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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2020; 17(02): 079-084
DOI: 10.1055/s-0040-1713555
Review Article

Critical Appraisal of Traumatic Brain Injury and Its Management

Subhas Konar
1   Department of Neurosurgery, National Institute of Mental Health and Neuro-Sciences, Bengaluru, Karnataka, India
,
Orlin Pavlov
2   Department of Neurosurgery, Fulda Clinic, Fulda, Germany
,
Yeider Durango-Espinosa
3   Department of Neurosurgery, Center for Biomedical Research (CIB), Faculty of Medicine, University of Cartagena, Cartagena, Colombia
,
Ezequiel Garcia-Ballestas
3   Department of Neurosurgery, Center for Biomedical Research (CIB), Faculty of Medicine, University of Cartagena, Cartagena, Colombia
,
Andrei Fernandes Joaquim
4   Division of Neurosurgery, Department of Neurology, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil
,
Amrita Ghosh
5   Department of Biochemistry, Medical College, Kolkata, West Bengal, India
,
Ranabir Pal
6   Department of Community Medicine, Mata Gujri Memorial Medical College & Lion Seva Kendra Hospital, Kishanganj, Bihar, India
,
Luis Rafael Moscote-Salazar
3   Department of Neurosurgery, Center for Biomedical Research (CIB), Faculty of Medicine, University of Cartagena, Cartagena, Colombia
7   Department of Neurosurgery, Paracelus Medical University, Salzburg, Austria
,
Amit Agrawal
8   Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
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Abstract

Critical appraisal of traumatic brain injury (TBI) management has always been marred with a conflict of differential approaches, with claims and counterclaims of outcomes among the research groups. We performed this study to review the management of TBI from risk factors to outcomes including the comorbidities and final clinical status. In conjunction with the aforesaid stabilization of TBI cases, prophylactic and definitive surgical approaches and other supporting interventions will ultimately decide the final outcomes in the long run. Improvements in the quality of care for patients with severe TBI, with the reduction in mortality, have been demonstrated in high-income areas due to improvements in the health care system and not just in one isolated intervention. In the management of TBI, a fast and high index of suspicion is the key to success, from the initial assessment to the final rehabilitation of the cases, from the victim of risk factors to the victims of situation. The research groups feel that TBI prophylactic measures and primary care mitigation models are as important as definitive care, starting from prehospital care to dedicated care.

Keywords

trauma - traumatic brain injury - neurotrauma


Publication History

Article published online:
23 September 2020

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