Goldberg Scott A, Maggin Jeremy, Molloy Michael S, Baker Olesya, Sarin Ritu, Kelleher Michael, Mont Kevin, Fajana Adedeji, Goralnick Eric
1Department of Emergency Medicine,Brigham and Women's Hospital,Boston,Massachusetts.
2Harvard Medical School,Boston,Massachusetts.
Disaster Med Public Health Prep. 2018 Dec;12(6):752-758. doi: 10.1017/dmp.2018.7. Epub 2018 Mar 19.
Mass gathering events can substantially impact public safety. Analyzing patient presentation and transport rates at various mass gathering events can help inform staffing models and improve preparedness.
A retrospective review of all patients seeking medical attention across a variety of event types at a single venue with a capacity of 68,756 from January 2010 through September 2015.
We examined 232 events with a total of 8,260,349 attendees generating 8157 medical contacts. Rates were 10 presentations and 1.6 transports per 10,000 attendees with a non-significant trend towards increased rates in postseason National Football League games. Concerts had significantly higher rates of presentation and transport than all other event types. Presenting concern varied significantly by event type and gender, and transport rate increased predictably with age. For cold weather events, transport rates increased at colder temperatures. Overall, on-site physicians did not impact rates.
At a single venue hosting a variety of events across a 6-year period, we demonstrated significant variations in presentation and transport rates. Weather, gender, event type, and age all play important roles. Our analysis, while representative only of our specific venue, may be useful in developing response plans and staffing models for similar mass gathering venues. (Disaster Med Public Health Preparedness. 2018;12:752-758).
大型聚集活动会对公共安全产生重大影响。分析各类大型聚集活动中的患者就诊情况及转运率有助于确定人员配备模式并提高应急准备水平。
对2010年1月至2015年9月期间在一个容量为68,756人的单一场所举办的各类活动中所有寻求医疗救治的患者进行回顾性研究。
我们调查了232场活动，共有8,260,349名参与者，产生了8157次医疗接触。就诊率为每10,000名参与者中有10人次就诊，转运率为每10,000名参与者中有1.6人次转运，美国国家橄榄球联盟季后赛的就诊率和转运率有增加趋势，但无统计学意义。音乐会的就诊率和转运率显著高于所有其他活动类型。就诊关注点因活动类型和性别而异，转运率随年龄增长而增加。对于寒冷天气活动，温度越低转运率越高。总体而言，现场医生对就诊率和转运率没有影响。
在一个6年期间举办各类活动的单一场所，我们证明了就诊率和转运率存在显著差异。天气、性别、活动类型和年龄都起着重要作用。我们的分析虽然仅代表我们的特定场所，但可能有助于为类似的大型聚集场所制定应对计划和人员配备模式。（《灾害医学与公共卫生防范》。2018年；12:752 - 758）
