Neurotrauma in Pakistan.

摘要: The incidence of head and spinal injury is on the rise in developing countries. number deaths burden disability may be reduced, if not completely stopped, through preventive measures after an epidemiological survey trauma. goal can achieved to a significant extent use guidelines from countries that have reduction neurotrauma. To determine outcome neurotrauma countries, study was necessary using standardized assessment parameters for global interpretation. Such conducted sociodemo- graphic characteristics, morbidity, mortality patients with admitted various neurosurgical centers Pakistan July 1, 1995 June 30, 1999. A total 260,000 were over 4-year period. majority presented during second decade (i.e., 33.2%) followed by first third decade. There 195,000 (75%) males, 65,000 (25%) females ratio 3:1. Road traffic accident commonest cause Mild, moderate, severe observed 135,200 (52%), 78,000 (30%), 46,800 (18%) patients, respectively. Conserva- tive management carried out 176,800 (68%) patients. Surgery required 83,200 (32%), 50% which had depressed skull fracture, simple or compound. Follow-up period varied 2 months years mean 11 months. Patient's assessed according Glasgow Outcome Scale (GOS). Good 174,200 (67%). (18%). In this study, 2654 ranging age 5 70 injuries. 1922 males (72%) 732 (28%) females. British Medical Research Council used motor power Of these, 780 (29%) complete cord injury. Surgical intervention performed 1800 rest managed conservatively. population 130 million one ten most densely populated world. Neurotrauma ac- knowledged as leading death affecting group its productive life. It only brings level physical mental health commu- nity down, especially among younger group, but also increased socioeconomic burden. Because epidemiolog- ical data are scarce, remedy preventable ailment unavailable. geographic variations incidence, mode trauma, prevention risk factors, mortality, economic losses still approximations. Edu- cational, social, prospects formulation good planning policies inappropriately understood awaiting vast survey.