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A case evaluation of traumatic brain injury in Wahidin Sudirohusodo Hospital, Makassar during January 2016 - December 2017

  • Linda Samma ,
  • Djoko Widodo ,


Introduction: Traumatic Brain Injury is a case that is often encountered in emergency care installation and is one of the leading causes of death in the productive age range. Globally, the Traumatic Brain Injury incident increased sharply, mainly due to the increase in motorized vehicle use. In 2020,  the WHO estimated that traffic accidents would be the third-largest cause of disease and trauma in the world. In Indonesia, at Cipto Mangunkusumo Hospital Jakarta shows that the mortality rate is high in patients with severe head injuries with a percentage of 35% -50%. This figure is higher than the international literature standard. This study aims to describe the traumatic brain injury case in Wahidin Sudirohusodo Hospital from January 2016 - December 2017.

Methods: This descriptive study report the evaluation of cases of traumatic brain injury patients at Wahidin Sudirohusodo Hospital Makassar, from January 2016 - December 2017. The population and sample are 1217 patients (total sampling).

Result: From  1217 samples, most are men (70%), and 30% are women, with age 11-20 years are the most (30%). The most common causes of traumatic brain injury are caused by traffic accidents (89%). The largest group of patients (50%) had a mild head injury (GCS 14-15). From a Head CT scan, the most lesion was epidural hemorrhage (EDH) (26-34%) followed by intracerebral hemorrhage (ICH) (23-28%). About 36% patients were treated by operations and the rest were conservative. Based on the outcomes, about 77% were discharged from a hospital in life and 23% died.  

Conclusion: The highest mortality was in severe head injury, about 87% was died (161 of 186 patients with a severe head injury). From the Head CT Scan, about 95% (19 of 20 patients) with IVH lesions were died and followed by ICH lesions as 39% (122 died from 309 patients). Based on the therapy given both surgery and conservative, patients who were discharged from the hospital in life at 77-79% and died 21-23%.


  1. Dwina P. Relationship of Severity of Head Injury with Head Pain After Head Injury in Dr. RSUP Sardjito in 2012. Thesis. Medical School. Gajah Mada University. 2014
  2. Miranda E, Irene M, Maximillian CO, Hilman L. Overview of Head CT Scan in patients with mild head injury at BLU RSUP Prof. Dr. R. D. Kandau Menado for the period 2012 - 2013. Journal of e-CliniC (eCl). 2014;2(2):14-18.
  3. Moch IE, Masruroh R, Fachriy B. Relationship of Response Time Trepanation of Epidural Hematoma in Severe Head Trauma with Outcome. Malang Neurology Journal. 2016;2(1):18-24.
  4. Wilfred C Mezue, Chika A Nububisi, Mark C Chikani, David S Achebe, and Samuel C Ohaegbulam. Traumatic Extradural Hematoma in Enugu, Nigeria. Nigerian journal of Surgeri. 2012 Jul-Dec; 18 (2): 80–84.
  5. Neuro Trauma Team. Guideline in management of traumatic brain injury. 2nd edition. RSUD Soetomo. Medical Faculty of Airlangga University. 2014.
  6. Jufri F. Evaluation of Epidural Hematom Cases in Wahidin Sudirohusodo Hospital Makassar period January 2006 - December 2010. Paper III (Case Evaluation). Department of Surgery, Faculty of Medicine; Hasanuddin University. 2012.
  7. Wirza F, Dede E. Mortality of Patients with Severe Head Injuries treated in the Intensive Care Unit of Haji Adam Malik General Hospital Medan Period July 2012 - June 2013. Faculty of Medicine, University of North Sumatra. 2016.
  8. Gofar A. Understanding of Early Indicators in Determining the Prognosis of Heavy Head Injuries. Article. University of North Sumatra. 2008.
  9. Teasdale G, Jennet B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;304:81–84.
  10. Chesnut RM, Klauber MR, Blunt BA, Baldwin N, Eisenberg HM, Jane JA. The role of secondary brain injury in determining outcome from severe head injury. J Trauma. 1993;34(2):216-22.
  11. Menley G, Knudson MM, Morabito D, Damron S, Erickson V, Pitts L. Hypotension, hypoxia, and head injury: frequency, duration, and consequences. Arch Surg. 2001;136(1):1118:23.
  12. Vella MA, Crandall ML, Patel MB. Acute management of traumatic brain injury. Surg Clin North Am. 2017;97(5):1015-1030.

How to Cite

Samma, L., & Widodo, D. (2019). A case evaluation of traumatic brain injury in Wahidin Sudirohusodo Hospital, Makassar during January 2016 - December 2017. Bali Medical Journal, 8(3), S542-S546.




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