Lakhasly

Of the total of 1,233 patients of TBI treated in the Department of Neurosurgery over a period of 18 months (May 2018-Oct 2019), 560 were included in the present study.In- hospital deaths were reduced after the initiation of early physiotherapy and rehabilitation program that increased the number of discharged patients (38%; 288/759) in 2019 versus 24% (115/474 in 2018).Patients treated during the period of May 2018 to December 2018 did not receive physiotherapy, those treated from January 2019 until October 2019 were given physiotherapy and rehabilitation, At 3-month follow-up, GOS was 5 (63.7%; 174/ 273) in 2019 compared with (41.3%; 41/ 98) patients in 2018.The probable reasons could be far-off places (interior places), financial constrictions, illiteracy, and ignorance.All patients were advised regular follow-up.

Of the total of 1,233 patients of TBI treated in the Department of Neurosurgery over a period of 18 months (May 2018–Oct 2019), 560 were included in the present study. Patients treated during the period of May 2018 to December 2018 did not receive physiotherapy, those treated from January 2019 until October 2019 were given physiotherapy and rehabilitation,
At 3-month follow-up, GOS was 5 (63.7%; 174/ 273) in 2019 compared with (41.3%; 41/ 98) patients in 2018. In- hospital deaths were reduced after the initiation of early physiotherapy and rehabilitation program that increased the number of discharged patients (38%; 288/759) in 2019 versus 24% (115/474 in 2018). Post-discharge deaths were also lower in the treatment and education group (5.9%; 17/288) in 2019 compared with 14.8% (17/115) in 2018 (►Table 1).
Out of 1,233 patients, 78 died at the hospital, 1,155 were followed up, 76 were lost to follow-up and subsequently, 17 people died during subsequent follow-up. The majority of the patients came for follow-up at 1 month.
All patients were advised regular follow-up. A few were lost to follow-up (76). The probable reasons could be far-off places (interior places), financial constrictions, illiteracy, and ignorance.
Some of such patients when contacted over the telephone were informed that the patient was getting local treatment. From such patients, we could get data over the telephone.
For all these patients, only physiotherapy was suggested, none of them received occupational therapy. Those with minor cognitive deficits were advised to continue with pharmacological therapy.