Journal of Emergencies, Trauma, and Shock
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 Table of Contents    
Year : 2015  |  Volume : 8  |  Issue : 3  |  Page : 129-130
What's new in emergencies, trauma and shock? Traumatic Brain Injury Research in India: Getting shape, taking momentum

1 Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India
2 Department of Emergency Medicine, Winter Haven Hospital, University of Florida, Gainesville, Florida, USA

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Date of Submission29-Jun-2015
Date of Acceptance02-Jul-2015
Date of Web Publication13-Jul-2015

How to cite this article:
Agrawal A, Galwankar S. What's new in emergencies, trauma and shock? Traumatic Brain Injury Research in India: Getting shape, taking momentum. J Emerg Trauma Shock 2015;8:129-30

How to cite this URL:
Agrawal A, Galwankar S. What's new in emergencies, trauma and shock? Traumatic Brain Injury Research in India: Getting shape, taking momentum. J Emerg Trauma Shock [serial online] 2015 [cited 2020 May 31];8:129-30. Available from:

It is extremely encouraging that "trauma related injuries research" including "traumatic brain injury (TBI) research" has become a priority for researchers and has been recognized as a major public health problem by many with growing efforts to address TBI on priority basis. [1],[2],[3],[4] Good enough data have been published on TBI from different parts of the country (from urban as well as rural institutions) those address issues related to TBI demographics, prehospital care, management and outcome characteristics. [1],[2],[4],[5],[6]

A study by Shekhar et al. [7] is another significant contribution which further add to this growing body of literature from India and thus help to understand the spectrum and pattern of TBI patients care in India. The authors very well-recognized that road traffic injuries by motorized vehicle were the major cause of injury on city roads; TBI mainly affects young adults, although mild TBI is most common, but it was the severe TBI which was the main cause of mortality. [7] Other very important fact which have been pointed out was that private vehicles were the most common mode to transport patients, up to 40% cases general public/policeman provided first aid and they did not have any formal training to do so. [7] Many other studies from India document the demographic, clinical, management and outcome characteristics [1],[2],[3],[4],[5],[6],[8],[9],[10] and try to identify and explore the similar issues as the authors have raised in their work (i.e., TBI in India "requires appropriate attention from researchers and policymakers," "need to develop effective evidence - based interventions" with "better reporting and documentation of cases"). [7]

As Pal et al.[3] have raised issues in the context of emergency trauma care "no uniform acceptance of standardization as the norm" largely holds true for TBI care. In spite of the fact that these study address the common public health issue that is, "TBI;" it is apparent that in India still the approach to TBI research is confined to few institutes and individuals and largely remains fragmented. A cost-effective approach which used a well-designed proforma to collect data of "TBI Registry" has been described from India that can be managed with limited resources and under active development. [9],[10] It is the right time to make collaborative efforts from all interested research institutions and create a "TBI Registry" to address the growing burden of traumatic brain injuries.

   References Top

Agrawal A, Galwankar S, Kapil V, Coronado V, Basavaraju SV, McGuire LC, et al. Epidemiology and clinical characteristics of traumatic brain injuries in a rural setting in Maharashtra, India 2007-2009. Int J Crit Illn Inj Sci 2012;2:167-71.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
Dhandapani S, Manju D, Sharma B, Mahapatra A. Prognostic significance of age in traumatic brain injury. J Neurosci Rural Pract 2012;3: 131-5.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
Pal R, Agarwal A, Galwankar S, Swaroop M, Stawicki SP, Rajaram L, et al. The 2014 Academic College of Emergency Experts in India's INDO-US Joint Working Group (JWG) white paper on "developing trauma sciences and injury care in India". Int J Crit Illn Inj Sci 2014;4:114-30.  Back to cited text no. 3
[PUBMED]  Medknow Journal  
Singh A, Meena R, Sharma V, Kumar N, Meena L. To evaluate the incidence, nature of injury and clinical outcomes of head injuries in north eastern part of India. Int J Med Sci Public Health 2013;2:285.  Back to cited text no. 4
Agrawal A, Coronado VG, Bell JM, Baisakhiya N, Kakani A, Galwankar S, et al. Characteristics of patients who died from traumatic brain injury in two rural hospital emergency departments in Maharashtra, India, 2007-2009. Int J Crit Illn Inj Sci 2014;4:293-7.  Back to cited text no. 5
[PUBMED]  Medknow Journal  
Munivenkatappa A, Shukla DP, Devi BI, Kumarsamy AD, Bhat DI, Somanna S. Domestic animal-related neuro-trauma: An account, from a tertiary institute. J Neurosci Rural Pract 2013;4:19-23.  Back to cited text no. 6
[PUBMED]  Medknow Journal  
Shekhar C, Gupta LN, Premsagar IC, Sinha M, Kishore J. An epidemiological study of traumatic brain injury cases from India. J Emerg Trauma Shock 2015;8:131-9.  Back to cited text no. 7
  Medknow Journal  
Agrawal A, Kakani A, Baisakhiya N, Galwankar S, Dwivedi S, Pal R. Developing traumatic brain injury data bank: Prospective study to understand the pattern of documentation and presentation. Indian J Neurotrauma 2012;9:87-92.  Back to cited text no. 8
Agrawal A, Prasad MV, Kumar SS, Subrahmanyan B, Harisha P, Malleswara Rao G. Developing a traumatic brain injury registry: Lessons learned from difficulties. Rom Neurosurg 2014;21:309-14.  Back to cited text no. 9
Prasad MV, Agrawal A, Kumar SS, Subrahmanyan B. Converting a paper proforma template to a user friendly electronic database to collect traumatic brain injury data. Rom Neurosurg 2014;21:435-45.  Back to cited text no. 10

Correspondence Address:
Amit Agrawal
Department of Neurosurgery, Narayana Medical College and Hospital, Nellore, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.160694

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