Emergency department presentations during the State of Origin rugby league series: a retrospective statewide analysis

Furyk, Jeremy; Lawlor, Jenine; Franklin, Richard C.; O'Kane, Carl J; Kault, David; Banks, Colin; Aitken, Peter

doi:10.5694/mja12.11557

Cited by 4 publications

(7 citation statements)

References 21 publications

(27 reference statements)

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“…33 Peaks in ED presentations related to drugs and alcohol have been identified in the literature to occur more commonly before and after the sporting MGE. 39,41 Similar to the findings reported by Todkill, et al, 26 a peak in presentations due to illicit drug use was observed immediately after the Sydney 2000 closing ceremony; the majority of whom were transported to hospital by ambulance. 41 This review highlights the need for further research at other sporting MGEs in determining whether they impact upon ED presentations.…”

Section: Discussionsupporting

confidence: 77%

“…There have been multiple studies reporting similar findings which, despite alcohol being available at sporting MGEs, only a small percentage of patient presentations to in-event services were due to intoxication. 15,23,35 The impact of sporting MGEs on ED presentations is still not well-understood, with some studies reporting an increase in workload, 36,37 some showing a decrease, 38,39 and others showing no effect at all. 40 Multiple studies have suggested, however, that the presence of highly skilled health professionals at in-event health services reduces the demand on ambulance services and EDs.…”

Section: Discussionmentioning

confidence: 99%

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Drug and Alcohol Related Patient Presentations to Emergency Departments during Sporting Mass-Gathering Events: An Integrative Review

Delany

Crilly

Ranse

2020

Prehosp. Disaster med.

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Background:Drug and alcohol consumption at sporting mass-gathering events (MGEs) has become part of the spectator culture in some countries. The direct and indirect effects of drug and alcohol intoxication at such MGEs has proven problematic to in-event health services as well as local emergency departments (EDs). With EDs already under significant strain from increasing patient presentations, resulting in access block, it is important to understand the impact of sporting and other MGEs on local health services to better inform future planning and provision of health care delivery.Aim:The aim of this review was to explore the impact of sporting MGEs on local health services with a particular focus on drug and alcohol related presentations.Method:A well-established integrative literature review methodology was undertaken. Six electronic databases and the Prehospital and Disaster Medicine (PDM) journal were searched to identify primary articles related to the aim of the review. Articles were included if published in English, from January 2008 through July 2019, and focused on a sporting MGE, mass-gathering health, EDs, as well as drug and alcohol related presentations.Results:Seven papers met the criteria for inclusion with eight individual sporting MGEs reported. The patient presentation rate (PPR) to in-event health services ranged from 0.18/1,000 at a rugby game to 41.9/1,000 at a recreational bicycle ride. The transport to hospital rate (TTHR) ranged from 0.02/1,000 to 19/1,000 at the same events. Drug and alcohol related presentations from sporting MGEs contributed up to 10% of ED presentations. Alcohol was a contributing factor in up to 25% of cases of ambulance transfers.Conclusions:Drug and alcohol intoxication has varying levels of impact on PPR, TTHR, and ED presentation numbers depending on the type of sporting MGE. More research is needed to understand if drug and alcohol intoxication alone influences PPR, TTHR, and ED presentations or if it is multifactorial. Inconsistent data collection and reporting methods make it challenging to compare different sporting MGEs and propose generalizations. It is imperative that future studies adopt more consistent methods and report drug and alcohol data to better inform resource allocation and care provision.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Drug and Alcohol Related Patient Presentations to Emergency Departments during Sporting Mass-Gathering Events: An Integrative Review

Delany

Crilly

Ranse

2020

Prehosp. Disaster med.

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“…Menos de 2% dos episódios terminaram com uma referenciação para cuidados hospitalares. Analisando os dados da cadência de episódios existe uma diferença com significado estatístico entre a segunda-feira e o sábado (4,4 vs. 3,3 consultas/médico-hora), assim como entre a segunda-feira e a sexta-feira (4,4 vs. 3,9); a nível mensal no mês de janeiro verifica-se uma cadência superior àquela do mês de agosto em 2 consultas/médico-hora. No Verão ocorreu em média menos 1 consulta/médico-hora do que no Inverno.…”

Section: Pontos-chaveunclassified

Análise da Afluência Anual a um Serviço de Atendimento a Situações de Urgência (SASU) do Grande Porto

Alves¹,

Pinto²,

Castro³

et al. 2014

RevADSO

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“…How the crowd responds to sporting MGEs can impact upon the numbers and types of presentations to local EDs 2 . Previous studies investigating the impacts of sporting MGEs on EDs have presented varying results; from reduced workload, 3,4 increased workload 2,5 and no impact at all 1,6 …”

Section: Introductionmentioning

confidence: 99%

Drug‐ and alcohol‐related emergency department patient presentations during the 2018 Commonwealth Games: A multi‐site retrospective analysis

Delany

Crilly

Ranse

2021

Emerg Medicine Australasia

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Objective To examine the impact of the 2018 Commonwealth Games on ED patient presentations related to drug(s) and/or alcohol. Methods Retrospective observational study comparing ED patient presentations made pre, during and post the 2018 Commonwealth Games with either an International Classification of Diseases‐10 diagnosis or presenting complaint related to drug and or alcohol misuse. Results Drug‐ and alcohol‐related presentations accounted for 5% (n = 890) of all ED presentations across the 36‐day study period with no significant difference between pre (n = 312), during (n = 301) and post (n = 277) periods (P = 0.2). Overall, drug‐ and alcohol‐related patient presentations made to the EDs tended to be young (median age 35 years, interquartile range 24–48), Australian (n = 820, 92%) and male (n = 493, 55%). The majority arrived by ambulance (n = 650, 73%), were allocated an Australasian Triage Scale category of 3 (n = 505, 57%), and arrived between 15.00 and 22.59 hours (n = 365, 41%). No demographic characteristics, ED characteristics or outcomes differed significantly over time. Conclusions During the 2018 Commonwealth Games, minimal impact on the ED was noted pertaining to drug and alcohol misuse. Further research is required to understand whether this held true for other types of ED presentations and during other types and locations of mass gathering events.

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Emergency department presentations during the State of Origin rugby league series: a retrospective statewide analysis

Abstract: 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.

Cited by 4 publications

References 21 publications

Drug and Alcohol Related Patient Presentations to Emergency Departments during Sporting Mass-Gathering Events: An Integrative Review

Drug and Alcohol Related Patient Presentations to Emergency Departments during Sporting Mass-Gathering Events: An Integrative Review

Análise da Afluência Anual a um Serviço de Atendimento a Situações de Urgência (SASU) do Grande Porto

Drug‐ and alcohol‐related emergency department patient presentations during the 2018 Commonwealth Games: A multi‐site retrospective analysis

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