Abstract
Context: The Govt. of India has established Level II trauma care centers across the country to improve the outcome of patients suffering injuries due to trauma. Aims: To compare the outcome of head injury patients before and after the establishment of one such center. Objectives: To study the significance of a well planned neurosurgical centre in improving patient outcomes. To compare the clinical profile and surgical outcomes of head injury patients between an age old Govt hospital setup and a new trauma care centre in the Govt sector. Settings and Design: In the Govt. General Hospital (GGH), Guntur, we prospectively compared the outcomes of head injury patients. Materials and Methods: One hundred patients admitted prior to the inauguration of the new trauma care center were classified under Group 1 and 100 consecutive patients admitted after the establishment were classified under Group 2. Statistical Analysis Used: Comparison of means and percentages. Results: Clinicodemographic features at admission of patients in both the groups were similar. Ninety percent of patients in Group 2 were discharged in contrast to 68% of patients from Group 1. Conclusions: A better designed trauma care center showed dramatic improvement in the outcome in head injury patients.
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