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Environmental Influences on Patient Presentations: Considerations for Research and Evaluation at Mass-Gathering Events

Published online by Cambridge University Press:  09 September 2019

Alison Hutton Open the ORCID record for Alison Hutton [Opens in a new window] ,
Jamie Ranse Open the ORCID record for Jamie Ranse [Opens in a new window] ,
Katherine L. Gray Open the ORCID record for Katherine L. Gray [Opens in a new window] ,
Sheila A. Turris ,
Adam Lund Open the ORCID record for Adam Lund [Opens in a new window]  and
Matthew Brendan Munn
Alison Hutton
Affiliation:
The University of Newcastle, Callaghan, New South Wales, Australia
Jamie Ranse
Affiliation:
Menzies Health Institute Queensland, Griffith UniversityGold Coast, Queensland, Australia Department of Emergency Medicine, Gold Coast Health, Southport, Queensland, Australia
Katherine L. Gray*
Affiliation:
The University of Newcastle, Callaghan, New South Wales, Australia
Sheila A. Turris
Affiliation:
Department of Emergency Medicine, Mass Gathering Medicine Interest Group, University of British Columbia, Vancouver, British Columbia, Canada Justice Institute of British Columbia, New Westminster, British Columbia, Canada
Adam Lund
Affiliation:
Department of Emergency Medicine, Mass Gathering Medicine Interest Group, University of British Columbia, Vancouver, British Columbia, Canada Justice Institute of British Columbia, New Westminster, British Columbia, Canada
Matthew Brendan Munn
Affiliation:
Department of Emergency Medicine, Mass Gathering Medicine Interest Group, University of British Columbia, Vancouver, British Columbia, Canada
*
Correspondence: Katherine L. Gray, BSPH University of Newcastle School of Nursing and Midwifery University Drive Callaghan, NSW 2308 Australia E-mail: [email protected]
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Abstract

Aim:

This paper discusses the need for consistency in mass-gathering research and evaluation from an environmental reporting perspective.

Background:

Mass gatherings occur frequently throughout the world. Having an understanding of the complexities of mass gatherings is important to inform health services about the possible required health resources. Factors within the environmental, psychosocial, and biomedical domains influence the usage of health services at mass gatherings. A minimum data set (MDS) has been proposed to standardize collection of biomedical data across various mass gatherings, and there is a need for an environmental component. The environmental domain includes factors such as the nature of the event, availability of drugs or alcohol, venue characteristics, and meteorological factors.

Method:

This research used an integrative literature review design. Manuscripts were collected using keyword searches from databases and journal content pages from 2003 through 2018. Data were analyzed and categorized using the existing MDS as a framework.

Results:

In total, 39 manuscripts were identified that met the inclusion criteria.

Conclusion:

In collecting environmental data from mass gatherings, there must be an agreed-upon MDS. A set of variables can be used to collect de-identified environmental variables for the purpose of making comparisons across societies for mass-gathering events (MGEs).

Keywords

environmentalmass gatheringminimum data setpatient presentationsresearch
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 5 , October 2019 , pp. 552 - 556
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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