BACKGROUND: This retrospective study aimed to identify key prognostic factors for patients with traumatic intracranial hemorrhage (TICH) and develop a comprehensive nomogram for prognostic assessment. METHODS: A retrospective study was carried out on TICH patients at a single-center hospital from October 2013 to September 2022. Using logistic regression analyses, key prognostic factors for TICH were identified and used to create a predictive nomogram model. This model was internally validated for its reliability and accuracy. RESULTS: The study included 252 TICH patients. Age ≥ 45 years (odds ratio [OR]: 3.13
95% confidence interval [CI]: 1.27-5.36
P = 0.002), preoperative Glasgow Coma Scale score <
5 (OR: 3.93
95% CI: 2.26-7.35
P <
0.001), traumatic coagulation abnormalities status (OR: 1.67
95% CI: 1.13-3.32
P = 0.035), and hematoma volume (P <
0.001) were identified as independent prognostic factors for TICH patients. A comprehensive predictive model was constructed based on these factors and internally validated to ensure its reliability and robustness. CONCLUSIONS: Age, Glasgow Coma Scale scores, traumatic coagulation abnormalities status, and hematoma volume are independent prognostic factors for TICH. This model offers a valuable tool for clinicians in assessing TICH patient outcomes, warranting further validation and exploration of additional predictive factors for enhanced prognostic accuracy.