Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of General Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada.
J Pediatr. 2014 Feb;164(2):327-31. doi: 10.1016/j.jpeds.2013.10.009. Epub 2013 Nov 16.
To examine how a mass-gathering event (the Federation Internationale de Football Association World Cup, 2010, South Africa) impacts trauma and mortality in the pediatric (≤ 18 years) population.
We investigated pediatric emergency visits at Cape Town's 3 largest public trauma centers and 3 private hospital groups, as well as deaths investigated by the 3 city mortuaries. We compared the 31 days of World Cup with equivalent periods from 2007-2009, and with the 2 weeks before and after the event. We also looked at the World Cup period in isolation and compared days with and without games in Cape Town.
There was significantly decreased pediatric trauma volume during the World Cup, approximately 2/100,000 (37%) fewer injuries per day, compared with 2009 and to both pre- and post-World Cup control periods (P < .001). This decrease occurred within a majority of injury subtypes, but did not change mortality. There were temporal fluctuations in emergency visits corresponding with local match start time, with fewer all-cause emergency visits during the 5 hours surrounding this time (-16.4%, P = .01), followed by a subsequent spike (+26.2%, P = .02). There was an increase in trauma 12 hours following matches (+15.6%, P = .06).
In Cape Town, during the 2010 Federation Internationale de Football Association World Cup, there were fewer emergency department visits for traumatic injury. Furthermore, there were fewer all-cause pediatric emergency department visits during hometown matches. These results will assist in planning for future mass-gathering events.
研究大型集会活动（2010 年南非国际足球联合会世界杯）如何影响儿科（≤18 岁）人群的创伤和死亡率。
我们调查了开普敦 3 家最大的公立创伤中心和 3 家私立医院集团的儿科急诊就诊情况，以及 3 家城市太平间调查的死亡情况。我们将世界杯期间的 31 天与 2007-2009 年同期以及活动前后 2 周进行了比较。我们还单独研究了世界杯期间，并比较了开普敦有比赛日和无比赛日的情况。
与 2009 年和前后的世界杯对照期相比，世界杯期间儿科创伤量显著减少，每天受伤人数减少约 2/100000（减少 37%）（P<0.001）。这种减少发生在大多数损伤亚型中，但没有改变死亡率。急诊就诊存在与当地比赛开始时间对应的时间波动，在比赛前后 5 小时内，所有原因的急诊就诊减少（-16.4%，P=0.01），随后出现后续高峰（+26.2%，P=0.02）。比赛后 12 小时创伤增加（+15.6%，P=0.06）。
在开普敦，2010 年国际足球联合会世界杯期间，因创伤而到急诊科就诊的人数减少。此外，家乡比赛期间，所有儿科急诊科就诊人数减少。这些结果将有助于为未来的大型集会活动做好规划。
