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Measuring the Masses: The Current State of Mass-Gathering Medical Case Reporting (Paper 1)

Published online by Cambridge University Press:  19 February 2021

Sheila Turris ,
Haddon Rabb Open the ORCID record for Haddon Rabb [Opens in a new window] ,
Matthew Brendan Munn ,
Elizabeth Chasmar ,
Christopher W. Callaghan ,
Jamie Ranse  and
Adam Lund
Sheila Turris
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Haddon Rabb*
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Matthew Brendan Munn
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Elizabeth Chasmar
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Christopher W. Callaghan
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Jamie Ranse
Affiliation:
Department of Emergency Medicine, Gold Coast Health, Southport, Queensland, Australia Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
Adam Lund
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
*
Correspondence: Haddon Rabb, BSc, RN, Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada, E-mail: haddonrabb@gmail.com
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Abstract

Introduction:

Case reports are commonly used to report the health outcomes of mass gatherings (MGs), and many published reports of MGs demonstrate substantial heterogeneity of included descriptors. As such, it is challenging to perform rigorous comparisons of health services and outcomes between similar and dissimilar events. The degree of variation in published reports has not yet been investigated.

Objective:

Examine patterns of post-event medical reporting in the existing literature and identify inconsistencies in reporting.

Methods:

A systematic review of case reports was conducted. Included were English studies, published between January 2009 and December 2018, in Prehospital and Disaster Medicine (PDM) or Current Sports Medicine Reports (CSMR). Analysis of each paper was used to develop a list of 27 categories of data.

Results:

Seventy-five studies were initially reviewed with 54 publications meeting the inclusion criteria. Forty-two were full case reports (78%) and 12 were conference proceedings (22%). Of the 27 categories of data studied, only 13 were consistently reported in more than 50% of publications. Reporting patterns included inconsistent use of terminology/language and variable retrievability of reports. Reporting on event descriptors, hazard and risk analysis, and clinical outcomes were also inconsistent.

Discussion:

Case reports are essential tools for researchers and event team members such as medical directors and event producers. The authors found that current case reports, in addition to being inconsistent in content, were generally descriptive rather than explanatory; that is, focused on describing the outcomes as opposed to exploring possible connections between context and health outcomes.

Conclusion:

This paper quantifies and demonstrates the current state of heterogeneity in MG event reporting. This heterogeneity is a significant impediment to the functional use of published reports to further the science of MG planning and to improve health outcomes. Future work based on the insights gained from this analysis will aim to align and standardize reporting to improve the quality and value of event reporting.

Keywords

case reportingmass gatheringmass-gathering healthmass-gathering medicinesystematic review
Type
Systematic Review
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 2 , April 2021 , pp. 202 - 210
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Rison, RA, Kidd, MR, Koch, CA. The CARE (CAse REport) Guidelines and the standardization of case reports. J Med Case Rep. 2013;7:2–4.CrossRefGoogle ScholarPubMed
Ortega-Loubon, C, Correa-Márquez, R. Writing a case report: a work of art. IJMS. 2014;2(3):90–91.Google Scholar
Murad, MH, Sultan, S, Haffar, S, Bazerbachi, F. Methodological quality and synthesis of case series and case reports. Evid Based Med. 2018;23(2):60–63.CrossRefGoogle ScholarPubMed
Hotwani, J, Rambhia, D, Mehta, M. Evaluation of completeness of adverse drug reaction case reports published in biomedical Journals: a preliminary analysis. J Med Res. 2018;4(2):98–101.CrossRefGoogle Scholar
Maas, AIR, Harrison-Felix, CL, Menon, D, et al. Standardizing data collection in traumatic brain injury. J Neurotrauma. 2011;28(2):177–187.CrossRefGoogle ScholarPubMed
Bradt, DA, Aitken, P. Advent of the confide guidelines for disaster medicine reporting. Prehosp Disaster Med. 2011;26(S1):S16.CrossRefGoogle Scholar
Kulling, P, Birnbaum, M, Murray, V, Rockenschaub, G. Guidelines for reports on health crises and critical health events - a tool for the development of disaster medicine research. Prehosp Disaster Med. 2011;26(S1):S16.CrossRefGoogle Scholar
Fattah, S, Rehn, M, Wisborg, T. Field reports: yes, they will add to the prehospital and disaster knowledge base. Prehosp Disaster Med. 2016;31(4):461.CrossRefGoogle ScholarPubMed
Clifton, N, O’Sullivan, D, Pickernell, D. Capacity building and the contribution of public festivals: evaluating “Cardiff 2005.” Event Manag. 2012;16(1):77–91.CrossRefGoogle Scholar
Guy, A, Prager, R, Turris, S, Lund, A. Improving data quality in mass-gatherings health research. Prehosp Disaster Med. 2017;32(3):329–332.CrossRefGoogle ScholarPubMed
Schwellnus, M, Kipps, C, Roberts, WO, et al. Medical encounters (including injury and illness) at mass community-based endurance sports events: an international consensus statement on definitions and methods of data recording and reporting. Br J Sports Med. 2019;53(17):1048–1055.CrossRefGoogle ScholarPubMed
Moher, D, Liberati, A, Tetzlaff, J, Altman, DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRefGoogle ScholarPubMed
Canadian Institutes of Health Research. Guide to knowledge translation planning at CIHR: integrated and end-of-grant approaches. Government of Canada. http://www.cihr-irsc.gc.ca/e/45321.html. Published 2018. Accessed December 26, 2018.Google Scholar
Liberati, A, Altman, DG, Tetzlaff, J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6(7):e1000100.CrossRefGoogle ScholarPubMed
AlAssaf, WI. EMS coverage of a female-only event with 10,000 attendees: preparation and implementation in one week. Prehosp Disaster Med. 2017;32(6):694–698.CrossRefGoogle ScholarPubMed
Anikeeva, O, Arbon, P, Zeitz, K, et al. Patient presentation trends at 15 mass-gathering events in south Australia. Prehosp Disaster Med. 2018;33(4):368–374.CrossRefGoogle ScholarPubMed
Bortolin, M, Ulla, M, Bono, A, Ferreri, E, Tomatis, M, Sgambetterra, S. Holy shroud exhibition 2010: health services during a 40-day mass-gathering event. Prehosp Disaster Med. 2013;28(3):239–244.CrossRefGoogle ScholarPubMed
Bouslough, DB, Lemusu, S, Avegalio, F. Utilizing a unified health command structure for mass gathering preparedness and response: lessons learned from the 2008 pacific arts festival. Prehosp Disaster Med. 2011;26(S1):S149–S150.CrossRefGoogle Scholar
Burton, JO, Corry, SJ, Lewis, G, Priestman, WS. Differences in medical care usage between two mass-gathering sporting events. Prehosp Disaster Med. 2012;27(5):458–462.CrossRefGoogle ScholarPubMed
Calle, P, Sundahl, N, Maudens, K, et al. Medical emergencies related to ethanol and illicit drugs at an annual, nocturnal, indoor, electronic dance music event. Prehosp Disaster Med. 2018;33(1):71–76.CrossRefGoogle ScholarPubMed
Ceyhan, MA, Demir, GG, Güler, GB. Evaluation of health care services provided in political public meetings in turkey: a forgotten detail in politics. Prehosp Disaster Med. 2018;33(6):607–613.CrossRefGoogle ScholarPubMed
Crabtree, N, Mo, S, Ong, L, et al. Retrospective analysis of patient presentations at the Sydney (Australia) royal easter show from 2012 to 2014. Prehosp Disaster Med. 2017;32(2):187–194.CrossRefGoogle ScholarPubMed
Divine, JG, Daggy, MW, Dixon, EE, LeBlanc, DP, Okragly, RA, Hasselfeld, KA. Case series of exertional heat stroke in runners during early spring. Curr Sports Med Rep. 2018;17(5):151–158.CrossRefGoogle ScholarPubMed
Dutch, MJ, Austin, KB. Hospital in the field: prehospital management of GHB intoxication by medical assistance teams. Prehosp Disaster Med. 2012;27(5):463–467.CrossRefGoogle ScholarPubMed
Fizzell, J, Armstrong, PK, Adamson, S, Chant K MJ. Preparing for and responding to public health issues at a major mass gathering: what happened at world youth day 2008? Prehosp Disaster Med. 2008;(11):633–636.Google Scholar
Friedman, MS, Plocki, A, Likourezos, A, et al. A prospective analysis of patients presenting for medical attention at a large electronic dance music festival. Prehosp Disaster Med. 2017;32(1):78–82.CrossRefGoogle Scholar
Goyal, AV, Constantinou, V, Fokas, J, Van Duesen Phillips, S, Chan, J, Chiampas, GT. Prehospital care at a mass endurance event: the Chicago marathon experience. Prehosp Disaster Med. 2017;32(S1):S172.CrossRefGoogle Scholar
Grant, WD, Nacca, NE, Prince, LA, Scott, JM. Mass-gathering medical care: retrospective analysis of patient presentations over five years at a multi-day mass gathering. Prehosp Disaster Med. 2010;25(2):183–187.CrossRefGoogle Scholar
Gutman, SJ, Lund, A, Turris, SA. Medical support for the 2009 world police and fire games: a descriptive analysis of a large-scale participation event and its impact. Prehosp Disaster Med. 2011;26(1):33–40.CrossRefGoogle ScholarPubMed
Hardcastle, TC, Samlal, S, Naidoo, R, et al. A redundant resource: a pre-planned casualty clearing station for a FIFA 2010 stadium in Durban. Prehosp Disaster Med. 2012;27(5):409–415.CrossRefGoogle ScholarPubMed
Ho, WH, Koenig, KL, Quek, LS. Formula one night race in Singapore: a 4-year analysis of a planned mass gathering. Prehosp Disaster Med. 2014;29(5):489–493.CrossRefGoogle ScholarPubMed
Hutton, A, Ranse, J, Verdonk, N, Ullah, S, Arbon, P. Understanding the characteristics of patient presentations of young people at outdoor music festivals. Prehosp Disaster Med. 2014;29(2):160–166.CrossRefGoogle ScholarPubMed
Joslin, J, Mularella, J, Bail, A, Wojcik, S, Cooney, DR. Mandatory rest stops improve athlete safety during event medical coverage for ultramarathons. Prehosp Disaster Med. 2016;31(1):43–45.CrossRefGoogle ScholarPubMed
Kaji, A, Sunada, A, Yamada, M, et al. Heat stroke patients of a mass gathering festival in Japan - Kishiwada Danjiri festival. Prehosp Disaster Med. 2017;32(S1):S139.CrossRefGoogle Scholar
Kemp, AE. Mass-gathering events: the role of advanced nurse practitioners in reducing referrals to local health care agencies. Prehosp Disaster Med. 2016;31(1):58–63.CrossRefGoogle ScholarPubMed
Koçak, H, Çal, C, Sönmezler, MŞ, Eliuz, K, Küçükdurmaz, F. Analysis of medical responses in mass gatherings: the commemoration ceremonies for the 100th anniversary of the battle of Gallipoli. Prehosp Disaster Med. 2018;33(3):1–4.CrossRefGoogle ScholarPubMed
Krul, J, Girbes, ARJJ. Experience of health-related problems during house parties in the Netherlands: nine years of experience and three million visitors. Prehosp Disaster Med. 2009;24(2):133–139.CrossRefGoogle ScholarPubMed
Krul, J, Sanou, B, Swart, EL, Girbes, ARJJ. Medical care at mass gatherings: emergency medical services at large-scale rave events. Prehosp Disaster Med. 2012;27(1):71–74.CrossRefGoogle ScholarPubMed
Lund, A, Turris, SA, McDonald, R, Lewis, K. On-site management of medical encounters during obstacle adventure course participation. Curr Sports Med Rep. 2015;14(3):182–190.CrossRefGoogle ScholarPubMed
Lund, A, Turris, SA, Wang, P, Mui, J, Lewis, K, Gutman, SJ. An analysis of patient presentations at a 2-day mass-participation cycling event: the ride to conquer cancer case series, 2010-2012. Prehosp Disaster Med. 2014;29(4):429–436.CrossRefGoogle Scholar
Luther, M, Gardiner, F, Lenson, S, et al. An effective risk minimization strategy applied to an outdoor music festival: a multi-agency approach. Prehosp Disaster Med. 2018;33(02):220–224.CrossRefGoogle Scholar
McQueen, CP. Care of children at a large outdoor music festival in the United Kingdom. Prehosp Disaster Med. 2010;25(3):223–226.CrossRefGoogle Scholar
Meites, E, Brown, JF. Ambulance need at mass gatherings. Prehosp Disaster Med. 2010;25(06):511–514.CrossRefGoogle ScholarPubMed
Milsten, AM, Tennyson, J, Weisberg, S. Retrospective analysis of mosh-pit-related injuries. Prehosp Disaster Med. 2017;32(6):636–641.CrossRefGoogle ScholarPubMed
Molloy, MS, Brady, F, Maleady, K. Impact of a single large mass gathering music event, from a series of such events, on a receiving hospitals emergency department (ED). Prehosp Disaster Med. 2017;28(S1):S112.Google Scholar
Munn, MB, Lund, A, Golby, R, Turris, SA. Observed benefits to on-site medical services during an annual 5-day electronic dance music event with harm reduction services. Prehosp Disaster Med. 2016;31(2):228–234.CrossRefGoogle ScholarPubMed
Munn, MB, Laraya, JF, Lund, A, Turris, S. Altered mental status at music festivals: a case study examining clinical concepts and controversies. Prehosp Disaster Med. 2017;32(S1):S131–S132.CrossRefGoogle Scholar
Munn, MB, Sparrow, N, Bertagnolli, C. Mobile response by medical first responders at a music festival. Prehosp Disaster Med. 2018;32(S1):S136–S137.CrossRefGoogle Scholar
Nable, JV, Margolis, AM, Lawner, BJ, et al. Comparison of prediction models for use of medical resources at urban auto-racing events. Prehosp Disaster Med. 2014;29(6):608–613.CrossRefGoogle ScholarPubMed
Nacca, K, Scott, J, Grant, W. Diagnosis according to time of arrival at “the great New York state fair.” Prehosp Disaster Med. 2014;29(1):47–49.CrossRefGoogle Scholar
Pakravan, AH, West, RJ, Hodgkinson, DW. Suffolk show 2011: prehospital medical coverage in a mass-gathering event. Prehosp Disaster Med. 2013;28(5):529–532.CrossRefGoogle Scholar
Prager, R, Sedgwick, C, Lund, A, et al. Prospective evaluation of point-of-care ultrasound at a remote, multi-day music festival. Prehosp Disaster Med. 2018;33(5):484–489.CrossRefGoogle Scholar
Sabra, JP, Cabañas, JG, Bedolla, J, et al. Medical support at a large-scale motorsports mass-gathering event: the inaugural formula one united states grand prix in Austin, Texas. Prehosp Disaster Med. 2014;29(4):392–398.CrossRefGoogle Scholar
Sanyal, S, Madan, A. Public health safety for traditional mass gatherings in India: a 10-year analysis. Prehosp Disaster Med. 2011;26(S1):S148.CrossRefGoogle Scholar
Scholliers, A, Gogaert, S, Vande Veegaete, A, Gillebeert, J, Vandekerckhove, P. The most prevalent injuries at different types of mass gathering events: an analysis of more than 150,000 patient encounters. Prehosp Disaster Med. 2017;32(S1):S136.CrossRefGoogle Scholar
Scholliers, A, Gogaert, S, Vande Veegaete, A, Gillebeert, J, Vandekerckhove, P. What skills does a physician need at mass gatherings? An analysis of more than 16.000 patient encounters that required medical attention. Prehosp Disaster Med. 2017;32(S1):S135–S136.Google Scholar
Smith, WP, Tuffin, H, Stratton, SJ, Wallis, LA. Validation of a modified medical resource model for mass gatherings. Prehosp Disaster Med. 2013;28(1):16–22.CrossRefGoogle ScholarPubMed
Turris, S, Callaghan, C, Rabb, H, Lund, A, Munn, MB. On the way out: an analysis of patient transfers from four, large-scale, North American music festivals. Prehosp Disaster Med. 2019;34(1):72–81.CrossRefGoogle Scholar
Turris, SA, Camporese, M, Gutman, SJ, Lund, A. Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event-year two. Prehosp Disaster Med. 2016;31(06):687–688.CrossRefGoogle Scholar
Turris, SA, Lund, A, Bowles, RR, Camporese, M, Green, T. Patient presentations and medical logistics at full and half ironman distance triathlons. Curr Sports Med Rep. 2017;16(3):137–143.CrossRefGoogle ScholarPubMed
Turris, SA, Lund, A, Mui, J, Wang, P, Lewis, K, Gutman, SJ. An organized medical response for the Vancouver international marathon (2006–2011). Curr Sports Med Rep. 2014;13(3):147–154.CrossRefGoogle Scholar
Tyner, SE, Hennessy, L, Coombs, LJ, Fizzell, J. Analysis of presentations to on-site medical units during world youth day 2008. Prehosp Disaster Med. 2012;27(6):595–600.CrossRefGoogle ScholarPubMed
Van Dalen, M, Eikendal, T, De Cock, JS, Tan, E, Lischer, F. Evaluation of public health aspects of the 100th “walk of the world” international four-day march Nijmegen. Prehosp Disaster Med. 2017;32(S1):S130.CrossRefGoogle Scholar
Wendell, JC, Bitner, MD, Ossmann, EW, Greenwald, IB. Emergency medical response systems in a university athletic program: a descriptive analysis. Prehosp Disaster Med. 2011;26(S1):S149.CrossRefGoogle Scholar
Westrol, MS, Koneru, S, Mcintyre, N, Caruso, AT, Arshad, FH, Merlin, MA. Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):289–296.CrossRefGoogle ScholarPubMed
Woodall, J, Watt, K, Walker, D, et al. Planning volunteer responses to low-volume mass gatherings: do event characteristics predict patient workload? Prehosp Disaster Med. 2010;25(5):442–448.CrossRefGoogle ScholarPubMed
Lund, A, Turris, SA. Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event. Prehosp Disaster Med. 2015;30(3):271–278.CrossRefGoogle Scholar
Webster, M, Jones, K. Camping, cowboys, and country music: patient and resource management at Canada’s largest multi-day country music festival. Prehosp Disaster Med. 2017;32(S1):S132.CrossRefGoogle Scholar
Williams, EW. Casualty management planning for mass crowd events. Prehosp Disaster Med. 1997;12(S1):S7.CrossRefGoogle Scholar
Williams, EW. Planning to reduce the risk of mass casualties in large-crowd events. Prehosp Disaster Med. 2002;17(S1):S7.CrossRefGoogle Scholar
Australian Institute for Disaster Resilience. Crowded Spaces Checklists; 2018.Google Scholar
Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(3):208–212.CrossRefGoogle ScholarPubMed
Ranse, J, Hutton, A, Turris, SA, Lund, A. Enhancing the minimum data set for mass-gathering research and evaluation: an integrative literature review. Prehosp Disaster Med. 2014;29(3):280–289.CrossRefGoogle Scholar
Hutton, A, Ranse, J, Gray, KL, Turris, SA, Lund, A, Munn, MB. Environmental influences on patient presentations: considerations for research and evaluation at mass-gathering events. Prehosp Disaster Med. 2019;34(05):552–556.CrossRefGoogle ScholarPubMed
Lund, A, Turris, SA, Amiri, N, Lewis, K, Carson, M. Mass-gathering medicine: creation of an online event and patient registry. Prehosp Disaster Med. 2012;27(6):601–611.CrossRefGoogle ScholarPubMed
Steenkamp, M, Hutton, AE, Ranse, JC, et al. Exploring international views on key concepts for mass-gathering health through a Delphi process. Prehosp Disaster Med. 2016;31(4):443–453.CrossRefGoogle ScholarPubMed
Lund, A, Turris, SA, Bowles, R, et al. Mass-gathering health research foundational theory: part 1 - population models for mass gatherings. Prehosp Disaster Med. 2014;29(6):648–654.CrossRefGoogle ScholarPubMed
Turris, SA, Lund, A, Hutton, A, et al. Mass-gathering health research foundational theory: part 2 - event modeling for mass gatherings. Prehosp Disaster Med. 2014;29(6):655–663.CrossRefGoogle ScholarPubMed
Turris, SA, Steenkamp, M, Lund, A, et al. International consensus on key concepts and data definitions for mass-gathering health: process and progress. Prehosp Disaster Med. 2016;31(2):220–223.CrossRefGoogle ScholarPubMed
Ranse, J, Hutton, A. Minimum data set for mass-gathering health research and evaluation: a discussion paper. Prehosp Disaster Med. 2012;27(6):543–550.CrossRefGoogle ScholarPubMed
Wendell, JC, Bitner, MD, Ossmann, EW, Greenwald, IB. Emergency medical response systems in a university athletic program: a descriptive analysis. Ann Emerg Med. 2011;58(4):S312.CrossRefGoogle Scholar
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