Abstract

Aim: To analyze the neurological outcomes based on Glasgow outcome scale in patients presented with traumatic subarachnoid hemorrhage.

Study Design: Prospective study

Place & Duration of Study: Department of Neurosurgery Unit-1, Sandeman Provincial Teaching Hospital Quetta from 1st January 2018 to 31st December 2019.

Methodology: One hundred and forty five patients of both genders presented with traumatic subarachnoid hemorrhage were included in this study. Patient’s ages were ranging from 15 to 70 years. Patient’s detailed medical history was examined. Glasgow coma scales were recorded at the time of admission and Glasgow outcome scale were recorded at the time of discharge.

Results: There were 109 (75.17%) male patients while 36 (24.83%) were females. Forty one (28.28%) patients were ages between 15 to 30 years, 60 (41.38%) patients were ages 31 to 45 years, 30 (20.69%) patients had ages 46 to 60 years and 14 (9.66%) patients had ages above 60 years. The most common etiology was road traffic accidents found in 88 (60.69%) patients. 98 (67.59%) patients had severe injury according to Glasgow coma scale at the time of admission. 88 (55.17%) patients had unfavorable traumatic subarachnoid hemorrhage at the time of discharge according to the Glasgow outcome scale.

Conclusion: The rate of favorable traumatic subarachnoid hemorrhage is less than the developed countries because of less medical facilities, late arrival of hospital and severe injuries due to road traffic accidents.

Keywords: Traumatic subarachnoid hemorrhage, Outcome, Glasgow coma scale, Glasgow outcome scale