Health service impact from mass gatherings

A systematic literature review

Jamie Ranse, Alison Hutton, Toby Keene, Shane Lenson, Matt Luther, Nerolie Bost, Amy N.B. Johnston, Julia Crilly, Matt Cannon, Nicole Jones, Courtney Hayes, Brandon Burke

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Background During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review. Aim This literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services. Method This research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization. Results Twenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported. Conclusions There is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.

Original languageEnglish
Pages (from-to)71-77
Number of pages7
JournalPrehospital and Disaster Medicine
Volume32
Issue number1
DOIs
Publication statusPublished - 1 Feb 2017

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Ambulances
Health Services
Delivery of Health Care
Health Planning
Research
Retrospective Studies
Databases
Health
Wounds and Injuries

Cite this

Ranse, J., Hutton, A., Keene, T., Lenson, S., Luther, M., Bost, N., ... Burke, B. (2017). Health service impact from mass gatherings: A systematic literature review. Prehospital and Disaster Medicine, 32(1), 71-77. https://doi.org/10.1017/S1049023X16001199
Ranse, Jamie ; Hutton, Alison ; Keene, Toby ; Lenson, Shane ; Luther, Matt ; Bost, Nerolie ; Johnston, Amy N.B. ; Crilly, Julia ; Cannon, Matt ; Jones, Nicole ; Hayes, Courtney ; Burke, Brandon. / Health service impact from mass gatherings : A systematic literature review. In: Prehospital and Disaster Medicine. 2017 ; Vol. 32, No. 1. pp. 71-77.
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abstract = "Background During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review. Aim This literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services. Method This research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization. Results Twenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported. Conclusions There is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.",
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Ranse, J, Hutton, A, Keene, T, Lenson, S, Luther, M, Bost, N, Johnston, ANB, Crilly, J, Cannon, M, Jones, N, Hayes, C & Burke, B 2017, 'Health service impact from mass gatherings: A systematic literature review', Prehospital and Disaster Medicine, vol. 32, no. 1, pp. 71-77. https://doi.org/10.1017/S1049023X16001199

Health service impact from mass gatherings : A systematic literature review. / Ranse, Jamie; Hutton, Alison; Keene, Toby; Lenson, Shane; Luther, Matt; Bost, Nerolie; Johnston, Amy N.B.; Crilly, Julia; Cannon, Matt; Jones, Nicole; Hayes, Courtney; Burke, Brandon.

In: Prehospital and Disaster Medicine, Vol. 32, No. 1, 01.02.2017, p. 71-77.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Health service impact from mass gatherings

T2 - A systematic literature review

AU - Ranse, Jamie

AU - Hutton, Alison

AU - Keene, Toby

AU - Lenson, Shane

AU - Luther, Matt

AU - Bost, Nerolie

AU - Johnston, Amy N.B.

AU - Crilly, Julia

AU - Cannon, Matt

AU - Jones, Nicole

AU - Hayes, Courtney

AU - Burke, Brandon

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Background During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review. Aim This literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services. Method This research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization. Results Twenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported. Conclusions There is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.

AB - Background During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review. Aim This literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services. Method This research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization. Results Twenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported. Conclusions There is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.

KW - Emergency Medical Services

KW - emergency rooms

KW - hospitals

KW - mass gathering

KW - paramedic

KW - planned event

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U2 - 10.1017/S1049023X16001199

DO - 10.1017/S1049023X16001199

M3 - Review article

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