Bradbury A
Department of Accident and Emergency Medicine, Royal Infirmary, Edinburgh, UK.
Injury. 1991 Mar;22(2):132-4. doi: 10.1016/0020-1383(91)90074-o.
The injuries sustained by 102 pedestrians consecutively admitted to the Accident and Emergency Department of the Royal Infirmary of Edinburgh were prospectively recorded. Injuries were categorized by body regions and the severity assessed by the ISS/AIS system. Pedestrian injuries were found to comprise 0.8 per cent of the department workload and 28 per cent of RTA injuries. The commonest sites of injury were the right leg and head. Injuries to the right side of the body were almost three times more frequent than those to the left. Patients considered to be under the influence of alcohol had more severe and widespread injuries, were more likely to have facial injuries, and were more likely to be detained as inpatients. Males were more commonly injured than females and the predominant age group was 20-29 years. The group affected by alcohol was predominantly male and young, whereas the group unaffected by alcohol included a considerable number of elderly people. The possible reasons for the pattern of injuries are discussed and the contribution of alcohol to the morbidity suffered by pedestrians is stressed.
前瞻性记录了连续收治于爱丁堡皇家医院急诊科的102名行人的受伤情况。损伤按身体部位分类，严重程度通过损伤严重度评分（ISS）/简明损伤定级（AIS）系统评估。行人损伤占该科室工作量的0.8%，占道路交通事故（RTA）损伤的28%。最常见的受伤部位是右腿和头部。身体右侧的损伤几乎是左侧的三倍。被认为受酒精影响的患者损伤更严重、更广泛，更易出现面部损伤，且更有可能被留院观察。男性比女性更易受伤，主要年龄组为20 - 29岁。受酒精影响的群体以年轻男性为主，而未受酒精影响的群体包括相当数量的老年人。文中讨论了损伤模式的可能原因，并强调了酒精对行人发病情况的影响。
