Head injury is the most common cause of death following road traffic accidents globally. ^[1,2] Annually, 150‑200 people per million are disabled because of head injury. People under the age of 18 and 45 are most commonly affected. ^[3,4] In 2015, there were about five lakh road accidents in India, which killed about 1.5 lakh people and injured about five lakh people. ^[5] In 2020, 132 thousand deaths occurred due to road traffic accident. ^[6] About three to five percent of the GDP was invested in road accidents each year. India roughly accounts for just about one percent of the global vehicle population. However, it accounted for about six percent of the total global road accidents in 2020. ^[6] Majority of accidents (78.4%) are caused due to driver’s fault. This includes over speeding, driving under the influence of alcohol or drugs, and hit and run cases. Other causes of road accidents include fault of others (7.1%) such as fault of cyclists, pedestrians or drivers of other vehicles.  Fewer accidents are caused due to neglect of civic bodies (2.8%), defect in motor vehicle (2.3%), and poor weather conditions (1.7%). ^[6]

However, resources have not been diverted adequately by governments towards prevention,

management and rehabilitation of head injuries in developing countries such as India. ^[7] In this study we attempt to assess the burden and outcome of head injury at level II trauma care centre in Maharashtra.