The aim is to study the risk factors affecting the mortality of conservative treatment of patients with severe isolated traumatic brain injury (ITBI). The retrospective analysis was performed. 165 medical records of patients with severe ITBI were studied. All of them had conservative treatment in 3 hospitals of city Yerevan (Republic of Armenia) with Department of neurosurgery and intensive care unit.
Conclusions. There are many factors influencing on mortality of patients with severe ITBI: the primary traumatic lesion of the brain — the defeat of the centers of vital functions, stage of clinical course of brain injury at admission, the volume of medical assistance at the pre-hospital and in-hospital stage of treatment, the day of admission after the injury, cardiovascular diseases, alcoholic intoxication, age-related changes of the body, especially in elderly patients, the development of cerebral and extracerebral complications. The patients with severe ITBI should be examinated by CT scan at the day of admission. CT dynamic observation is necessary during treatment for monitoring the development of pathological processes of the injury, as well as for the effectiveness of the treatment management. The provided medical assistance at different stages of treatment needs to be improved.