ABSTRACT

Back ground: To assess the conservative versus surgical treatment in head injuries by using GCS scale to increase the rate of quality of life of people in both conservative and surgical treatment Aim: Assessment of conservative versus surgical treatment. Method: A prospective observational study was done in neurosurgery department of tertiary care hospitals. All the subjects who met with a head injury was included in the study, All the patients were divided into 2 groups based on their severity of the condition, among them some of them were treated with conservative management and some of them treated with surgical treatment, GCS score were assessed and treatments can be compared. Results: Patients with age groups (13-70) were calculated and the various type of injuries were recorded, severity of the conditions of the patient’s mild (33.2%), moderate (38.8%), severe (28%) were observed based upon the GSC Scale. Conclusion: Modern researchers may not have significantly improved the assessment of both conservative vs surgical treatment in head injuries ,there is a lack of convincing evidence for approaching the exact therapy, so here in this study there is a perfect evidence for the therapy by assessing the severity of the condition by using GCS scale and there is a significant difference between the type of injury and age related to the type of treatment with (p=0.002108239) and (p=0.002634942) respectively. Majority of the injuries observed were RTA (36%) and falls (18.4%). In case of conservative treatment there is a chances for reducing secondary brain insult, most of the cases observed were preferred conservative treatment and the patients with score <8 were preferred surgical treatment (decompressive craniectomy). In severe conditions in any type of TBI. Keywords: Conservative, Road Traffic Accidents (RTA), Surgical treatment, Traumatic brain injury (TBI)
Publication date: 01/03/2022

https://ijbpas.com/pdf/2022/March/MS_IJBPAS_2022_5966.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.3.5966