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2021 ; 19
(3
): 162-166
Nephropedia Template TP
gab.com Text
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English Wikipedia
Tourism and the Highlands: A cross-sectional study on trauma and orthopaedic
service use by tourists in 2017
#MMPMID32646675
Faulkner A
; Harding T
; Miller C
; Davies P
; McNair C
Surgeon
2021[Jun]; 19
(3
): 162-166
PMID32646675
show ga
BACKGROUND: NHS Highland covers a wide geographical region encompassing the Isle
of Skye, and Ben Nevis. Tourism is a significant contributor to the local economy
and in 2017 the Highlands welcomed 534,000 visitors. Health services across the
region treat tourists in addition to the local population. We investigated how
many tourists accessed the Trauma and Orthopaedic (T&O) Department at Raigmore
Hospital, Inverness. METHODS: We conducted a cross-sectional study with data
collected over one year (2017). The number of tourists referred to T&O including
patient demographics, country of origin, type of injury and their clinical
outcome were recorded. A freedom of information (FOI) request to NHS Highland was
sought to investigate associated costs incurred by tourists. RESULTS: 376
tourists accessed T&O services in 2017. Country of origin: 47 (12.5%) Scotland;
177 (47.1%) rest of UK; 74 (19.7%) EU; 45 (12.0%) non-EU. Highest referral month
August (61), lowest referral month November (8). Injuries: 224 (59.6%) fracture;
62 (16.5%) soft tissue injury; 20 (5.3%) laceration. Commonest sites of injury
were ankle, distal radius and finger. OUTCOMES: 28 (7.4%) Virtual clinic; 137
(36.4%) hospital admission; 193 (51.3%) advice to referring team and discharge;
13 (3.5%) direct discharge by T&O; 4 (1.1%) missing. No. of trauma cases booked:
tourists 133 (9%), local population 1415 (91%). CONCLUSIONS: Tourists account for
fewer than ten percent of the T&O surgical workload over one year with common
injuries being fractures affecting the extremities. Seasonal variation was
observed with more referrals occurring in the summer months. Just under half of
tourists originated from outside the UK and EU. Health boards should consider
increasing resources over the summer months to deal with expected increases in
tourist numbers and should be able to recover the cost of treatment from the
patient or their travel insurance companies directly at point of care.
free
free
free
