Population incidence of pedestrian traffic injury in high-income countries

A systematic review

Kate E. Charters, Belinda J. Gabbe, Biswadev Mitra

Research output: Contribution to journalReview ArticleResearchpeer-review

3 Citations (Scopus)

Abstract

Background Road traffic injuries are the fifth leading cause of years of life lost, with pedestrians comprising 39% of all road deaths. International recognition of this public health issue has led to a reduction in road traffic deaths in many high-income countries. However data on non-motorised road users such as pedestrians is incomplete. Additionally, non-fatal injuries are poorly documented. The aim of this study was to identify the incidence of pedestrian traffic injury reported from high-income countries. Methods A systematic review of the literature was conducted using MEDLINE, Scopus, PubMed and the Cochrane library. Studies were eligible for inclusion if they reported the incidence of pedestrian injury in a defined population from a high-income country defined using the World Bank atlas method for the 2016 fiscal year. A meta-analysis was performed on the population incidence of pedestrian traffic injury by world region. Results Seventeen studies were identified from eight high-income countries that satisfied the inclusion criteria. The pooled incidence of PTI in the European region was 68.8 per 100,000 population (95%CI 50–87.7, p < 0.01) and 89.3 per 100,000 (95%CI 47.2–131.4, p < 0.01) in the American region. The incidence of pedestrian traffic injury varied from 20 per 100,000 in Victoria, Australia to 203 per 100,000 in New York City, United States of America. Pedestrian mortality ranged from 0.9 to 14 per 100,000 population. Wide variation in population size, location and demographics was observed between studies. Conclusions This review concluded a high burden of pedestrian trauma in HICs with individual reports reporting from rates of 20 to 203 per 100,000 population. Recommended interventions directed at reducing the burden of pedestrian trauma were not universally present in the reported high-income countries. Implementation of such safety strategies and demonstration of improvement in pedestrian trauma rates and outcomes present directions for further research.

Original languageEnglish
Pages (from-to)1331-1338
Number of pages8
JournalInjury
Volume48
Issue number7
DOIs
Publication statusPublished - 1 Jul 2017

Keywords

  • Incidence
  • Injury prevention
  • Pedestrian
  • Road traffic injury

Cite this

@article{493161cfdaef48e79c38e0070742cde0,
title = "Population incidence of pedestrian traffic injury in high-income countries: A systematic review",
abstract = "Background Road traffic injuries are the fifth leading cause of years of life lost, with pedestrians comprising 39{\%} of all road deaths. International recognition of this public health issue has led to a reduction in road traffic deaths in many high-income countries. However data on non-motorised road users such as pedestrians is incomplete. Additionally, non-fatal injuries are poorly documented. The aim of this study was to identify the incidence of pedestrian traffic injury reported from high-income countries. Methods A systematic review of the literature was conducted using MEDLINE, Scopus, PubMed and the Cochrane library. Studies were eligible for inclusion if they reported the incidence of pedestrian injury in a defined population from a high-income country defined using the World Bank atlas method for the 2016 fiscal year. A meta-analysis was performed on the population incidence of pedestrian traffic injury by world region. Results Seventeen studies were identified from eight high-income countries that satisfied the inclusion criteria. The pooled incidence of PTI in the European region was 68.8 per 100,000 population (95{\%}CI 50–87.7, p < 0.01) and 89.3 per 100,000 (95{\%}CI 47.2–131.4, p < 0.01) in the American region. The incidence of pedestrian traffic injury varied from 20 per 100,000 in Victoria, Australia to 203 per 100,000 in New York City, United States of America. Pedestrian mortality ranged from 0.9 to 14 per 100,000 population. Wide variation in population size, location and demographics was observed between studies. Conclusions This review concluded a high burden of pedestrian trauma in HICs with individual reports reporting from rates of 20 to 203 per 100,000 population. Recommended interventions directed at reducing the burden of pedestrian trauma were not universally present in the reported high-income countries. Implementation of such safety strategies and demonstration of improvement in pedestrian trauma rates and outcomes present directions for further research.",
keywords = "Incidence, Injury prevention, Pedestrian, Road traffic injury",
author = "Charters, {Kate E.} and Gabbe, {Belinda J.} and Biswadev Mitra",
year = "2017",
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Population incidence of pedestrian traffic injury in high-income countries : A systematic review. / Charters, Kate E.; Gabbe, Belinda J.; Mitra, Biswadev.

In: Injury, Vol. 48, No. 7, 01.07.2017, p. 1331-1338.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - Population incidence of pedestrian traffic injury in high-income countries

T2 - A systematic review

AU - Charters, Kate E.

AU - Gabbe, Belinda J.

AU - Mitra, Biswadev

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Background Road traffic injuries are the fifth leading cause of years of life lost, with pedestrians comprising 39% of all road deaths. International recognition of this public health issue has led to a reduction in road traffic deaths in many high-income countries. However data on non-motorised road users such as pedestrians is incomplete. Additionally, non-fatal injuries are poorly documented. The aim of this study was to identify the incidence of pedestrian traffic injury reported from high-income countries. Methods A systematic review of the literature was conducted using MEDLINE, Scopus, PubMed and the Cochrane library. Studies were eligible for inclusion if they reported the incidence of pedestrian injury in a defined population from a high-income country defined using the World Bank atlas method for the 2016 fiscal year. A meta-analysis was performed on the population incidence of pedestrian traffic injury by world region. Results Seventeen studies were identified from eight high-income countries that satisfied the inclusion criteria. The pooled incidence of PTI in the European region was 68.8 per 100,000 population (95%CI 50–87.7, p < 0.01) and 89.3 per 100,000 (95%CI 47.2–131.4, p < 0.01) in the American region. The incidence of pedestrian traffic injury varied from 20 per 100,000 in Victoria, Australia to 203 per 100,000 in New York City, United States of America. Pedestrian mortality ranged from 0.9 to 14 per 100,000 population. Wide variation in population size, location and demographics was observed between studies. Conclusions This review concluded a high burden of pedestrian trauma in HICs with individual reports reporting from rates of 20 to 203 per 100,000 population. Recommended interventions directed at reducing the burden of pedestrian trauma were not universally present in the reported high-income countries. Implementation of such safety strategies and demonstration of improvement in pedestrian trauma rates and outcomes present directions for further research.

AB - Background Road traffic injuries are the fifth leading cause of years of life lost, with pedestrians comprising 39% of all road deaths. International recognition of this public health issue has led to a reduction in road traffic deaths in many high-income countries. However data on non-motorised road users such as pedestrians is incomplete. Additionally, non-fatal injuries are poorly documented. The aim of this study was to identify the incidence of pedestrian traffic injury reported from high-income countries. Methods A systematic review of the literature was conducted using MEDLINE, Scopus, PubMed and the Cochrane library. Studies were eligible for inclusion if they reported the incidence of pedestrian injury in a defined population from a high-income country defined using the World Bank atlas method for the 2016 fiscal year. A meta-analysis was performed on the population incidence of pedestrian traffic injury by world region. Results Seventeen studies were identified from eight high-income countries that satisfied the inclusion criteria. The pooled incidence of PTI in the European region was 68.8 per 100,000 population (95%CI 50–87.7, p < 0.01) and 89.3 per 100,000 (95%CI 47.2–131.4, p < 0.01) in the American region. The incidence of pedestrian traffic injury varied from 20 per 100,000 in Victoria, Australia to 203 per 100,000 in New York City, United States of America. Pedestrian mortality ranged from 0.9 to 14 per 100,000 population. Wide variation in population size, location and demographics was observed between studies. Conclusions This review concluded a high burden of pedestrian trauma in HICs with individual reports reporting from rates of 20 to 203 per 100,000 population. Recommended interventions directed at reducing the burden of pedestrian trauma were not universally present in the reported high-income countries. Implementation of such safety strategies and demonstration of improvement in pedestrian trauma rates and outcomes present directions for further research.

KW - Incidence

KW - Injury prevention

KW - Pedestrian

KW - Road traffic injury

UR - http://www.scopus.com/inward/record.url?scp=85019858647&partnerID=8YFLogxK

U2 - 10.1016/j.injury.2017.05.021

DO - 10.1016/j.injury.2017.05.021

M3 - Review Article

VL - 48

SP - 1331

EP - 1338

JO - Injury

JF - Injury

SN - 0020-1383

IS - 7

ER -