McAndrew Sarah E, Smith Tracie L, Groothuis Elizabeth, Koressel Lindsay R, Unti Sharon M, Powell Elizabeth C, Tanz Robert R
Child Health Data Lab, Smith Child Health Research Program, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Pediatr Emerg Care. 2019 Jun;35(6):391-396. doi: 10.1097/PEC.0000000000001072.
Lollapalooza (LP) is an annual 3-day outdoor music festival in Chicago. Underage drinking and drug use are believed to be common, but the burden on emergency departments (EDs) has not been documented. We assessed the burden on health care resources associated with this music festival.
We performed a retrospective chart review of adolescent (aged 11-20 years) ED visits during LP weekend and 4 summer comparison weekends at Lurie Children's Hospital in Chicago, Ill, in 2014 (n = 356). We then analyzed adolescent alcohol- and drug-related hospital visits to all Chicago hospitals for each weekend in 2014 0 using Illinois hospital discharge data.
Adolescents accounted for a greater proportion of our ED visits during LP weekend than comparison weekends (25% vs 19%, P < 0.02). Lollapalooza weekend patients were more likely female (P = 0.025), older (P = 0.0067), more often unsupervised (P < 0.0001), and less likely to live in the city (P < 0.001) than adolescents seen during comparison weekends. Thirty-one underage adolescents who attended LP were treated in our ED; 84% were intoxicated (blood alcohol content, 88-328 mg/dL). Citywide there was an 11-fold increase in adolescent alcohol-related hospital visits during LP weekend compared with an average weekend. Drug intoxication was much less common.
Adolescents seen in our ED the weekend of LP were older, more often female, frequently unsupervised, and less likely to be city residents than those seen during comparison weekends. Those who attended LP had high rates of alcohol intoxication. This surge of intoxicated adolescent patients affected numerous EDs in the city.
“洛拉帕罗扎音乐节”（Lollapalooza，简称LP）是在芝加哥举办的为期3天的年度户外音乐节。人们认为未成年人饮酒和吸毒现象普遍，但急诊部门（ED）所承受的负担尚无记录。我们评估了与该音乐节相关的医疗资源负担。
我们对2014年LP音乐节周末以及伊利诺伊州芝加哥市卢里儿童医院4个夏季对照周末期间11至20岁青少年的急诊就诊情况进行了回顾性病历审查（n = 356）。然后，我们利用伊利诺伊州医院出院数据，分析了2014年每个周末所有芝加哥医院中与青少年酒精和药物相关的住院就诊情况。
与对照周末相比，青少年在LP音乐节周末急诊就诊的比例更高（25%对19%，P < 0.02）。与对照周末就诊的青少年相比，LP音乐节周末的患者女性比例更高（P = 0.025）、年龄更大（P = 0.0067）、无人监护的情况更常见（P < 0.0001），且居住在该市的可能性更小（P < 0.001）。31名参加LP音乐节的未成年青少年在我们的急诊部门接受了治疗；84%的人处于醉酒状态（血液酒精含量为88 - 328毫克/分升）。与平均周末相比，LP音乐节周末全市青少年与酒精相关的住院就诊人数增加了11倍。药物中毒则要少见得多。
与对照周末就诊的青少年相比，我们急诊部门在LP音乐节周末接待的青少年年龄更大、女性比例更高、经常无人监护，且居住在该市的可能性更小。参加LP音乐节的人酒精中毒率很高。大量醉酒青少年患者的涌入影响了该市众多急诊部门。
