Analysis of Patient Load Data From the 2002 FIFA World Cup Korea/Japan

2004 ◽  
Vol 19 (3) ◽  
pp. 278-284 ◽  
Author(s):  
Naoto Morimura ◽  
Atsushi Katsumi ◽  
Yuichi Koido ◽  
Katsuhiko Sugimoto ◽  
Akira Fuse ◽  
...  

AbstractIntroduction:Past history of mass casualties related to international football games brought the importance of practical planning, preparedness, simulation training, and analysis of potential patient presentations to the forefront of emergency research.Methods:The Japanese Ministry of Health, Labor, and Welfare established the Health Research Team (HRT-MHLW) for the 2002 FIFA World Cup game (FIFAWC). The HRT-MHLW collected patient data related to the games and analyzed the related factors regarding patient presentations.Results:A total of 1,661 patients presented for evaluation and care from all 32 games in Japan. The patient presentation rate per 1,000 spectators per game was 1.21 and the transport-to-hospital rate was 0.05. The step-wise regression analysis identified that the patient presentations rate increased where access was difficult. As the number of total spectators increased, the patient presentation rate decreased. (p <0.0001, r = 0.823, r2 = 0.677).Conclusion:In order to develop mass-gathering medical-care plans in accordance with the types and sizes of mass gatherings, it is necessary to collect data and examine risk factors for patient presentations for a variety of events.

2017 ◽  
Vol 33 (5) ◽  
Author(s):  
Elaine Silva Miranda ◽  
Kimberley Shoaf ◽  
Raulino Sabino da Silva ◽  
Carolina Figueiredo Freitas ◽  
Claudia Garcia Serpa Osorio-de-Castro

Planning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels. The hospital bed occupancy rate was calculated, based on the Brazilian Health Informatics Department (DATASUS). The number of surplus beds was calculated using parameters from the literature regarding surge and mass casualty needs and number of unoccupied beds. In all groups, physical injuries ranked first, followed by emerging and endemic diseases. Baseline occupancy rates were high (95%CI: 0.93-2.19) in all 12 cities. Total shortage, considering all the cities, ranged from -47,670 (for surges) to -60,569 beds (for mass casualties). The study can contribute to discussions on mass-gathering preparedness.


2006 ◽  
Vol 18 (2) ◽  
pp. 52 ◽  
Author(s):  
A Kilian ◽  
RA Stretch

Objectives. The purpose of this study was to evaluate the patient presentation data for spectators attending the opening ceremony and all the 2003 Cricket World Cup matches played in South Africa in order to provide organisers with the basis of a sound medical care plan for mass gatherings of a similar nature. Methods. During the 2003 Cricket World Cup, data were collected on the spectators presenting to the medical facilities during the opening ceremony and the 42 matches played in South Africa. Data included the total number of patient presentations and the category of illness or injury. This information was used to determine the venue accommodation rate and the patient presentation rate. The illness/injury data were classified into the following categories: (i) heat-related illness; (ii) blisters/scrapes/ bruises; (iii) headache; (iv) fractures/sprains/lacerations; (v) eye injuries; (vi) abdominal pain; (vii) insect bite; (viii) allergy-related illness; (ix) cardiac disorders, chest pains; (x) pulmonary disorder/shortness of breath; (xi) syncope; (xii) weakness/dizziness; (xiii) alcohol/drug-related conditions; (xiv) seizure; (xv) cardiac arrest; (xvi) obstetric/ gynaecological disorder; and (xvii) other. Results. The total number of patients who presented to the medical stations was 2 118, with a mean of 50 (range 14 - 91) injuries per match. The mean for the patient presentation rate was 4/1 000 spectators. The most frequently encountered illness or injury was headache (954 patients, 45%), followed by fractures, sprains and lacerations (351 patients, 16%). South African Journal of Sports Medicine Vol. 18 (2) 2006: pp. 52-56


2010 ◽  
Vol 25 (6) ◽  
pp. 547-552 ◽  
Author(s):  
Wayne P. Smith ◽  
Vernon Wessels ◽  
Diane Naicker ◽  
Elizabeth Leuenberger ◽  
Peter Fuhri ◽  
...  

AbstractMass gatherings have a higher patient presentation rate than is found within the general population. Despite this fact, many mass gatherings are occurring without suitable medical coverage. South Africa has had no standard approach or model to determine the number of medical personnel needed to deploy to an event. The awarding of the FIFA (Federation International de Football Association) 2010 World Cup to South Africa has provided the impetus for the development of such a model. The model presented in this paper is based on existing recommendations that originate from the United Kingdom.This paper outlines the modifications that have been made to this model to ensure that adequate medical resources still are provided, albeit in a developing country where medical resources may not be as plentiful.


2014 ◽  
pp. 140-152
Author(s):  
Manh Hoan Nguyen ◽  
Ngoc Thanh Cao

Background and Objective: HIV infection is also a cause of postpartum depression, however, in Vietnam, there has not yet the prevalence of postpartum depression in HIV infected women. The objective is to determine prevalence and related factors of postpartum depression in HIV infected women. Materials and Methods: From November 30th, 2012 to March 30th, 2014, a prospective cohort study is done at Dong Nai and Binh Duong province. The sample includes135 HIV infected women and 405 non infected women (ratio 1/3) who accepted to participate to the research. We used “Edinburgh Postnatal Depression Scale (EPDS) as a screening test when women hospitalized for delivery and 1 week, 6weeks postpartum. Mother who score EPDS ≥ 13 are likely to be suffering from depression. We exclude women who have EPDS ≥ 13 since just hospitalize. Data are collected by a structural questionaire. Results: At 6 weeks postpartum, prevalence of depression in HIV infected women is 61%, in the HIV non infected women is 8.7% (p < 0.001). There are statistical significant differences (p<0.05) between two groups for some factors: education, profession, income, past history of depression, child’s health, breast feeding. Logistical regression analysis determine these factors are related with depression: late diagnosis of HIV infection, child infected of HIV, feeling guilty of HIV infected and feeling guilty with their family. Multivariate regression analysis showed 4 factors are related with depression: HIV infection, living in the province, child’s health, past history of depression. Conclusion: Prevalence of postpartum depression in HIV infected women is 61.2%; risk of depression of postnatal HIV infected women is 6.4 times the risk of postnatal HIV non infected women, RR=6.4 (95% CI:4.3 – 9.4). Domestic women have lower risk than immigrant women from other province, RR=0.72 (95% CI:0.5 – 0.9). Past history of depression is a risk factor with RR=1.7 (95% CI:1.02 – 0.9. Women whose child is weak or die, RR=1.7(95% CI:0.9 – 3.1). Keywords: Postpartum depression, HIV-positive postpartum women


2004 ◽  
Vol 19 (3) ◽  
pp. 208-212 ◽  
Author(s):  
Paul Arbon

AbstractMass gatherings are an increasingly common feature of modern society. However, descriptive papers that focus on a single event or event type, dominate the literature, and, while these contribute to our understanding of the patient care required at such events, they do not provide an adequate analysis of the health effects of the mass-gathering phenomenon itself. This paper argues for the development of conceptual models and a research template for mass-gathering research. The development of theory and conceptual models would promote a better understanding of the health effects of mass gatherings. Two preliminary conceptual models are presented as a means to encourage further debate about the dominant influences on the health of people where crowds gather and to promote less superficial forms of analysis of the research data.These conceptual models are based on the idea that mass-gathering health can be understood as an inter-relationship between three domains: (1) the biomedical; (2) the environmental; and (3) the psychosocial. Key features influence the rate of injury and illness and characterize each domain. These key features are more or less well-understood and combine to produce an effect—the patient presentation rate, and a response—the health plan. A new element, the latent potential for injury and illness, is introduced as a mechanism for describing a biomedical precursor state important in assessing health risk during mass gatherings.


2014 ◽  
Vol 29 (2) ◽  
pp. 167-175 ◽  
Author(s):  
Ahmed H. Alquthami ◽  
Jesse M. Pines

AbstractIntroductionThe review was conducted to evaluate if the field of mass-gathering medicine has evolved in addressing: (1) the lack of uniform standard measures; (2) the effectiveness of and needs for various interventions during a mass gathering; and (3) the various types of noncommunicable health issues (trauma and medical complaints) encountered and their severity during a gathering.MethodsA systematic review of papers published from 2003 through 2012 was conducted using databases of MEDLINE, Ovid, CINHAL, EBSCOHost, National Library of Medicine (NLM), Agency for Healthcare Research and Quality (AHRQ), Elsevier, Scopus, and Proquest databases. Of 37,762 articles, 17 articles were included in this review, covering 18 mass-gathering events; 14 were multiple-day events.ResultsAcross all events, the patient presentation rate (PPR) ranged from 0.13 to 20.8 patients per 1,000 attendees and the transfer to hospital rate (TTHR) ranged from 0.01 to 10.2 ambulance transports per 1,000 attendees. In four out of the seven studies, having on-site providers was associated with a lower rate of ambulance transports. The highest frequencies of noncommunicable presentations were headaches, abdominal complaints, and abrasions/lacerations. Most presentations were minor. Emergent cases requiring hospitalization (such as acute myocardial infarction) were rare.ConclusionsThe rate of noncommunicable health issues varies across events and very serious emergencies are rare.AlquthamiAH, PinesJM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Disaster Med. 2014;29(2):1-9.


2006 ◽  
Vol 11 (51) ◽  
Author(s):  
R Kaiser ◽  
D Coulombier

Public health is an important aspect of the planning for mass gatherings which include major sport events (e.g. the Olympic Games, the FIFA World Cup), other spectator events


2006 ◽  
Vol 21 (4) ◽  
pp. 282-285 ◽  
Author(s):  
Kristina M.C. Johnsson ◽  
Per A. Örtenwall ◽  
Anne-Lii H. Kivi ◽  
Annika H.E. Hedelin

AbstractIntroduction:Several factors are important for the number and severity of medical emergencies during mass-gatherings. The risk of violence, the size and mobility of the crowd, the type of event, weather, and duration of the event all influence the outcome. During the European Union (EU) Summit, from 15–16 June 2001 in Gothenburg, Sweden, approximately 50,000 people participated in 43 protest marches, some which included 15,000 participants. Clashes between police and the protesters occurred.Objective:The objective of this study was to analyze the amount and character of injuries as well as the medical complaints in relation to the EU Summit. In addition, the aim of this study was to describe the organization and function of the healthcare services provided during the meeting.Methods:This study is based on the medical records of patients presenting with injuries and other types of medical emergencies at the healthcare stations during the Summit.Results:In total, 143 patients sought medical care. Fifty-three (37.1%) were police officers. Most patients had minor complaints, but a few were seriously injured.The Patient Presentation Rate (PPR) was 2.7. Nine victims were hospitalized as high priority.Conclusion:The PPR for the EU Summit was 2.7, which is in the same range as previously reported from other mass-gatherings.


2016 ◽  
Vol 14 (3) ◽  
pp. 212-220 ◽  
Author(s):  
Kirsten Alexandra Eberhardt ◽  
Christof David Vinnemeier ◽  
Johanna Dehnerdt ◽  
Thierry Rolling ◽  
Robert Steffen ◽  
...  

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