of orbitozygomatic fractures with brain injury. J Clin Diagnostic Res. 2014;8(7):8–10. 6. Blyth BJ, Bazarian JJ. Traumatic Alterations in Consciousness: Traumatic Brain Injury. Emerg Med Clin North Am. 2010;28(3):571–94. 7. El-Matbouly M, El-Menyar A, Al-Thani H, Tuma M, El-Hennawy H, Abdulrahman H, et al. Traumatic brain injury in Qatar: Age matters - Insights from a 4-year observational study. Sci World J. 2013;2013. 8. Aladelusi T, Akinmoladun V, Olusanya A, Akadiri O, Fasola A. Analysis of road traffic crashes-related maxillofacial injuries severity and concomitant injuries in 201 patients seen at the UCH, Ibadan. Craniomaxillofacial Trauma Reconstr. 2014;7(4):284–9. 9. Stead LG, Bodhit AN, Patel PS, Daneshvar Y, Peters KR, Mazzuoccolo A, et al. TBI surveillance using the common data elements for traumatic brain injury: a population study. Int J Emerg Med. International Journal of Emergency Medicine; 2013;6(1):5. 10. Meaney DF, Morrison B, Dale Bass C. The Mechanics of Traumatic Brain Injury: A Review of What We Know and What We Need to Know for Reducing Its Societal Burden. J Biomech Eng. American Society of Mechanical Engineers; 2014 Feb 5;136(2):210081–2100814. 11. Arslan ED, Solakoglu AG, Komut E, Kavalci C, Yilmaz F, Karakilic E, et al. Assessment of maxillofacial trauma in emergency department. World J Emerg Surg WJESa. World Journal of Emergency Surgery; 2014;9(1):13. 12. Veysi VT, Nikolaou VS, Paliobeis C, Efstathopoulos N, Giannoudis P V. Prevalence of chest trauma, associated injuries and mortality: A level i trauma centre experience. Int Orthop. 2009;33(5):1425–33. 13. McDonald SJ, Sun M, Agoston D V, Shultz SR. The effect of concomitant peripheral injury on traumatic brain injury pathobiology and outcome. J Neuroinflammation



DOI: https://doi.org/10.19106/JMedScie/005003201808

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