Westrol Michael S, Koneru Susmith, McIntyre Norah, Caruso Andrew T, Arshad Faizan H, Merlin Mark A
1Department of Emergency Medicine/EMS,AtlantiCare Regional Medical Center,Atlantic City,New JerseyUSA.
3Rutgers School of Public Health,Newark,New JerseyUSA.
Prehosp Disaster Med. 2017 Jun;32(3):289-296. doi: 10.1017/S1049023X17000085. Epub 2017 Feb 20.
The aim of this study was to examine the various modern music genres and their effect on the utilization of medical resources with analysis and adjustment for potential confounders.
A retrospective review of patient logs from an open-air, contemporary amphitheater over a period of 10 years was performed. Variables recorded by the medical personnel for each concert included the attendance, description of the weather, and a patient log in which nature and outcome were recorded. The primary outcomes were associations of genres with the medical usage rate (MUR). Secondary outcomes investigated were the association of confounders and the influences on the level of care provided, the transport rate, and the nature of medical complaint.
A total of 2,399,864 concert attendees, of which 4,546 patients presented to venue Emergency Medical Services (EMS) during 403 concerts with an average of 11.4 patients (annual range 7.1-17.4) each concert. Of potential confounders, only the heat index ≥90°F (32.2°C) and whether the event was a festival were significant (P=.027 and .001, respectively). After adjustment, the genres with significantly increased MUR in decreasing order were: alternative rock, hip-hop/rap, modern rock, heavy metal/hard rock, and country music (P<.05). Medical complaints were significantly increased with alternative rock or when the heat index was ≥90°F (32.2°C; P<.001). Traumatic injuries were most significantly increased with alternative rock (P<.001). Alcohol or drug intoxication was significantly more common in hip-hop/rap (P<.001). Transport rates were highest with alcohol/drug intoxicated patients (P<.001), lowest with traumatic injuries (P=.004), and negatively affected by heat index ≥90°F (32.2°C; P=.008), alternative rock (P=.017), and country music (P=.033).
Alternative rock, hip-hop/rap, modern rock, heavy metal/hard rock, and country music concerts had higher levels of medical resource utilization. High heat indices and music festivals also increase the MUR. This information can assist event planners with preparation and resource utilization. Future research should focus on prospective validation of the regression equation. Westrol MS , Koneru S , McIntyre N , Caruso AT , Arshad FH , Merlin MA . Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):289-296.
本研究旨在探讨各种现代音乐流派及其对医疗资源利用的影响，并对潜在混杂因素进行分析和调整。
对一个露天现代圆形剧场10年期间的患者日志进行回顾性研究。医务人员为每场音乐会记录的变量包括出席人数、天气描述以及记录病情性质和结果的患者日志。主要结果是音乐流派与医疗使用率（MUR）的关联。次要结果包括混杂因素的关联以及对所提供护理水平、转运率和医疗投诉性质的影响。
共有2399864名音乐会观众，其中4546名患者在403场音乐会期间前往场馆紧急医疗服务（EMS）处就诊，每场音乐会平均有11.4名患者（每年范围7.1 - 17.4名）。在潜在混杂因素中，只有热指数≥90°F（32.2°C）以及活动是否为音乐节具有显著性（分别为P = 0.027和0.001）。调整后，MUR显著增加的音乐流派按降序排列为：另类摇滚、嘻哈/说唱、现代摇滚、重金属/硬摇滚和乡村音乐（P < 0.05）。另类摇滚或热指数≥90°F（32.2°C）时，医疗投诉显著增加（P < 0.001）。另类摇滚导致的创伤性损伤增加最为显著（P < 0.001）。酒精或药物中毒在嘻哈/说唱音乐会上显著更为常见（P < 0.001）。酒精/药物中毒患者的转运率最高（P < 0.001），创伤性损伤患者的转运率最低（P = 0.004），热指数≥90°F（32.2°C）、另类摇滚（P = 0.017）和乡村音乐（P = 0.033）对转运率有负面影响。
另类摇滚、嘻哈/说唱、现代摇滚、重金属/硬摇滚和乡村音乐音乐会的医疗资源利用率较高。高热指数和音乐节也会增加MUR。这些信息可协助活动策划者进行准备和资源利用。未来的研究应侧重于回归方程的前瞻性验证。韦斯特罗尔·MS、科内鲁·S、麦金太尔·N、卡鲁索·AT、阿尔沙德·FH、梅林·MA。音乐流派作为户外音乐会资源利用的预测指标。院前灾难医学。2017；32(3)：289 - 296。
