[THE ANALYSIS OF MORTALITY CAUSES IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY IN ALMATY].

ABSTRACT

The purpose of this study was to analyze the cases of traumatic brain injuries in hospitals of Almaty and the factors that cause traumatic brain injury with fatal outcome. The material for the study were clinical cases of patients with traumatic brain injury (TBI) and deaths according to Almaty for 2012-2015, the total number of patients - 217, of which, in 2012 - 56, in 2013 - 48, in 2014 - 51, 2015 - 62. The criterion for inclusion in the study was the presence of an isolated TBI. As a result of the study, it was found that the most common age group among the deceased patients is the able-bodied part of the population, in 2012-13 among the younger population 50% died, 2014-15 - 38.7%. It was also revealed that among the male half of the population, cases of TBI were 4 times more likely to be fatal than among women (79.3% to 20.7%). The main causes of TBI are a fall from a height - 33.2%, violent head injuries - 25.8% and an accident - 24.0%. Cases of brain contusions for the period of 2012-2015 accounted for an average of 40.6%, in 2013 and 2014 50% and 49%; patients with severe brain contusion without compression of the brain and diffuse axonal traumatic brain damage 30.6% respectively. Thus, the results of the study make it necessary to conduct high-quality epidemiological studies with the participation of related specialists in the field of neurorehuscitation, traumatology, surgery and rehabilitation, which will provide full treatment and a satisfactory outcome.