TY - JOUR
T1 - Impact of the 2010 FIFA (Federation Internationale de Football Association) World Cup on pediatric injury and mortality in Cape Town, South Africa
AU - Zroback, Chris
AU - Levin, David
AU - Manlhiot, Cedric
AU - Alexander, Angus
AU - Van As, A. B.
AU - Azzie, Georges
N1 - Funding Information:
C.Z. and D.L. were supported in part by a Global Health Travel Scholarship awarded by the University of Toronto Medical Alumni Association. The authors declare no conflicts of interest.
Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/2
Y1 - 2014/2
N2 - Objective To examine how a mass-gathering event (the Federation Internationale de Football Association World Cup, 2010, South Africa) impacts trauma and mortality in the pediatric (≤18 years) population. Study design We investigated pediatric emergency visits at Cape Town's 3 largest public trauma centers and 3 private hospital groups, as well as deaths investigated by the 3 city mortuaries. We compared the 31 days of World Cup with equivalent periods from 2007-2009, and with the 2 weeks before and after the event. We also looked at the World Cup period in isolation and compared days with and without games in Cape Town. Results There was significantly decreased pediatric trauma volume during the World Cup, approximately 2/100â€̂000 (37%) fewer injuries per day, compared with 2009 and to both pre- and post-World Cup control periods (P <.001). This decrease occurred within a majority of injury subtypes, but did not change mortality. There were temporal fluctuations in emergency visits corresponding with local match start time, with fewer all-cause emergency visits during the 5 hours surrounding this time (-16.4%, P =.01), followed by a subsequent spike (+26.2%, P =.02). There was an increase in trauma 12 hours following matches (+15.6%, P =.06). Conclusions In Cape Town, during the 2010 Federation Internationale de Football Association World Cup, there were fewer emergency department visits for traumatic injury. Furthermore, there were fewer all-cause pediatric emergency department visits during hometown matches. These results will assist in planning for future mass-gathering events.
AB - Objective To examine how a mass-gathering event (the Federation Internationale de Football Association World Cup, 2010, South Africa) impacts trauma and mortality in the pediatric (≤18 years) population. Study design We investigated pediatric emergency visits at Cape Town's 3 largest public trauma centers and 3 private hospital groups, as well as deaths investigated by the 3 city mortuaries. We compared the 31 days of World Cup with equivalent periods from 2007-2009, and with the 2 weeks before and after the event. We also looked at the World Cup period in isolation and compared days with and without games in Cape Town. Results There was significantly decreased pediatric trauma volume during the World Cup, approximately 2/100â€̂000 (37%) fewer injuries per day, compared with 2009 and to both pre- and post-World Cup control periods (P <.001). This decrease occurred within a majority of injury subtypes, but did not change mortality. There were temporal fluctuations in emergency visits corresponding with local match start time, with fewer all-cause emergency visits during the 5 hours surrounding this time (-16.4%, P =.01), followed by a subsequent spike (+26.2%, P =.02). There was an increase in trauma 12 hours following matches (+15.6%, P =.06). Conclusions In Cape Town, during the 2010 Federation Internationale de Football Association World Cup, there were fewer emergency department visits for traumatic injury. Furthermore, there were fewer all-cause pediatric emergency department visits during hometown matches. These results will assist in planning for future mass-gathering events.
KW - FIFA
KW - Federation Internationale de Football Association
KW - ICD-10
KW - International Classification of Diseases, 10th revision
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U2 - 10.1016/j.jpeds.2013.10.009
DO - 10.1016/j.jpeds.2013.10.009
M3 - Article
C2 - 24252783
AN - SCOPUS:84892798175
SN - 0022-3476
VL - 164
SP - 327
EP - 331
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 2
ER -