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Malik Liaqat Ali Jalal¹, Atta ur Rehman¹, Muhammad Shaukat Farooq¹, Iqbal Ahmed² and Wajahat Hussain¹

ABSTRACT

Objective: To assess the outcome and associated factors of surgically managed depressed skull fractures in patients.

Study Design: Cross sectional analytical study

Place and Duration of Study: This study was conducted at the department of neurosurgery, DG khan Medical College, Dera Ghazi Khan from January 2020 to December 2020.

Materials and Methods: The calculated sample size for study at 95% level of confidence, 5% margin of error and 17%⁷ anticipated population proportion was 215. All the clinically and radiologically diagnosed patients of depressed skull fracture (DSF) in age group of 15-65 years operated for elevation were included by non-probability consecutive sampling. Data was collected by using predesigned questionnaire. SPSS version 22.0, was used to enter and analyze the data. Chi-square test was used to determine whether there is statistically significant difference between the groups and p value less than 0.05 was considered as significant.

Results: A total of 215 patients of depressed skull fracture which underwent surgical elevation of bone were included the study. The mean age of the patients was 28±10.6 years. Highest proportion of patients i.e. 57 (26.5%) with depressed skull fracture was in the age group of 10-20 years. The most frequent cause of depressed skull fracture among patients was road traffic accident 143(66.5%) followed by assault 45 (20.9%). The cause of depressed skull fracture and GCS at admission time was found to be associated significantly with outcome among patients with depressed skull fracture (p<0.001).

Conclusion: Road traffic accident is the most common cause and outcome among patients with depressed skull fracture was significantly associated with causes and GCS at the time of admission.

Key Words: Outcome, Skull fracture, Assault

Citation of article: Jalal MLA, Atta ur Rehman, Farooq MS, Ahmed I, Hussain W. Outcome of Depressed