1
|
Baggott C, Kruger D, Pretorius R. Impact of the Soweto football derby on the trauma emergency department at Chris Hani Baragwanath Academic Hospital, a tertiary level hospital in South Africa. PLoS One 2024; 19:e0306836. [PMID: 38990814 PMCID: PMC11239021 DOI: 10.1371/journal.pone.0306836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Accepted: 06/23/2024] [Indexed: 07/13/2024] Open
Abstract
INTRODUCTION The Soweto Derby is one of Africa's largest football derbies. The two rival teams, Kaizer Chiefs and Orlando Pirates, both originate in Soweto, a sprawling township 20km outside Johannesburg. Soweto is infamous for the high levels of violent crime and trauma, but also for Chris Hani Baragwanath Academic Hospital (CHBAH), with one of the world's largest trauma emergency departments (ED). Research globally, describing the impact of sports events on public health care systems is conflicting, with evidence showing both increases and decreases in spectator related trauma. This paper seeks to describe the trauma burden during the Soweto Derby and add to the research concerning trauma relating to sporting derbies in low to middle income countries. OBJECTIVES To analyze the impact of the Soweto Derby on the trauma ED at CHBAH over a 24-hour period. METHODS A retrospective comparative study at the CHBAH Trauma ED of 13 Soweto Derbies played over a 5 year period between 2015-2019, compared to the corresponding non-Soweto Derby days of the preceding year. Patients were triaged according to the South African Triage Scale and Advanced Trauma Life Support (ATLS) principles. Data was organized into 3 time frames where the triage score and mechanism of injuries were compared: 1) 4 hours pre-match, 2) 2 hours during the match, and 3) 18 hours post-match. RESULTS Thirteen Soweto Derbies and 2552 patients were included. The median age was 29 with males accounting for 73.4% of all trauma cases. Significantly more P1 patients presented during the Soweto Derby. Pre-match there were 3x less P1 patients presenting to the ED (4.7% vs 12%, p = 0.044). During the match, there was a 40% drop in males presenting to ED (5.95% vs 9.45%, p = 0.015). Post-match there was a significant increase in P1 patients treated (17.4% vs 13.5%, p = 0.021)), with the majority being young males. There was no increase in either female or paediatric visits to the ED. CONCLUSION The Soweto Derby has a direct effect on the trauma burden at CHBAH, with more P1 patients presenting post-match. Young African males are disproportionally affected by severe trauma requiring increased health care resources in an already overburdened hospital.
Collapse
Affiliation(s)
- Charles Baggott
- Faculty of Health Sciences, Department of Surgery, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Deirdré Kruger
- Faculty of Health Sciences, Department of Surgery, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - Riaan Pretorius
- Faculty of Health Sciences, Department of Surgery, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
- Trauma Emergency Department, Chris Hani Baragwanath Academic Hospital, Soweto, South Africa
| |
Collapse
|
2
|
Antkowiak PS, Stenson BA, Strout TD, Stack CD, Joseph JW, Chiu DT, Sanchez LD. A retrospective multistate analysis: Do regional football games impact emergency department patient volume? J Am Coll Emerg Physicians Open 2021; 2:e12551. [PMID: 34590076 PMCID: PMC8460551 DOI: 10.1002/emp2.12551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 08/10/2021] [Accepted: 08/16/2021] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVE We sought to assess the effect of National Football League (NFL) games played by a regional sports team, the New England Patriots, on emergency department (ED) patient volume. METHODS We conducted a multicenter, retrospective chart review at the following 3 tertiary centers in New England from 2012 to 2019: Beth Israel Deaconess Medical Center, Boston, MA; Dartmouth Hitchcock Medical Center, Lebanon, NH; and Maine Medical Center, Portland, ME. RESULTS Within the NFL season, we observed a 2.6% overall decrease (-10.4 patients) in average total daily volume across the study sites on Sundays when Patriots games were played compared with Sundays when games were not played (P = 0.07; 95% confidence interval [CI], -22.37 to 1.62). We observed a 4.3% reduction (-19.0 patients) in average total daily volume across the study sites on Mondays during which Patriots games were played compared with Mondays without games (P = 0.15; 95% CI, -43.51 to 5.47). Subanalyses on the 5-hour period corresponding with each Patriots game showed reductions in mean patient volume per hour. Although our primary and subanalyses showed reductions in patient volume during Patriots games, these results were not statistically significant. CONCLUSIONS Our data support prior studies that showed a minimal impact of major sporting events on ED patient volume at tertiary centers. These results add to the limited data on this topic and can inform administrators whether staffing adjustments are necessary during similar types of sporting events.
Collapse
Affiliation(s)
- Peter S. Antkowiak
- Department of Emergency MedicineBeth Israel Deaconess Medical CenterBostonMassachusettsUSA
| | - Bryan A. Stenson
- Department of Emergency MedicineBeth Israel Deaconess Medical CenterBostonMassachusettsUSA
| | - Tania D. Strout
- Department of Emergency MedicineMaine Medical CenterPortlandMaineUSA
| | - Colin D. Stack
- Department of Emergency MedicineDartmouth‐Hitchcock Medical CenterLebanonNew HampshireUSA
| | - Joshua W. Joseph
- Department of Emergency MedicineBeth Israel Deaconess Medical CenterBostonMassachusettsUSA
| | - David T. Chiu
- Department of Emergency MedicineBeth Israel Deaconess Medical CenterBostonMassachusettsUSA
| | - Leon D. Sanchez
- Department of Emergency MedicineBrigham and Women's Hospital/FaulknerBostonMassachusettsUSA
| |
Collapse
|
3
|
Alesandrini M, Hauet M, Dezavelle S, Maria M, Borsa-Dorion A, Gatin A, Schweitzer C, Wiedemann A. How do the FIFA World Cup 2018 and the 2016 UEFA championships impact a pediatric emergency department? Arch Pediatr 2021; 28:234-237. [PMID: 33707103 DOI: 10.1016/j.arcped.2021.02.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 10/19/2020] [Accepted: 02/10/2021] [Indexed: 11/27/2022]
Abstract
INTRODUCTION In France, soccer is the most popular sport, which today attracts a huge television audience with millions of spectators in the case of international competitions. During certain games with European top clubs, the attendance of adult emergencies is impacted. However, the impact of international soccer competitions on pediatric emergency department (PED) activity has not been evaluated. METHODS We performed a retrospective analysis of attendance in the PED of a tertiary university hospital in Nancy (France) during the UEFA 2016 championship and the FIFA 2018 World Cup. Games were represented by 2.5-h blocks and the tournament period was compared with the same period in the previous year. RESULTS Considering all games, we did not observe an impact of PED attendance. The admission rate was significantly lower during the final phase (11.1 patients per match vs. 13.9, P=0.037). We observed a decrease in consultations for trauma (4.9 vs. 6.7, P=0.006). The effects were higher during games involving the national French team, with a decrease in less severe admissions (P=0.034), attendance of older children (P=0.016), and the presence of the father as accompanying adult (P=0.002). During the two final matches, we observed a decrease of 14% in the total activity. CONCLUSION We found significant differences in PED attendance during two international soccer tournaments. It would be interesting to study this effect in countries other than France or in countries with different sport habits.
Collapse
Affiliation(s)
- M Alesandrini
- Service d'Accueil des Urgences Pédiatriques, CHRU Nancy, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - M Hauet
- Service d'Accueil des Urgences Pédiatriques, CHRU Nancy, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - S Dezavelle
- Service d'Anesthésie, CHRU Nancy, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - M Maria
- Service de Réanimation Pédiatrique Spécialisée, CHRU Nancy, Rue du Morvan, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - A Borsa-Dorion
- Service d'Accueil des Urgences Pédiatriques, CHRU Nancy, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - A Gatin
- Service d'Accueil des Urgences Pédiatriques, CHRU Nancy, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - C Schweitzer
- Service d'Accueil des Urgences Pédiatriques, CHRU Nancy, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France; Service de Réanimation Pédiatrique Spécialisée, CHRU Nancy, Rue du Morvan, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France
| | - A Wiedemann
- Service de Réanimation Pédiatrique Spécialisée, CHRU Nancy, Rue du Morvan, Rue du Morvan, 54500 Vandœuvre-lès-Nancy, France; INSERM U-1256, 54505 Vandœuvre-lès-Nancy cedex, France.
| |
Collapse
|
4
|
Peiro-Garcia A, Corominas L, Coelho A, DeSena-DeCabo L, Torner-Rubies F, Fontecha CG. How the COVID-19 pandemic is affecting paediatric orthopaedics practice: a preliminary report. J Child Orthop 2020; 14:154-160. [PMID: 32582381 PMCID: PMC7302411 DOI: 10.1302/1863-2548.14.200099] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
PURPOSE Since the state of alarm was decreed in Spain on 14 March 2020, the coronavirus disease 2019 (COVID-19) pandemic has had an extraordinary impact in paediatric hospitals. This study shows the effect of the pandemic on our practice in paediatric orthopaedics in a referral third level paediatric hospital. METHODS We performed a single-centre retrospective review of the official census from a third level paediatric hospital from 14 March to 14 April for the years 2018, 2019 and 2020. RESULTS The patients seen in our clinic during this period in 2020 decreased in by 82% (p < 0.001) compared with 2018 and 2019, however, the number of telemedicine consultations increased by 90.21% (p < 0.001). The total number of patients attending the clinic (including onsite and virtual) was reduced by 54.25% (p < 0.001). The total surgeries performed plummeted by 81% in this period in 2020 (p < 0.001) due to a reduction in elective cases of 94.6% (p < 0.001). No significant decrease was found in the number of urgent surgical cases per day in 2020 (p = 0.34). Finally, the number of orthopaedic patients admitted to our emergency department dropped by 78.6% during the state of alarm (p < 0.001). CONCLUSION According to our results, the pandemic has significantly affected our daily practice by decreasing elective surgeries and onsite clinics, but other activities have increased. As we have implemented telemedicine and new technologies to adapt to this setback, we should take advantage of the situation to change our practice in the future to better allocate our health resources and to anticipate outbreaks. UNLABELLED Published without peer review. LEVEL OF EVIDENCE IV.
Collapse
Affiliation(s)
- Alejandro Peiro-Garcia
- Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain,Correspondence should be sent to Alejandro Peiro-Garcia, Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain. E-mail:
| | - Laura Corominas
- Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain
| | - Alexandre Coelho
- Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain
| | - Lidia DeSena-DeCabo
- Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain
| | - Ferran Torner-Rubies
- Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain
| | - Cesar G. Fontecha
- Department of Pediatric Orthopaedic Surgery. Hospital Sant Joan de Deu, Barcelona, Spain
| |
Collapse
|
5
|
Correia JC, Braillard O, Combescure C, Gerstel E, Spechbach H. Admission rates in emergency departments in Geneva during tennis broadcasting: a retrospective study. BMC Emerg Med 2018; 18:56. [PMID: 30545304 PMCID: PMC6293595 DOI: 10.1186/s12873-018-0209-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 11/28/2018] [Indexed: 11/21/2022] Open
Abstract
Background Literature provides mixed results regarding the influence of large-scale sporting events on emergency department attendance. To contribute to the research on the subject, we sought to evaluate whether the broadcasting of major tennis tournaments, one of the most popular sports in Switzerland, has an impact on patient admission rates in emergency units in Geneva including 1) type of match 2) the role of a Swiss player, 3) degree of triage, 4) reason of attendance and 5) age of patients. Methods Admission rates between periods with tennis matches regarding the semi-finals and finals of 3 major tennis tournaments were compared to equivalent periods without matches from May 2013 to August 2017. Patient admission data was retrieved retrospectively from administrative databases of two Outpatient Emergency Units in Geneva. Patients’ admission rates in periods with and without a tennis match were investigated using a negative binomial regression model with mixed effects. Results We observed a statistically significant decrease (− 10%, 95% CI -17 to − 2, p = 0.015) in admission rates in periods with a tennis match compared to periods without a tennis match, more pronounced during finals (− 15%, 95% CI -26 to − 3, p = 0.017) than during semi-finals (− 7%, − 16 to 2, p = 0.13). In addition, this effect was more pronounced in patients aged between 26 to 64 years of age, a category representing professionnally active people. No modification in the admission rates was detected in the hours preceding and following the matches, nor in type of consultations (traumatology vs non traumatology related admissions). Conclusion Although modest, the results support the hypothesis that the broadcasting of large-scale sporting events such as tennis matches decreases admission rates in emergency units. Further research is required to explore for a potential causal relationship. Electronic supplementary material The online version of this article (10.1186/s12873-018-0209-y) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Jorge César Correia
- Division of Tropical and Humanitarian Medicine, Department of Community Medicine, Primary and Emergency Care, Geneva University Hospitals and University of Geneva, 1205, Geneva, Switzerland.
| | - Olivia Braillard
- Division of Primary Care, Department of Community Medicine, Primary and Emergency Care, Geneva University Hospitals, 1205, Geneva, Switzerland
| | - Christophe Combescure
- Division of Clinical Epidemiology, Department of Health and Community Medicine, Geneva University Hospitals, 1205, Geneva, Switzerland
| | - Eric Gerstel
- Hirslanden Clinique La Colline, 1206, Geneva, Switzerland
| | - Hervé Spechbach
- Division of Primary Care, Department of Community Medicine, Primary and Emergency Care, Geneva University Hospitals, 1205, Geneva, Switzerland
| |
Collapse
|
6
|
Hughes HE, Colón-González FJ, Fouillet A, Elliot AJ, Caserio-Schonemann C, Hughes TC, Gallagher N, Morbey RA, Smith GE, Thomas DR, Lake IR. The influence of a major sporting event upon emergency department attendances; A retrospective cross-national European study. PLoS One 2018; 13:e0198665. [PMID: 29898000 PMCID: PMC5999282 DOI: 10.1371/journal.pone.0198665] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Accepted: 05/23/2018] [Indexed: 12/04/2022] Open
Abstract
Major sporting events may influence attendance levels at hospital emergency departments (ED). Previous research has focussed on the impact of single games, or wins/losses for specific teams/countries, limiting wider generalisations. Here we explore the impact of the Euro 2016 football championships on ED attendances across four participating nations (England, France, Northern Ireland, Wales), using a single methodology. Match days were found to have no significant impact upon daily ED attendances levels. Focussing upon hourly attendances, ED attendances across all countries in the four hour pre-match period were statistically significantly lower than would be expected (OR 0.97, 95% CI 0.94-0.99) and further reduced during matches (OR 0.94, 95% CI 0.91-0.97). In the 4 hour post-match period there was no significant increase in attendances (OR 1.01, 95% CI 0.99-1.04). However, these impacts were highly variable between individual matches: for example in the 4 hour period following the final, involving France, the number of ED attendances in France increased significantly (OR 1.27, 95% CI 1.13-1.42). Overall our results indicate relatively small impacts of major sporting events upon ED attendances. The heterogeneity observed makes it difficult for health providers to predict how major sporting events may affect ED attendances but supports the future development of compatible systems in different countries to support cross-border public health surveillance.
Collapse
Affiliation(s)
- Helen E. Hughes
- Real-time Syndromic Surveillance Team, Public Health England, Birmingham, United Kingdom
- Farr Institute at HeRC, Liverpool University, Liverpool, United Kingdom
- NIHR HPRU in Gastrointestinal Infections, Liverpool, United Kingdom
| | - Felipe J. Colón-González
- NIHR HPRU in Emergency Preparedness and Response, London, United Kingdom
- School of Environmental Sciences, University of East Anglia, Norwich, United Kingdom
| | - Anne Fouillet
- Syndromic Surveillance Unit, Santé publique France, the national public health agency, Saint-Maurice, France
| | - Alex J. Elliot
- Real-time Syndromic Surveillance Team, Public Health England, Birmingham, United Kingdom
- NIHR HPRU in Emergency Preparedness and Response, London, United Kingdom
| | - Céline Caserio-Schonemann
- Syndromic Surveillance Unit, Santé publique France, the national public health agency, Saint-Maurice, France
| | - Thomas C. Hughes
- Emergency Department, John Radcliffe Hospital, Oxford, United Kingdom
| | - Naomh Gallagher
- Health Protection, Public Health Agency, Northern Ireland, Belfast, United Kingdom
| | - Roger A. Morbey
- Real-time Syndromic Surveillance Team, Public Health England, Birmingham, United Kingdom
- NIHR HPRU in Emergency Preparedness and Response, London, United Kingdom
| | - Gillian E. Smith
- Real-time Syndromic Surveillance Team, Public Health England, Birmingham, United Kingdom
- NIHR HPRU in Emergency Preparedness and Response, London, United Kingdom
| | - Daniel Rh. Thomas
- Communicable Disease Surveillance Centre, Public Health Wales, Cardiff, United Kingdom
| | - Iain R. Lake
- NIHR HPRU in Gastrointestinal Infections, Liverpool, United Kingdom
- NIHR HPRU in Emergency Preparedness and Response, London, United Kingdom
- School of Environmental Sciences, University of East Anglia, Norwich, United Kingdom
| |
Collapse
|
7
|
Noel GN, Roch AR, Michelet PM, Boiron LB, Gentile SG, Viudes GV. Impact of the EURO-2016 football cup on emergency department visits related to alcohol and injury. Eur J Public Health 2018; 28:434-436. [DOI: 10.1093/eurpub/ckx233] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- G N Noel
- Observatoire Régional des Urgences PACA (ORU PACA), Hyères, France
- EA 3279 Research Unit-Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France
- Pediatric Emergency Department, North Hospital, APHM, Marseille, France
| | - A R Roch
- Emergency Department, North Hospital, APHM, Marseille, France
| | - P M Michelet
- Emergency Department, Timone 2 Hospital, APHM, Marseille, France
| | - L B Boiron
- Emergency Department, Timone 2 Hospital, APHM, Marseille, France
| | - S G Gentile
- EA 3279 Research Unit-Public Health, Chronic Diseases and Quality of Life, Aix-Marseille University, Marseille, France
| | - G V Viudes
- Observatoire Régional des Urgences PACA (ORU PACA), Hyères, France
| |
Collapse
|
8
|
Vial F, Dezavelle S, Baka NE, Herbain D, Bannay A, Omorou Y, Bouaziz H. Does a major football event affect obstetric emergency attendances? A prospective observational study during Euro 2016. Am J Emerg Med 2018; 36:1696-1697. [PMID: 29352671 DOI: 10.1016/j.ajem.2018.01.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 01/04/2018] [Accepted: 01/06/2018] [Indexed: 11/15/2022] Open
Affiliation(s)
- F Vial
- Department of Anaesthesiology and Obstetric Critical Care Unit, Maternity Hospital NANCY, F-54000, France.
| | - S Dezavelle
- Department of Anaesthesiology and Obstetric Critical Care Unit, Maternity Hospital NANCY, F-54000, France
| | - N E Baka
- Department of Anaesthesiology and Obstetric Critical Care Unit, Maternity Hospital NANCY, F-54000, France
| | - D Herbain
- Department of Anaesthesiology and Obstetric Critical Care Unit, Maternity Hospital NANCY, F-54000, France
| | - A Bannay
- CHU Nancy 54/Medical Information and Evaluation Department, University Hospital NANCY, F-54000, France
| | - Y Omorou
- Inserm CIC-1433 Clinical Epidemiology, Vandoeuvre-Lès-Nancy, F-54500, Nancy 54000, France
| | - H Bouaziz
- Department of Anaesthesiology and Obstetric Critical Care Unit, Maternity Hospital NANCY, F-54000, France
| |
Collapse
|
9
|
Carmont MR, Daynes R, Sedgwick DM. The Impact of an Extreme Sports Event on a District General Hospital. Scott Med J 2016; 50:106-8. [PMID: 16163995 DOI: 10.1177/003693300505000306] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Extreme sports events are increasing in popularity, particularly in mountainous areas throughout Great Britain. Emergency medical care for these events is usually provided by voluntary organisations, providing event side first aid and referring patients to nearby District General Hospitals. The Fort William Mountain Bike Race is part of the UCI World Cup Series: 173 competitors racing in cross country, downhill and 4X events. The Belford Hospital provides year round medical care for the Lochaber community, which frequently swells during the tourist season. The hospital has 8300 new attendances per annum, 35 patient reviews per 24 hrs. Methods and Results: We have reviewed the impact of the event on the local hospital. In total 52 riders reported 61 injuries. The hospital treated 24 (14%) riders. Retrospective analysis of attendances has revealed 19 riders attended on race days, increasing attendees by up to 28%, 46% of injured riders were seen at the A&E department, 1 rider requiring admission for observation and 1 rider required inter-hospital transfer. Injury patterns (knee 20%, hand/wrist 18% & shoulder 18%) were similar to other reported series. Conclusions: We believe that extreme sports events can have considerable impact on small district general hospitals. Additional triage and staffing resources should be utilised and event organisers should anticipate the additional problems they present to the local community. District General Hospitals continue to provide a substantial contribution to the provision of health care for extreme sports within the UK.
Collapse
|
10
|
Furyk JS, Lawlor JM, Franklin R, O'Kane CJ, Kault DA, Banks CJ, Aitken PJ. Emergency department presentations during the State of Origin rugby league series: a retrospective statewide analysis. Med J Aust 2012; 197:663-6. [PMID: 23230946 DOI: 10.5694/mja12.11557] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2012] [Accepted: 11/15/2012] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To evaluate the effect of the State of Origin rugby league series on the number of emergency department (ED) presentations in Queensland. DESIGN AND SETTING Retrospective analysis of Emergency Department Information System data from 25 Queensland EDs for game 10s and matched control 10s during the annual State of Origin series from 2005 to 2012. The Queensland team won seven of the eight series in this period. MAIN OUTCOME MEASURES Number of patients presenting to Queensland EDs on 24 game 10s and 80 control 10s. RESULTS Proportionally, a binomial test indicated there were significantly fewer ED presentations on game 10s (49,702) than on control 10s (172,351) (P<0.001). On average, there were 2,154 presentations per 10 on control 10s and 2,071 on game 10s, representing a 4% reduction on game 10s. CONCLUSION We found that the State of Origin series was associated with fewer ED presentations on game 10s. We believe these results have broader implications for workforce planning and resource allocation.
Collapse
Affiliation(s)
- Jeremy S Furyk
- Emergency Department, Townsville Hospital, and School of Public Health and Tropical Medicine, James Cook University, Townsville, QLD, Australia.
| | | | | | | | | | | | | |
Collapse
|
11
|
Abstract
OBJECTIVES Our study attempted to evaluate the effects of major sporting events on the census of a pediatric emergency department (ED) in the United States specifically related to the National Football League Super Bowl, National Basketball Association (NBA) Finals, and Major League Baseball World Series. METHODS We performed a retrospective data analysis of our pediatric ED census on the number of visits during major sporting events over a 5-year period. Data during the same period 1 week after the major sporting event were collected for comparison as the control. We evaluated the medians of 2-hour increments around the event start time. Subgroup analysis was performed for games involving the local sporting teams. RESULTS Our results showed no significant difference in ED census during the sporting events, except in the post 6 to 8 hours of the NBA finals. Subgroup analysis of the Los Angeles Lakers showed the same significant findings in the post 6 to 8 hours of the NBA finals. CONCLUSIONS No major difference in pediatric ED census is observed during the most major sporting events in the United States.
Collapse
|
12
|
Quigg Z, Hughes K, Bellis MA. Effects of the 2010 World Cup football tournament on emergency department assault attendances in England. Eur J Public Health 2012; 23:383-5. [DOI: 10.1093/eurpub/cks098] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
13
|
Redelmeier DA, Vermeulen MJ. Emergency department visits during an Olympic gold medal television broadcast. OPEN MEDICINE : A PEER-REVIEWED, INDEPENDENT, OPEN-ACCESS JOURNAL 2011; 5:e112-9. [PMID: 21915235 PMCID: PMC3148000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2010] [Revised: 03/18/2011] [Accepted: 03/28/2011] [Indexed: 11/05/2022]
Abstract
BACKGROUND Practice pattern variations are often attributed to physician decision-making with no accounting for patient preferences. OBJECTIVE To test whether a mass media television broadcast unrelated to health was associated with changes in the rate and characteristics of visits for acute emergency care. DESIGN Time-series analysis of emergency department visits for any reason. SUBJECTS Population-based sample of all patients seeking emergency care in Ontario, Canada. MEASURES The broadcast day was defined as the Olympic men's gold medal ice hockey game final. The control days were defined as the 6 Sundays before and after the broadcast day. RESULTS A total of 99 447 visits occurred over the 7 Sundays, of which 13 990 occurred on the broadcast day. Comparing the broadcast day with control days, we found no significant difference in the hourly rate of visits before the broadcast (544 vs 537, p = 0.41) or after the broadcast (647 vs 639, p = 0.55). In contrast, we observed a significant reduction in hourly rate of visits during the broadcast (647 vs 783, p < 0.001), equal to an absolute decrease of 409 patients, a relative decrease of 17% (95% confidence interval 13-21), or about 136 fewer patients per hour. The relative decrease during the broadcast was particularly large for adult men with low triage severity. The greatest reductions were for patients with abdominal, musculoskeletal or traumatic disorders. CONCLUSION Mass media television broadcasts can influence patient preferences and thereby lead to a decrease in emergency department visits.
Collapse
|
14
|
McGreevy A, Millar L, Murphy B, Davison GW, Brown R, O'Donnell ME. The effect of sporting events on emergency department attendance rates in a district general hospital in Northern Ireland. Int J Clin Pract 2010; 64:1563-1569. [PMID: 20846204 DOI: 10.1111/j.1742-1241.2010.02390.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Previous studies have reported a conflicting relationship between the effect of live and televised sporting events on attendance rates to emergency departments (ED). The objectives of this study were to investigate the relationship of major sporting events on emergency department attendance rates and to determine the potential effects of such events on service provision. METHODS A retrospective analysis of ED attendances to a district general hospital (DGH) and subsequent admissions over a 24-h period following live and televised sporting activities was performed over a 5-year period. Data were compiled from the hospital's emergency record books including the number of attendances, patient demographics, clinical complaint and outcome. Review patients were excluded. Analysis of sporting events was compiled for live local, regional and national events as well as world-wide televised sporting broadcasts. RESULTS A total of 137,668 (80,445 men) patients attended from April 2002 to July 2007. Mean attendance rate per day was 80 patients (men = 47). Mean admission rate was 13.6 patients per day. Major sporting events during the study period included; Soccer: 4 FA Cup and 1 World Cup (WC) finals; Rugby: 47 Six Nations, 25 Six nations games involving Ireland, 1 WC final, 2 WC semi-finals, 2 WC quarter-finals and 4 WC games involving Ireland; and Gaelic Football [Gaelic Athletic Association (GAA)]: 5 All-Ireland finals, 11 semi-finals, 11 quarter-finals and 5 provincial finals. There was a significantly higher patient admission rate during the soccer FA Cup final, Rugby Six Nations and games involving Ireland and for GAA semi- and quarter-final games (p = 0.001-0.01). There was no difference identified in total attendance or non-admission rates for sporting events throughout the study period. Although there was no correlation identified between any of these sporting events and total emergency department attendances (r < 0.15, p > 0.07), multinomial logistic regression demonstrated that FA Cup final (p = 0.001), Rugby Six Nations (p = 0.019), Rugby WC games involving Ireland (p = 0.003), GAA All-Ireland semi- and quarter-finals (p = 0.016; p = 0.016) were predictors of patient admission rates. CONCLUSION This study suggests that live or televised sporting events do not significantly affect ED attendances to a DGH. However, some events appeared to be predictors of patient admission rates. Although it may be beneficial to consider the effect of sporting events on service stratification during these periods, the overall effect is probably minimal and should not create a major concern for future service provision despite the implementation of the European Working Time Directive.
Collapse
Affiliation(s)
- A McGreevy
- Department of General Surgery, Daisy Hill Hospital, Newry, UKSport and Exercise Sciences Research Institute and University of Ulster, Newtownabbey, UKFaculty of Life and Health Sciences, University of Ulster, Newtownabbey, UK
| | - L Millar
- Department of General Surgery, Daisy Hill Hospital, Newry, UKSport and Exercise Sciences Research Institute and University of Ulster, Newtownabbey, UKFaculty of Life and Health Sciences, University of Ulster, Newtownabbey, UK
| | - B Murphy
- Department of General Surgery, Daisy Hill Hospital, Newry, UKSport and Exercise Sciences Research Institute and University of Ulster, Newtownabbey, UKFaculty of Life and Health Sciences, University of Ulster, Newtownabbey, UK
| | - G W Davison
- Department of General Surgery, Daisy Hill Hospital, Newry, UKSport and Exercise Sciences Research Institute and University of Ulster, Newtownabbey, UKFaculty of Life and Health Sciences, University of Ulster, Newtownabbey, UK
| | - R Brown
- Department of General Surgery, Daisy Hill Hospital, Newry, UKSport and Exercise Sciences Research Institute and University of Ulster, Newtownabbey, UKFaculty of Life and Health Sciences, University of Ulster, Newtownabbey, UK
| | - M E O'Donnell
- Department of General Surgery, Daisy Hill Hospital, Newry, UKSport and Exercise Sciences Research Institute and University of Ulster, Newtownabbey, UKFaculty of Life and Health Sciences, University of Ulster, Newtownabbey, UK
| |
Collapse
|
15
|
Andriessen K, Krysinska K. Can sports events affect suicidal behavior? A review of the literature and implications for prevention. CRISIS 2010; 30:144-52. [PMID: 19767270 DOI: 10.1027/0227-5910.30.3.144] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Engagement in sports and physical activity, either actively as an athlete or in a passive way as a spectator, impacts interpersonal behavior and physical and mental health. AIMS The study reviews literature on the relationship between sports spectatorship and suicidal behavior to ascertain whether sports spectatorship has an impact on suicidal behavior, either increasing the risk or being a protective factor. METHODS The literature was searched via PubMed/MEDLINE and PsycINFO. Nine studies published between 1986 and 2006 were identified. RESULTS The reviewed studies focused on the impact of sports events on the societal level, and analyzed data regarding national or local suicide rates. Their results indicate that sports events can have an impact on suicide mortality and morbidity, but this relationship seems to be mediated by age, gender, marital status, and alcohol consumption, as well as the process and outcome of the game (e.g., victory vs. defeat of the favored team). CONCLUSIONS There is some evidence that sports events can reduce the rates of suicide on the societal level; however, there is a lack of studies exploring how sports spectatorship might influence levels of suicide risk in individuals and how mediating variables might operate on the individual level.
Collapse
Affiliation(s)
- Karl Andriessen
- Suicide Prevention Program of the Flemish Mental Health Centres FDGG-Zorgnet, Gent, Belgium.
| | | |
Collapse
|
16
|
Moody WE, Hendry RG, Muscatello D. Were attendances to accident and emergency departments in England and Australia influenced by the Rugby World Cup Final 2003? Eur J Emerg Med 2007; 14:68-71. [PMID: 17496678 DOI: 10.1097/01.mej.0000228450.37974.a8] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To determine changes in volume and timing of accident and emergency (A&E) attendances associated with the Rugby World Cup Final 2003. METHODS Retrospective analysis of A&E attendance data from the West Midlands Surveillance Centre and the New South Wales Emergency Department Collection. SETTING West Midlands, England and New South Wales, Australia. MAIN OUTCOME MEASURES Relative risk of accident and emergency attendance during a 18-h period in 2003 compared with the same 18-h period in the years 2000-2002. RESULTS In the West Midlands, in the 2 h before kick-off there were 72 attendances compared with an expected 101 in 2000-2002 [relative risk (RR) 0.71, 95% confidence interval (CI) 0.55-0.89]. For New South Wales, there were 326 attendances compared with an expected 384 (RR 0.85, 95% CI 0.76-0.95). The West Midlands saw a significant increase in attendance peaking 6-8 h after the kick-off (RR 1.27, 95% CI 1.10-1.46). CONCLUSION In the West Midlands, it appears that attendance was reduced in the hours immediately surrounding the final, but in subsequent hours attendances increased, potentially as a result of celebration of the win. In New South Wales, the final was associated with reduced attendance in the hours leading up to the final, but they quickly returned to normal. Major sporting events can influence accident and emergency workload.
Collapse
Affiliation(s)
- William E Moody
- University Hospital Birmingham, Selly Oak Hospital, Raddlebarn Road, Birmingham, West Midlands, UK.
| | | | | |
Collapse
|
17
|
Martin-Gill C, Brady WJ, Barlotta K, Yoder A, Williamson A, Sojka B, Haugh D, Martin ML, Sidebottom M, Sandridge L. Hospital-based healthcare provider (nurse and physician) integration into an emergency medical services–managed mass-gathering event. Am J Emerg Med 2007; 25:15-22. [PMID: 17157677 DOI: 10.1016/j.ajem.2006.07.003] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2005] [Revised: 05/26/2006] [Accepted: 07/02/2006] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION This report describes not only the implementation of a coordinated emergency medical services-hospital-based healthcare team but also investigates the integration of nurse-physician teams at a mass gathering medical care event. METHODS A review of resource utilization, patient encounters, and local ED census was performed during this period at a college football stadium. RESULTS During this 4-year period, 1681 patients presented for medical care during 26 events with a total attendance of 1,544,244 (1.09 patients per thousand attendees [PT]). The majority of patient contacts were for minor complaints (1451, 87.6%), whereas 205 (12.4%) received full evaluations (focused history and physical examination most often with pulse oximetric and electrocardiographic monitoring). A total of 109 patients were transported (4.19 PT), representing 6.48% of all patients. Patient census for the event medical deployment increased from 0.44 PT in 2001 to 1.75 PT in 2004. The number and percent of patients transported also increased between 2001 (0.02 PT, 4.48%) and 2004 (0.12 PT, 6.67%). However, 118 (57.6%) patients who received full evaluations were able to be discharged by a physician, avoiding transport. Chief complaints and management of patients receiving full evaluations were consistent across this period, with altered mental status (52.7%) and chest pain (12.7%) as the most common complaints. Average ED census during this period was found to be significantly higher on event days (176.2) than nonevent days (161.2) (t = 8.04, P < .001), although this produced only a minor impact on the emergent care system. CONCLUSION This study describes one potential deployment plan for a mass gathering medical event and suggests that the incorporation of physicians into a mass gathering setting may be associated with an absolute increase in patient census and transports, while decreasing the percent of patients transported. The impact on local emergency medical services and ED resources, although not specifically investigated in this study, was likely minimal.
Collapse
Affiliation(s)
- Christian Martin-Gill
- Affiliated Residency in Emergency Medicine, University of Pittsburgh, Pittsburgh, PA 15260, USA
| | | | | | | | | | | | | | | | | | | |
Collapse
|
18
|
Berthier F, Boulay F. Lower myocardial infarction mortality in French men the day France won the 1998 World Cup of football. Heart 2003; 89:555-6. [PMID: 12695467 PMCID: PMC1767655 DOI: 10.1136/heart.89.5.555] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
19
|
Milsten AM, Maguire BJ, Bissell RA, Seaman KG. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med 2002; 17:151-62. [PMID: 12627919 DOI: 10.1017/s1049023x00000388] [Citation(s) in RCA: 181] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
UNLABELLED Mass-gatherings events provide a difficult setting for which to plan an appropriate emergency medical response. Many of the variables that affect the level and types of medical needs, have not been fully researched. This review examines these variables. METHODS An extensive review was conducted using the computerized databases Medline and Healthstar from 1977 through May 2002. Articles selected contained information pertaining to mass-gathering variables. These articles were read, abstracted, analyzed, and compiled. RESULTS Multiple variables are present during a mass gathering, and they interact in complex and dynamic ways. The interaction of these variables contributes to the number of patients treated at an event (medical usage rate) as well as the observed injury patterns. Important variables include weather, event type, event duration, age, crowd mood and density, attendance, and alcohol and drug use. CONCLUSIONS Developing an understanding of the variables associated with mass gatherings should be the first step for event planners. After these variables are considered, a thorough needs analysis can be performed and resource allocation can be based on objective data.
Collapse
Affiliation(s)
- Andrew M Milsten
- University of Maryland, Division of Emergency Medicine, Department of Surgery, Baltimore, Maryland 21201-1734, USA.
| | | | | | | |
Collapse
|