ArticleAsian journal of neurosurgery2012
The economic divide in outcome following severe head injury.
Article in Asian journal of neurosurgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Health outcomes and health-seeking behaviour following traumatic brain injury among older people: a prospective cohort study in Bangladesh.Frontiers in aging · 2025Article
- Head injury care in a low- and middle-income country tertiary trauma center: epidemiology, systemic lacunae, and possible leads.Acta neurochirurgica · 2021Review
- Differential independent impact of the intraoperative use of navigation and angled endoscopes on the surgical outcome of endonasal endoscopy for pituitary tumors: a prospective study.Neurosurgical review · 2021Article
- Analysis of Clinical Characteristics and Prognosis of Traumatic Brain Injury in Papua New Guinea.Computational and mathematical methods in medicine · 2021Article
- Burnout and Resilience among Frontline Nurses during COVID-19 Pandemic: A Cross-sectional Study in the Emergency Department of a Tertiary Care Center, North India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Cognitive, Behavioral, and Functional Impairments among Traumatic Brain Injury Survivors: Impact on Caregiver Burden.Journal of neurosciences in rural practice · 2020Article
- Traumatic brain injury (TBI) outcomes in an LMIC tertiary care centre and performance of trauma scores.BMC anesthesiology · 2018Observational
- Comparative evaluation of H&H and WFNS grading scales with modified H&H (sans systemic disease): A study on 1000 patients with subarachnoid hemorrhage.Neurosurgical review · 2018Article
- Trends in cognitive dysfunction following surgery for intracranial tumors.Surgical neurology international · 2016Article
- Serum lipid profile spectrum and delayed cerebral ischemia following subarachnoid hemorrhage: Is there a relation?Surgical neurology international · 2015Article
- Study of factors determining caregiver burden among primary caregivers of patients with intracranial tumors.Surgical neurology international · 2015Article
- Marker-CT assisted surgery using household key ring: A simple substitute to frameless stereotaxy for developing countries.Surgical neurology international · 2014Article
- Role of whole-brain computed tomography perfusion in head injury patients to predict outcome.The Indian journal of radiology & imagingArticle
- Economic and outcome following severe head injury.Asian journal of neurosurgeryArticle
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSocioeconomic status is an important determinant of the standard of living and health status of people.
objectivesTo assess the influence of economic status on the outcome following severe head injury. MATERIALS AND
methodsAdult patients of severe head injury, whose guardians' volunteered information on family income, were enrolled for the study. The family per capita income was then calculated. They were studied prospectively in relation to various factors and followed-up.
resultsAmong 99 patients, monthly per capita income of Rs. <500, 500-1000, 1000-2000, and >2000 were noted in 20, 43, 22, and 14 patients, respectively. The credibility of information on income was confirmed by positive correlation with patients' mid arm circumference measurements (P<0.001). They were divided into two groups (family monthly per capita income ≤Rs.1000 and >Rs.1000). The comparability of both groups based on age, Glasgow Coma Scale, systemic injury, and surgical intervention was confirmed (P>0.05). Mortality at one month was 49% among patients whose monthly per capita income ≤Rs.1000 compared with 17% of the rest (Odds ratio [OR] 4.0, P=0.003). Unfavorable outcome at three months was noted in 63% of patients whose monthly per capita income ≤Rs.1000, as compared with 35% of those with per capita income >Rs.1000 (OR 4.1, P=0.01). In multivariate analysis, family monthly per capita income ≤Rs.1000 emerged as an independent risk factor for unfavorable outcome at three months (P=0.02).
conclusionIn patients of severe head injury, lower economic status is significantly associated with unfavorable outcome at three months, independent of other factors.
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