الفهرس 
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Abstract
Traumatic brain injury (TBI) is a critical public health and socio-economic problem throughout the world, making epidemiological monitoring of incidence, prevalence and outcome of TBI necessary. In addition, TBI in elderly patients is a neglected global disease burden. The main cause is fall, followed by motor vehicle accidents. Severe trauma in elderly population imposes a significant health care burden and is associated with substantial morbidity and mortality. The aim of the work: The purpose of our study was to to determine the pattern and outcome of traumatic brain injury in geriatric population in order to improve the management of geriatric trauma patients at Emergency Hospital Mansoura University. Patients : This was a prospective observational clinical study which was conducted on 200 elderly trauma patients presented and admitted to Emergency Hospital Mansoura University (a level one trauma center with about 250,000 visit and 25,000 trauma cases per year) over a year from December 2019 to December 2020. Methods: All patients subjected history taking, clinical examination, laboratory and radiological investigations (X ray, FAST, Multislice CT brain). The outcomes were estimated by Hospital mortality, Hospital length of stay, Intensive care unit length of stay, and complications during hospital stay. Functional outcome was estimated using Glasgow outcome scale score and Glasgow outcome scale score extended. Results& Conclusion : The current study demonstrated that, TBI in elderly cases is a life threatening condition with a high mortality rate in which FFH was the predominant mode. In addition, ICU stay, hospital stay, GOS and GCS at presentation were considered main contributing factors for mortality among elderly cases. Recommendations: Rapid as well as prompt treatment in elderly cases with TBI is of great importance, Treatment of associated injury on line with treatment of elderly to prevent disabilities and complications, Further studied are needed din the future with further subdividing the cases into two groups (above 75 and below 75) to evaluate the role of age accurately, Further studied are needed din the future with further emphasizing on the role of associated medical conditions, GOS must be applied for every TBI and GOS is the best score for determination and prediction of TBI cases.