Overview of neurosurgery at JPNATC, AIIMS, Delhi

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All India Institute of Medical Sciences

Health & Medicine

AN OVERVIEW Deepak Agrawal Department of Neurosurgery, JPN Apex Trauma Centre, AIIMS NEUROSURGERY, JPNATC

Background ,[object Object],[object Object]

Infrastructure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infrastructure ,[object Object],[object Object]

Neurosurgery (JPNATC)- staffing 0 0 0 JR 13 1 14 SR 5 0 5 N Anesth FACULTY 1 4 5 NS FACULTY VACANT FILLED TOTAL POST

Neurosurgery (JPNATC)- staffing ,[object Object],[object Object],[object Object],[object Object]

CLINICAL LOAD 2405 Total (since 2006) 182 Dec.08 166 Nov.08 138 Oct.08 151 Sep.08 176 Aug.08 150 Jul.08 162 Jun-08 172 Mav-08 153 Apr. 08 192 Mar.08 135 Feb-08 139 Jan-08 117 Dec.07 67 Nov.-07 Admission in Neurosurgery Month/ Yr

TYPES OF SURGERIES ,[object Object],[object Object]

TYPES OF SURGERIES ,[object Object],[object Object],[object Object],[object Object],[object Object]

OPERATIONS 1369 Total (SINCE 2006) 116 Dee.O8 108 Nov.08 109 Oct.08 115 Sep.08 106 Aug.08 110 Jul.08 92 Jun-08 117 May-08 107 Apr. 08 107 Mar.08 89 Feb-08 71 Jan-08 70 Dee.07 24 Nov.-07 TOTAL Month/ Year

OPD 3824 TOTAL 333 Dec.08 270 Nov.08 284 Oct.08 353 Sep.08 405 Aug.08 421 Jul.08 352 Jun-08 382 May-08 210 Apr. 08 176 Mar.08 211 Feb-08 235 Jan-08 95 Dec.07 41 Nov-07 TOTAL Month/ year

AUDIT ,[object Object],[object Object],[object Object]

MATERIAL AND METHODS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MATERIAL AND METHODS ,[object Object],[object Object],[object Object]

MATERIAL AND METHODS ,[object Object],[object Object]

OBSERVATIONS DEMOGRAPHICS AGE 1-80 yr SEX MALE 907(70.5%) FEMALE 379 (29.5%)

[object Object],[object Object],[object Object],[object Object]

OBSERVATIONS Mode of injury No.(%) ASSAULT 385(30%) RTA 887 (69%) SUICIDAL 12 (1%)

OUTCOME GROUP NO. OF MORTALITY TOTAL CASES % Overall 296 1286 23 Minor HI 11 340 3 Moderate HI 36 238 15 Severe HI 249 708 35 Compound HI 62 242 25 Closed HI 292 1272 22 Penetrating HI 4 14 29

OUTCOME ,[object Object],DURATION (since arrival) NO. OF MORTALITY TOTAL CASES % < 48 hrs. 102 296 34 48 hrs - 1 wk. 140 296 47 > 1 wk. 54 296 19

OUTCOME GROUP NO. OF MORTALITY TOTAL CASES % Children (> 10 yrs) 67 248 27 Adult ( 20-50 yrs) 158 761 20 Elderly ( 50-80 yrs) 71 277 25 Male 204 907 30 Female 92 379 24

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