SURVIVAL OUTCOME FOLLOWING DECOMPRESSIVE CRANIECTOMY IN TRAUMATIC BRAIN INJURY.

Traumatic brain injury is the leading cause of death and disability worldwide. Secondary brain damage has severe impact on the survival outcome. DecompressiveCraniectomy helps in better survival outcome in traumatic brain injury. Aim:-To study the survival outcome following decompressivecraniectomy for traumatic brain injury in different age groups and in Mild, Moderate & severe head injury. Methods:-Analytical study involving 80 patients falling under inclusion criteria with Traumatic Brain Injury admitted in trauma ward in Coimbatore medical college hospital during August 2014 to July 2015. Results:-All patients with Traumatic brain injury falling under inclusion criteria underwent Decompressivecraniectomy. The outcome was good in patients below 50 years. Lesser the age better the outcome. Survival outcome as a whole was best in Mild TBI ( 100% ), better in patients with Moderate TBI ( 56% ) and worst in patients with Severe TBI ( 11%). In total, survival outcome was 36.25%, Mortality was 63.75% in our study which includes patients from GCS 4 to 14. conclusion:-Decompressivecraniectomy in traumatic brain injury should be performed to prevent secondary brain damage with outcome improvement in specific Traumatic Brain Injury case groups.