Traumatic Travels – A Review of Accidental Death and Injury in International Travellers

Long, Ian James; Flaherty, Gerard Thomas

doi:10.15171/ijtmgh.2018.10

Cited by 16 publications

(12 citation statements)

References 29 publications

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“…RTIs are not only problematic for local populations; this was the leading cause of death among international travelers in developing countries [ 4 , 5 ]. In high-risk settings, the proportion of traffic injury is more notable in travelers compared with the local population [ 6 ]. In Jeju Island, Korea, transportation-related injuries often occur among travelers more than local residents [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Drinking and Night-Time Driving May Increase the Risk of Severe Health Outcomes: A 5-Year Retrospective Study of Traffic Injuries among International Travelers at a University Hospital Emergency Center in Thailand

Sapsirisavat

Mahikul

2021

IJERPH

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Road traffic injury (RTI) is a leading cause of death in developing countries. This burden affects not only locals, but also international travelers. Data on international travelers with RTIs in Thailand, especially from a medical perspective, are limited. This study aimed to analyze the factors associated with severe health outcomes following RTIs among international travelers at a university hospital emergency center in Thailand from January 2015 to December 2019. The retrieved data consisted of demographics, risks, preventive factors, and health outcomes. The severity of outcome was classified as fatality, hospitalization, or non-severe. A multinomial logistic regression model was used to identify the possible determinants of severity of health outcome among international travelers with RTI. A total of 720 travelers with RTIs (69% males; 82.5% were Southeast Asian) were included, with a mean age of 28.5 years. Of these, 144 (20%) had severe health outcomes: 64 (9%) fatalities and 80 (11%) hospitalizations. The level of severity of outcome was not associated with travelers’ demographics, but was associated with conventional risk factors, i.e., motorcycle use, alcohol/drug use, night-time driving, and less use of seatbelt/helmet. In a multinomial logistic regression analysis, alcohol drinking (adjusted odds ratio (AOR) 2.53, 95% confidence interval (CI) 1.41–4.55) and night-time driving (AOR 2.54, 95% CI 1.36–4.75) were associated with hospitalization. Patients who had a history of tetanus vaccination were less likely to die (AOR 0.37, 95% CI 0.17–0.81). In conclusion, one-fifth of RTIs resulted in severe health outcomes, and 9% were fatal. Road safety campaigns in Thailand should target travelers of all nationalities. Interventions that enhance travelers’ safety practices and proper preparation for road accidents should be explored further.

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Section: Introductionmentioning

confidence: 99%

Drinking and Night-Time Driving May Increase the Risk of Severe Health Outcomes: A 5-Year Retrospective Study of Traffic Injuries among International Travelers at a University Hospital Emergency Center in Thailand

Sapsirisavat

Mahikul

2021

IJERPH

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“…It is known that the main health problems among international travelers are diarrhea, 2 cough, runny nose, sore throat, 3 and activity-related problems. 4 Fatal trauma is also reported, 5 but cases of minor trauma are not well reported, meaning that key information about the demands of travelers on ambulance services for transport to a hospital or clinic is lacking.…”

Section: Discussionmentioning

confidence: 99%

Ambulance Use by International Travelers in Japan: A Retrospective Descriptive Study

Oshita¹,

Tsuchiya²,

Ishikawa³

et al. 2020

Int J Travel Med Glob Health

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Introduction: Reports indicate that 22%–64% of travelers experience some illness when in a foreign country. To date, no prior study has reported the use of ambulances by travelers or the epidemiology of travel-related injury. Methods: In this retrospective study, we aimed to describe ambulance use by international travelers, including the rates of travel-related injury and illness. To do so, ambulance dispatch data from January 1, 2010 to December 31, 2018 was used. Results: Overall, of the 43201 cases of ambulance use during the study period, 524 (1.2%) were international travelers. Ambulance use by international travelers increased from 0.35% in 2010 (15/4311) to 2.54% in 2018 (125/4913), an average annual increase of 0.27%. Of the international travelers, 392 (74.8%) had minor complaints, 110 cases (21.0%) had moderate complaints, 280 (53.4%) had internal disease, and 223 cases (42.6%) had suffered trauma. Regarding location, 253 (48.3%) were from a hotel/lodge, 83 (15.8%) were from a road/parking, and 30 (5.7%) were in the forest/mountain. Conclusion: Most international travelers use ambulances for minor complaints, typically internal disease or trauma, and approximately half access the service from a hotel or lodge.

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“…Fatal injuries while traveling are mostly caused by accidents, drowning and homicide, whereas no deadly injuries are often due to traffic accidents, falls and leisure activities [16, 21, 22, 23]. Data on Finnish travelers (leisure and business travelers) with health problems abroad during 2010–2012 supported by another assistance medicine provider could show, that infections were the most common health problem accounting for 60% of all cases, whereas injuries accounted for 14.0% of all calls for service, 17.1% of these injuries were fractures [24].…”

Section: Discussionmentioning

confidence: 99%

Insights into needs of business travelers to China from calls to a medical assistance provider

Sanftenberg¹,

Kramer²,

Eßer³

et al. 2019

Heliyon

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Background Although 17.5% of German travelers were business travelers in the years 2011–2013, little is known about their pathologies. Recent publications indicate that infections are the primary health issue in general travelers. Our aim was to investigate whether business travelers from Germany to China also primarily suffer from infections. Methods From 2011 to 2013, 587 calls for service of German business travelers to China were collected by a medical assistance provider. 482 of these calls were evaluated regarding demographics, reported diseases and conditions and the type of service provided by the medical assistance company. Results The most common reasons for calls for service were “factors influencing health status and contact with health service” (18.8%), “injury and poisoning” (16.0%) as well as “symptoms, signs, and ill-defined conditions” (13.7%). Most patients asked for “medical advice” (37.8%), referral to “outpatient care” (25.1%) or “inpatient care” (16.6%). “Evacuation and/or repatriation” was required mainly due to “injury and poisoning” (n = 12), “diseases of the circulatory system” (n = 5) or “mental disorders” (n = 3). Conclusion German business travelers to China are seeking primarily administrative support from a medical assistance provider and are mostly affected by non-infectious diseases. Pre-travel preparation of such travelers need to place more emphasis on non-communicable health risks and prevention.

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Traumatic Travels – A Review of Accidental Death and Injury in International Travellers

Cited by 16 publications

References 29 publications

Drinking and Night-Time Driving May Increase the Risk of Severe Health Outcomes: A 5-Year Retrospective Study of Traffic Injuries among International Travelers at a University Hospital Emergency Center in Thailand

Drinking and Night-Time Driving May Increase the Risk of Severe Health Outcomes: A 5-Year Retrospective Study of Traffic Injuries among International Travelers at a University Hospital Emergency Center in Thailand

Ambulance Use by International Travelers in Japan: A Retrospective Descriptive Study

Insights into needs of business travelers to China from calls to a medical assistance provider

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