Correlation of Glassgow coma scale score and CT brain findings in patients of head injury
Correlation of Glassgow coma scale score and CT brain findings in patients of head injury
Keywords:
Head Injury, GCS, CT ScanAbstract
Background and objectives:Head injuries contributes to most death in a trauma fatalities and extent of it could be assessed by both glassscow coma scale and ct scan of brain depends on which type and time of intervention is decided .
Material and Methods:It is a prospective observational study done at vadilalsarabhai general hospital in 108 patients of head injuryin consideration of history, general examinations,glassgow coma scale and CT brain findings from 1st January,2018 to 31st January 2018.
Results: Amongst the 108patients evaluated 101 had mild injury on Glasgow coma scale. 3 had moderate injury on Glasgow coma scale. 4 had severe injury on the Glasgow coma scale.Amongst the patients with mild injury 30 patients had significant CT scan findings. Amongst the patients with moderate injury 2 had significant CTscan findings. Amongst the patients with severe injury all of them had significant CT scan findings.P value was calculated using chi square test and was found to be significant with a value of more than 0.05.
Conclusion: In the study conducted correlating GCS score and CT scan findings it was observed that the male population was the most commonly involved with road traffic accidents being the most common etiology.While most of the patients presented with mild traumatic brain injury,even amongst those with a GCS score of 15 significant CT scan findings were observed.This points to the need of radiographic evaluation of all patients of head trauma it.While Glasgow Coma Scale remains the mainstay of clinical evaluation it necessitates the need of radiographic evidence to backup the clinical evaluation for urgent care and management of head trauma. While studies aimed at judicious use of CT Scan to avoid unnecessary radiation exposure are done it has to be emphasised that radiographic evidence is essential for the management of head trauma until such a time is there where in other blood tests and clinical tests are available that aid in the early diagnosis andmanagement of the same.
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