الفهرس 
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Abstract
This study was done in the intensive care unit (ICU) of Minia university hospital in a period of six months duration starting from first of February, 2017 to the last of July, 2017 for 130 patients of both sexes and aimed to describe the incidence of morbidity and mortality after ICU admission for adult trauma patients aged from 18 to 65 years.
All patients were assessed and observed thought their duration of management in the ICU by routine ICU monitoring, the Glasgow coma scale (GCS), injury severity score (ISS) and acute physiology and chronic health evaluation (APACHE II) scores on admission and before discharge, daily physical examination and routine and specific laboratory investigations and radiological procedures.
All patients were also assessed by the length of stay in the ICU, the need for mechanical ventilation and duration of ventilation and the presence of pre-admission comorbidities and its relation to outcome.
A record of all the complications (described secondary to different body systems) that had occurred in these patients during their duration of management in the ICU in the expression of morbidity and mortality was done.
The total adult trauma admission was 130 patients, this gives the rate of 42.34% of the total ICU admissions which was 307 cases; the male to female ratio of 4.41:1.
Most cases were admitted from accident and emergency followed the theatre and and finally the ward, The most common cause of injury in adults was road traffic accident, the commonest anatomical sites of injury are head and neck, The majority (86.5 %) of patients was admitted to the ICU after blunt trauma, and the majority of injuries were unintentional (95.6 %), The most common pre-existing comorbidities were a current smoking status, hypertension and diabetes mellitus.
Of all cases included in the study, 65 patients (50 %) had operative intervention at least once during their course of treatment in the ICU, many patients had interventions done under multiple teams.
Of all adult trauma admissions, 63.32% of patients required ventilatory support, the average duration on mechanical ventilators was 9 days,
The most common hospital complications amongst adult trauma patients admitted in the ICU were hypoxia, bronchospasm, sepsis, hypotension, pneumonia, anemia, thrombophlebitis, electrolytes imbalance, hyperglycemia, and urinary tract infection respectively and the mortality rate was 44.61%.
We found a strong positive correlation between the injury severity score, the length of stay and the occurrence of morbidity and mortality.