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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Impact of Early Versus Late Surgical Intervention on Recovery Outcomes in Patients with Traumatic Brain Injury: A Prospective Cohort Study

Mohammad Sikandar
Page: 1149-1153 | Received 26 Apr 2023, Published online: 30 Jul 2023

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Abstract

Traumatic brain injury (TBI) is a critical public health concern worldwide. The timing of surgical intervention post‐TBI may significantly influence recovery outcomes. This prospective cohort study examines the impact of early versus late surgical intervention on mortality rate, neurological function, and hospital stay duration in TBI patients. A total of 100 patients with TBI, admitted to a tertiary care center, were enrolled and divided into two groups based on the timing of their surgical intervention: early intervention (within 3 hours of injury, n=50) and late intervention (3 to 8 hours post‐injury, n=50). The primary outcomes assessed included mortality rate, neurological function (evaluated using the Glasgow Outcome Scale [GOS]), and duration of hospital stay. The groups were comparable in terms of demographics and baseline TBI severity. The early intervention group showed a significantly lower mortality rate (10% vs. 22%, p<0.05), higher proportion of patients with good recovery (GOS scores 4‐5; 56% vs. 38%, p<0.05), and shorter average hospital stay (12.3 days vs. 17.8 days, p<0.01) compared to the late intervention group. Early surgical intervention within 3 hours of TBI is associated with better recovery outcomes, including lower mortality, improved neurological function, and shorter hospitalization duration. These findings underscore the importance of timely surgical management in the treatment of TBI.


How to cite this article:

Mohammad Sikandar. Impact of Early Versus Late Surgical Intervention on Recovery Outcomes in Patients with Traumatic Brain Injury: A Prospective Cohort Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.7.1149.1153
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.7.1149.1153