{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:26:41Z","timestamp":1762252001222},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":819,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:sec id=\"S1049023X00007950_sec01\" sec-type=\"intro\"><jats:title><jats:bold>Introduction:<\/jats:bold><\/jats:title><jats:p>There is a scarcity of analytical data regarding mass-gathering medical care. The purpose of this study was to identify and evaluate the range and nature of illness and injury for patrons of an annual, multi-day, mass gathering.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00007950_sec02\" sec-type=\"methods\"><jats:title><jats:bold>Methods:<\/jats:bold><\/jats:title><jats:p>Encounter data from all patients seen by emergency physicians at the New York State Fair Infirmary during the past five years were analyzed. From these data, a category list was consolidated to 36 reasons for the visit based on chief complaint, nursing notes, and physician notes. The most common reasons for being seen by a physician were analyzed to determine age and gender discrepancies.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00007950_sec03\" sec-type=\"results\"><jats:title><jats:bold>Results:<\/jats:bold><\/jats:title><jats:p>The average number of attendees at the Fair per year from 2004\u20132008 was 950,973. Emergency physicians evaluated a total of 2,075 patients from 2004\u20132008. The average patient presentation rate over the past four years (2005\u20132008) was 4.8 \u00b11.1\/10,000 patrons. The average transport to hospital rate over the past four years was 2.7 \u00b11.1\/100,000 patrons. The average age of all patients seen was 34.4 \u00b121.6 years, and 58.1% of the patients were female. The most common reasons to seek medical attention included: dehydration\/heat-related illness (11.4%); abrasion\/laceration (10.6%); and fall-related injury (10.2%). Two groups, dehydration\/heat-related illness 74% (<jats:italic>t<\/jats:italic> (4) = 2.90, <jats:italic>p<\/jats:italic> &lt;0.05), and fall-related injury (68%; <jats:italic>t<\/jats:italic> (4) = 5.17, <jats:italic>p<\/jats:italic> &lt;0.05) were disproportionately female. There also was a direct relationship between age and female gender within the fall-related injury category (\u03c7<jats:sup>2<\/jats:sup> (1, n = 213) = 11.41, <jats:italic>p<\/jats:italic> &lt;0.05).<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00007950_sec04\" sec-type=\"conclusion\"><jats:title><jats:bold>Conclusions:<\/jats:bold><\/jats:title><jats:p>Patron data from fairs and expositions is a valuable resource for studying mass-gathering medical care. A majority (58%) of patients seen at the infirmary were female. The most common reason for being seen was dehydration\/ heat-related illness, which heavily favored females, but favored no age groups. The abrasion\/laceration category did not contribute to the gender discrepancy. Patients who fell tended to be females &gt;40 years of age. Further analysis is required to determine the reason for the gender discrepancies. Planners of multi-day mass gatherings should develop public education programs and evaluate their impact on the at-risk populations identified by this analysis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x00007950","type":"journal-article","created":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T14:01:58Z","timestamp":1382968918000},"page":"183-187","source":"Crossref","is-referenced-by-count":38,"title":["Mass-Gathering Medical Care: Retrospective Analysis of Patient Presentations over Five Years at a Multi-Day Mass Gathering"],"prefix":"10.1017","volume":"25","author":[{"given":"William D.","family":"Grant","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas E.","family":"Nacca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise A.","family":"Prince","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay M.","family":"Scott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00007950_ref003","volume-title":"Chapter I of Title 10 (HEALTH) of the Official Compilation of Codes","year":"1991"},{"key":"S1049023X00007950_ref001","volume-title":"Information paper: Provision of emergency medical care for crowds","author":"Calabro","year":"1995"},{"key":"S1049023X00007950_ref004","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00004507"},{"key":"S1049023X00007950_ref009","first-page":"48","article-title":"New York Expo Center builds emergency health care facility","volume":"48","author":"Grant","year":"2006","journal-title":"Fairs and Expos"},{"key":"S1049023X00007950_ref007","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00001916"},{"key":"S1049023X00007950_ref008","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00000376"},{"key":"S1049023X00007950_ref010","doi-asserted-by":"publisher","DOI":"10.1080\/312704001091"},{"key":"S1049023X00007950_ref006","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00025905"},{"key":"S1049023X00007950_ref005","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00000388"},{"key":"S1049023X00007950_ref002","doi-asserted-by":"publisher","DOI":"10.1080\/10903120090941119"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00007950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T20:16:21Z","timestamp":1556482581000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00007950\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["S1049023X00007950"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00007950","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,4]]}}}