Abstract

The aim of this study was to describe a large series of adult patients, ranging in age from 25-54 years, with moderate to severe head injuries. A retrospective study was performed, medical records were reviewed, and results were analysed with a bivariate and multivariate statistical study. One hundred forty patients were recruited from Tikrit teaching hospital for the purpose of finding out the outcome of moderate and severe head injury, and the average age ranged from 25-54 years. In this work, all cases of moderate and severe head injuries were studied, in Iraqi patients who were treated at Tikrit teaching hospital between December 2019 and December 2020, without any exclusion criteria. The results which found According to the Glasgow Coma Scale, there is a close association between a low GCS score and poor prognosis, both neurologically and psychologically. The mortality rate for patients with a score of 3–5 is three times higher than that of patients with a score of 6–8 and worsens as the motor response transitions from normal to flaccid. In this study, the coma duration was relied upon as a measure of the severity of the trauma, assuming that, in general, the longer the coma lasts, the worse the patient’s prognosis. The patients of this study were divided into two groups, moderate injuries, which included patients with traumatic brain injuries who presented a score between 9 and 12 points on the Glasgow scale. Have impaired consciousness or memory loss lasting more than 5 minutes, progressive headache, post-traumatic seizures, or multiple traumas. The second group was a severe head injury which included patients presenting with a score less than or equal to 8 points on the Glasgow Scale, a decrease in the Glasgow score of 2 points, and we concluded in this study that decreased level of consciousness and metabolic disturbances, and we conclude that age has an effective factor, as the physiological response of the brain to trauma varies with age, so that it seems that the brain of the elderly is more vulnerable to the effects

Keywords

Moderate, severe, head, injury, trauma, Glasgow Scale