Section of Pediatric Emergency Medicine, Hasbro Children's Hospital, Alpert Medical School of Brown University, 593 Eddy St, Claverick 2, Providence, RI, 02903, USA.
Department of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
Addict Sci Clin Pract. 2018 Jan 9;13(1):1. doi: 10.1186/s13722-017-0105-x.
Few studies describe medical complaints and substance use patterns related to attending music concerts. As such, the objective of this study is to describe patient demographics, substance use and intoxication patterns, and medical interventions provided to adolescents and young adults assessed in an emergency department (ED) for complaints directly related to concert attendance.
A retrospective chart review of patients 13-30 years old who were transported to the ED directly from music concerts between January 2011 and December 2015 was conducted. Descriptive statistics and logistic regression were used to analyze patient demographic, intervention, and substance use data.
There were 115 concerts identified, of which 48 (42%) were linked to 142 relevant ED visits; the total number of attendees at each concert is unknown. The mean age of the 142 described patients was 19.5 years (SD 3.3) with 72% < 21 and 33% < 18; 71% of patients were female and 96% of visits were substance-use related. Mean blood alcohol level was 242 mg/dL (range 104-412, SD 70). Glasgow Coma Scale (GCS) scores ranged from 3 to 15, with a mean of 14. Two patients required intubation and 61% of patients received interventions, including medications (47%), intravenous fluids (46%), specialty consultation (20%), restraints (14%), imaging (6%), and laceration repair (3%). Attendance at pop and electronic dance music concerts was associated with the widest ranges of GCS scores (8-15 and 6-14 respectively), mass casualty incident declarations, and among the highest mean blood alcohol levels (246 and 244 mg/dL, respectively).
Substance use is the predominant reason for music concert related ED visits and patients may have serious levels of intoxication, receiving multiple medical interventions. These data demonstrate the need for additional large-scale studies to confirm trends and increase awareness of this important public health problem.
鲜有研究描述与参加音乐会相关的医学投诉和物质使用模式。因此，本研究的目的是描述在因与音乐会直接相关的投诉而被送往急诊室（ED）的青少年和年轻人中，患者的人口统计学特征、物质使用和中毒模式以及提供的医疗干预措施。
对 2011 年 1 月至 2015 年 12 月期间因音乐会直接被送往 ED 的 13-30 岁患者进行了回顾性图表审查。使用描述性统计和逻辑回归分析患者的干预和物质使用数据。
共确定了 115 场音乐会，其中 48 场（42%）与 142 次相关 ED 就诊相关；每场音乐会的总参加人数未知。描述的 142 名患者的平均年龄为 19.5 岁（SD 3.3），其中 72%<21 岁，33%<18 岁；71%的患者为女性，96%的就诊与物质使用有关。平均血酒精水平为 242mg/dL（范围 104-412，SD 70）。格拉斯哥昏迷量表（GCS）评分为 3-15，平均为 14。两名患者需要插管，61%的患者接受了干预措施，包括药物治疗（47%）、静脉输液（46%）、专科会诊（20%）、约束（14%）、影像检查（6%）和裂伤修复（3%）。流行音乐和电子舞蹈音乐音乐会的参与与最广泛的 GCS 评分范围（分别为 8-15 和 6-14）、大规模伤亡事件的宣布以及最高平均血酒精水平（分别为 246 和 244mg/dL）相关。
物质使用是音乐会相关 ED 就诊的主要原因，患者可能有严重的中毒程度，接受多种医疗干预措施。这些数据表明需要进行更多的大规模研究来证实趋势并提高对这一重要公共卫生问题的认识。
