Medical care delivery at the 1996 Olympic Games
Medical care delivery at the 1996 Olympic Games
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DOI：
10.1001/jama.279.18.1463
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发表时间：
1998-05-13
影响因子：
120.7
通讯作者：
Cantwell, JD
中科院分区：
文献类型：
--
作者：
Wetterhall, SF;Coulombier, DM;Cantwell, JD
背景。像1996年奥运会这样的大型集会需要为在特殊情况下聚集的大量人口提供医疗服务。检查医疗服务的提供，并为规划未来的活动提供数据。观察队列研究，回顾奥运会医疗机构的医疗记录。一个大型多功能诊所和128个医疗援助站在亚特兰大附近的奥运会赞助地点运营。共有10715名患者，其中包括1804名运动员，890名官员，480名奥运会贵宾，3280名志愿者，3482名观众，以及779名在奥运会医疗站接受医生治疗的其他患者。参与者类别中的受伤和与热有关的疾病病例数，具有官方奥运会证书的参与者的医疗使用率，以及每10 000人参加体育比赛的使用率。受伤占所有医疗就诊的35%，在运动员中（占他们就诊的51.9%，P <0.001）比其他群体更常见。伤害占所有其他组的31.4%。观众和志愿者占大多数（88.9%，P <0.001）的1059次访问热相关疾病。运动员接受医生治疗的次数最多（16.2/100人，P <0.001），志愿者最少（2.0/100）。总体医生治疗率为4.2/10 000（范围：1.6-30.1/10 000）。共有432名患者被转移到医院。组织者在奥运会期间使用这些数据来监测参与者的健康状况，并将医疗和其他资源重新分配到需求增加的地区。这些数据应该有助于规划未来大规模集会的医疗服务。
Context.-Mass gatherings like the 1996 Olympic Games require medical services for large populations assembled under unusual circumstances.Objective.-To examine delivery of medical services and to provide data for planning future events.Design.-ObservationaI cohort study, with review of medical records at Olympics medical facilities.Setting.-One large multipurpose clinic and 128 medical aid stations operating at Olympics-sponsored sites in the vicinity of Atlanta, Ga.Participants.-A total of 10 715 patients, including 1804 athletes, 890 officials, 480 Olympic dignitaries, 3280 volunteers, 3482 spectators, and 779 others who received medical care from a physician at an Olympic medical station.Main Outcome Measures.-Number of injuries and cases of heat-related illness among participant categories, medical use rates among participants with official Games credentials, and use rates per 10 000 persons attending athletic competitions.Results.-Injuries, accounting for 35% of all medical visits, were more common among athletes (51.9% of their visits, P < .001) than among other groups. Injuries accounted for 31.4% of all other groups combined. Spectators and volunteers accounted for most (88.9%, P < .001) of the 1059 visits for heat-related illness. The rates for number of medical encounters treated by a physician were highest for athletes (16.2 per 100 persons, P < .001) and lowest for volunteers (2.0 per 100). Overall physician treatment rate was 4.2 per 10 000 in attendance (range, 1.6-30.1 per 10 000). A total of 432 patients were transferred to hospitals.Conclusions.-Organizers used these data during the Games to monitor the health of participants and to redirect medical and other resources to areas of increased need. These data should be useful for planning medical services for future mass gatherings.