الفهرس 
Introduction and Aim of the workOnly 14 pages are availabe for public view
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Abstract
The aim of this study was to investigate the incidence of morbidity and mortality in patients with closed traumatic brain injury admitted to intensive care unit and to examine the predictors of outcome including age , gender , admission systolic blood pressure < 90 mmHg , GCS score ,APACHE II score ,lateralization of pupil , brain CT findings ,serum sodium &potassium ,mechanical ventilation and length of stay in ICU.
In conclusion, our study suggests that traumatic brain injury (TBI) is a major health problem causing mortality and disability , especially patients suffering from severe TBI who are at increased risk for death and worth outcome.
This study paves the ways for concerned authority to establish the prehospital care and availability of many facilities in our medical centers for reducing the incidence of TBI.
The age of patients ,clinical data on admission as systolic blood pressure <90 mmHg ,GCS score, APACHE II score , CT scanning and duration of mechanical ventilation are significant predictors of outcome in patients with TBI .
According to the results of this study, we can suggest that:
-We strongly recommend the foundation of local trauma protocols that includes the prehospital training and early safe transfer.
-We also recommend further studies to be done in the field of head trauma trying to focus on predictors of outcome and the risk factors for occurrence of complications and the correlation between morbidity.
-We recommend the following studies to be done on a larger number of patients over a longer duration and in multiple trauma centers. We also recommend the use of the acute physiology and chronic health evaluation (APACHE II) score and the injury severity score as a predictors of occurrence of morbidity and mortality in adult trauma patients in the intensive care unit (ICU).
- We recommend that patients who died on arrival to emergency department enrolled in the study to give accuracy to results about incidence of severe TBI .
As well as , for the best management and outcome in the case of patients with severe TBI, prediction factors should be assessed in combination .
- CT scan findings should be used together with the clinical findings (i.e. GCS, pupillary findings) when expecting patients with severe TBI and CT scans should be repeated in patients who are intubated and are worsening clinically
- We recommend using of Glasgow outcome score as a follow up at 3rd and 6th month from discharge from ICU to asses the long term survival of the patients.