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      Teleneurosurgery: Outcome of Mild Head Injury Patients Managed in Non-Neurosurgical Centre in the State of Johor

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          Abstract

          Background

          With teleneurosurgery, more patients with head injury are managed in the primary hospital under the care of general surgical unit. Growing concerns regarding the safety and outcome of these patients are valid and need to be addressed.

          Method

          This study is to evaluate the outcome of patients with mild head injury which were managed in non-neurosurgical centres with the help of teleneurosurgery. The study recruits samples from five primary hospitals utilising teleneurosurgery for neurosurgical consultations in managing mild head injury cases in Johor state. Two main outcomes were noted; favourable and unfavourable, with a follow up review of the Glasgow Outcome Scale (GOS) at 3 and 6 months.

          Results

          Total of 359 samples were recruited with a total of 11 (3.06%) patients have an unfavourable. no significant difference in GOS at 3 and 6 months for patient in the unfavourable group ( P = 0.368).

          Conclusion

          In this study we have found no significant factors affecting the outcome of mild head injury patients managed in non-neurosurgical centres in Johor state using the help of teleneurosurgery.

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          Most cited references17

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          Prognosis for mild traumatic brain injury: results of the who collaborating centre task force on mild traumatic brain injury

          Linda J Carroll, J David Cassidy, Paul Peloso … (2004)
          Article 0 comments Cited 186 times – based on 0 reviews     Review now
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            The Canadian CT Head Rule for patients with minor head injury

            Ian G Stiell, George A Wells, Katherine Vandemheen … (2001)
            Article 0 comments Cited 168 times – based on 0 reviews     Review now
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              Mild head injury classification.

              Marc H Levin, Joseph D. Williams, H. Eisenberg (1990)
              Inconsistencies across studies concerning outcome after mild head injury may reflect differences in the diagnostic criteria used for selection of patients. Consequently, we compared the neurobehavioral outcome in three groups of consecutively hospitalized patients (aged 16 to 50 years) who sustained a closed head injury (CHI) and had a Glasgow Coma Scale (GCS) score in the 9 to 15 range. These groups included patients with uncomplicated CHI with mild impairment of consciousness as reflected by a GCS score in the 13 to 15 range (n = 78), patients with initially mild impairment of consciousness complicated by brain lesion or depressed skull fracture (n = 77), and patients with moderate CHI (n = 60). Tests of memory, information processing, and verbal fluency were administered within 1 to 3 months after injury, and the Glasgow Outcome Scale was completed at 6 months. Neurobehavioral functioning was impaired in the groups with complicated mild CHI and moderate CHI as compared to the group with uncomplicated mild CHI. Although moderate CHI produced longer durations of impaired consciousness and posttraumatic amnesia than complicated mild head injury, patients in these groups did not differ in neurobehavioral performance. Global outcome at 6 months was better in the patients with mild CHI than in patients with complicated mild and moderate injuries. Analysis of the various complications of mild CHI revealed that the presence of an intracranial lesion was related to more severe neurobehavioral sequelae than injuries complicated by a depressed fracture.
              Article 0 comments Cited 105 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Malays J Med Sci
                Journal ID (iso-abbrev): Malays J Med Sci
                Journal ID (publisher-id): Malaysian Journal of Medical Sciences
                Title: The Malaysian Journal of Medical Sciences : MJMS
                Publisher: Penerbit Universiti Sains Malaysia
                ISSN (Print): 1394-195X
                ISSN (Electronic): 2180-4303
                Publication date (Print): March 2018
                Publication date (Electronic): 27 April 2018
                Volume: 25
                Issue: 2
                Pages: 95-104
                Affiliations
                [1 ]Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
                [2 ]Center for Neuroscience Services and Research, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
                [3 ]Department of Neurosurgery, Hospital Sultanah Aminah Johor Bahru, 80100 JohorBharu, Malaysia
                [4 ]Department of Neurosurgery, Hospital Kuala Lumpur, 50586, Wilayah Persekutuan Kuala Lumpur, Malaysia
                Author notes
                Correspondence: Dr Mohd Syahiran bin Mohd Sidek, MBBS (IIUM), Department of Neurosurgery, Hospital Sultanah Aminah Johor Bahru, 80100 Johor Bahru, Malaysia. Tel: +6019 5515512, Fax: +607 2247 913, E-mail: syuji_83@ 123456yahoo.co.uk
                Article
                Publisher ID: 10mjms25022018_oa7
                DOI: 10.21315/mjms2018.25.2.10
                PMC ID: 6422582
                SO-VID: 1de396de-4e07-45b0-8972-55441b444a93
                Copyright © © Penerbit Universiti Sains Malaysia, 2018
                License:

                This work is licensed under the terms of the Creative Commons Attribution (CC BY) ( http://creativecommons.org/licenses/by/4.0/).

                History
                Date received : 09 June 2017
                Date accepted : 22 February 2018
                Categories
                Subject: Original Article

                Keywords: neurosurgical unit,general surgical unit,delay transfer,mild head injury
                Data availability:
                Keywords: neurosurgical unit, general surgical unit, delay transfer, mild head injury

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