The influence of a major sporting event upon emergency department attendances; A retrospective cross-national European study

Hughes, Helen E.; Colón‐González, Felipe J.; Fouillet, Anne; Elliot, Alex J; Caserio-Schönemann, Céline; Hughes, Thomas; Gallagher, Naomh; Morbey, Roger; Smith, Gillian; Thomas, Daniel; Lake, Iain

doi:10.1371/journal.pone.0198665

Cited by 12 publications

(16 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

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

Delany

Crilly

Ranse

2020

Prehosp. Disaster med.

View full text Add to dashboard Cite

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.

show abstract

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.

View full text Add to dashboard Cite

show abstract

“…The identification of similarities between EDSyS systems presents opportunities for harmonisation and collaboration in future. The USA has developed NSSP [125], there has been an investigation of cross-border working in Europe with the Triple S project [145] and the first examples of multi country, multi EDSyS analysis in France and the UK [146,147].…”

Section: Future Work and Developmentsmentioning

confidence: 99%

Emergency department syndromic surveillance systems: a systematic review

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Syndromic surveillance provides public health intelligence to aid in early warning and monitoring of public health impacts (e.g. seasonal influenza), or reassurance when an impact has not occurred. Using information collected during routine patient care, syndromic surveillance can be based on signs/symptoms/preliminary diagnoses. This approach makes syndromic surveillance much timelier than surveillance requiring laboratory confirmed diagnoses. The provision of healthcare services and patient access to them varies globally. However, emergency departments (EDs) exist worldwide, providing unscheduled urgent care to people in acute need. This provision of care makes ED syndromic surveillance (EDSyS) a potentially valuable tool for public health surveillance internationally. The objective of this study was to identify and describe the key characteristics of EDSyS systems that have been established and used globally. Methods We systematically reviewed studies published in peer review journals and presented at International Society of Infectious Disease Surveillance conferences (up to and including 2017) to identify EDSyS systems which have been created and used for public health purposes. Search criteria developed to identify “emergency department” and “syndromic surveillance” were applied to NICE healthcare, Global Health and Scopus databases. Results In total, 559 studies were identified as eligible for inclusion in the review, comprising 136 journal articles and 423 conference abstracts/papers. From these studies we identified 115 EDSyS systems in 15 different countries/territories across North America, Europe, Asia and Australasia. Systems ranged from local surveillance based on a single ED, to comprehensive national systems. National EDSyS systems were identified in 8 countries/territories: 2 reported inclusion of ≥85% of ED visits nationally (France and Taiwan). Conclusions EDSyS provides a valuable tool for the identification and monitoring of trends in severe illness. Technological advances, particularly in the emergency care patient record, have enabled the evolution of EDSyS over time. EDSyS reporting has become closer to ‘real-time’, with automated, secure electronic extraction and analysis possible on a daily, or more frequent basis. The dissemination of methods employed and evidence of successful application to public health practice should be encouraged to support learning from best practice, enabling future improvement, harmonisation and collaboration between systems in future. Prospero number CRD42017069150.

show abstract

“…ED syndromic surveillance systems exist in a number of different countries. Previous collaborative work has shown these systems to be compatible, with syndromic indicators used to describe and compare trends across international borders [35,36], giving opportunity for similar work on the impact of vaccination implementation on ED visits on a larger scale.…”

Section: Future Workmentioning

confidence: 99%

Using emergency department syndromic surveillance to investigate the impact of a national vaccination program: A retrospective observational study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background Rotavirus infection is a common cause of gastroenteritis in children worldwide, with a high mortality burden in developing countries, particularly during the first two years of life. Rotavirus vaccination was introduced into the United Kingdom childhood vaccination schedule in July 2013, with high coverage (>90%) achieved by June 2016. We used an emergency department (ED) syndromic surveillance system to assess the impact of the rotavirus vaccination programme, specifically through the demonstration of any immediate and continuing impact on ED gastroenteritis visits in England. Methods This retrospective, observational study used syndromic surveillance data collected from 3 EDs in the two years before (July 2011-June 2013) and 3 years post (July 2013-June 2016) introduction of rotavirus vaccination. The weekly levels of ED visits for gastroenteritis (by age group and in total) during the period before rotavirus vaccination was first described alongside the findings of laboratory surveillance of rotavirus during the same period. An interrupted time-series analysis was then performed to demonstrate the impact of rotavirus vaccination introduction on gastroenteritis ED visit levels. Results During the two years before vaccine introduction ED visits for gastroenteritis in total and for the 0-4 years age group were seen to rise and fall in line with the seasonal rotavirus increases reported by laboratory surveillance. ED gastroenteritis visits by young children were lower in the three years following introduction of rotavirus vaccination (reduced from

show abstract

The influence of a major sporting event upon emergency department attendances; A retrospective cross-national European study

Cited by 12 publications

References 15 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

Emergency department syndromic surveillance systems: a systematic review

Using emergency department syndromic surveillance to investigate the impact of a national vaccination program: A retrospective observational study

Contact Info

Product

Resources

About