Look Right! A Retrospective Study of Pedestrian Accidents Involving Overseas Visitors to London

Article English OPEN
Baldwin, A ; Harris, T ; Davies, G (2008)
  • Publisher: BMJ Publishing Group
  • Related identifiers: doi: 10.1136/emj.2007.057596
  • Subject:
    mesheuropmc: education | human activities | health care economics and organizations | health services administration | health care facilities, manpower, and services

Introduction: Research within the European Union has shown international visitors to have a higher injury mortality than residents. Traffic accidents are the leading cause of injury-related death among overseas visitors and evidence suggests overseas visitors are at a greater risk of being involved in road traffic accidents than the resident population. Little information looks specifically at pedestrian injuries to overseas visitors. Pedestrian deaths account for 21% of all UK road deaths. Methods: A retrospective database review of London helicopter emergency medical service (HEMS) missions was undertaken to examine the number and type of missions to overseas visitors, specifically examining pedestrian incidents. Results: Of 121 missions to overseas visitors, 74 (61%) involved the visitor as a pedestrian struck by a vehicle. Thirty-five pedestrians (47%) were struck by a bus and 20 by a car (27%). Fourteen patients (19%) had an initial Glasgow coma scale score of 3–8, suggesting severe head injury and half of all patients required prehospital intubation (38/74, 51%). Mortality was 16% (12/74%) and 62 patients (84%) survived to hospital discharge. Of 39 patients admitted to the Royal London Hospital, the average injury severity score (ISS%) was 23.0 (ISS >15 denotes severe trauma) with a mean inpatient stay of 17.9 days. Conclusion: During the 7-year period studied, 61% of HEMS missions to overseas visitors involved a pedestrian being struck by a vehicle, compared with 16% of missions to UK residents. For HEMS missions, serious trauma to pedestrians is disproportionally more common among the visitor population to London.
  • References (14)
    14 references, page 1 of 2

    1. Visit London: Prospects for 2007 / 2008, Visit London. http://static.visitlondon.com/corporate1/assets/facts_figures/prospects200708.pdf (accessed 08.10.2007)

    2. Demography update (16 - 2007), Greater London Authority http://www.london.gov.uk/gla/publications/factsandfigures/dmag-update-2007-16.pdf (accessed 08.10.2007)

    3. Scope and patterns of tourist accidents in the European Union. Final Report. EU Injury Prevention Programme. Austrian Institute for Safety and Prevention. 2004. http://ec.europa.eu/health/ph_projects/2001/injury/fp_injury_2001_exs_10_en.pdf (accessed 18.10.2007)

    4. Sniezek JE, Smith SM. Injury Mortality among Non-US Residents in the United States 1979-1984. Int J Epidemiol 19:4;225-229

    5. Carey MJ, Aitken ME. Motorbike injuries in Bermuda: a risk for tourists. Ann Emerg Med 1996; 28:4;424-429

    6. Petridou E, Dessypris N, Skalkidou A , Trichopoulos D. Are traffic injuries disproportionally more common among tourists in Greece? Struggling with incomplete data. Accid Anal and Prev 1999; 31(6):611-615

    7. Manchester W. Last lion: Winston Spencer Churchill: alone, 1932-40. Boston, MA: Little, Brown & Co., 1978:878. cited in Urban Medicine: Threats to Health of Travellers to Developing World Cities J Travel Med 2004;11(5):313-327

    8. Johnston L, Peace V. Where did that car come from?: Crossing the road when the traffic comes from an unfamiliar direction. Accid Anal and Prev 2007;39:886-993

    9. Road Casualties in Great Britain: 2006: Main Results. Department for Transport; 2006 http://www.dft.gov.uk/pgr/statistics/datatablespublications/accidents/casualtiesmr/rcgbmainresults20 06 (accessed 16.10.2007)

    10. Population Estimates UK population grows to 60.6 million. Office for National Statistics http://www.statistics.gov.uk/cci/nugget.asp?id=6 (accessed 05.02.2008)

  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    167
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    Sussex Research Online - IRUS-UK 0 167
Share - Bookmark