PMID- 33028459
OWN - NLM
STAT- MEDLINE
DCOM- 20210810
LR  - 20210810
IS  - 1945-1938 (Electronic)
IS  - 1049-023X (Linking)
VI  - 35
IP  - 6
DP  - 2020 Dec
TI  - Health Care Services in Shopping Centers: A Routine Mass-Gathering Event.
PG  - 669-675
LID - 10.1017/S1049023X2000120X [doi]
AB  - BACKGROUND: Shopping centers (SCs) are social areas with a group of commercial 
      establishments which attract customers of numerous people every day. However, 
      analysis of urgent health conditions and provided health care in SCs has not been 
      performed so far. OBJECTIVE: The aim of the study was to perform a comparative 
      analysis of clients visiting SCs and demographics, complaints, and health care of 
      patients admitted to Emergency Medical Intervention Units (EMIU) located in grand 
      SCs in Ankara, Turkey. METHODS: Customer and health care records of nine grand 
      SCs in Ankara from January 1, 2018 through December 31, 2018 were evaluated 
      retrospectively. Health care services in EMIUs of SCs were provided by employed 
      medical staff. Data including demographic characteristics, complaints, treatment 
      protocols, discharge, and referral to hospital of the patients were 
      retrospectively analyzed from medical registration forms. RESULTS: Medical 
      records of nine grand SCs were analyzed. Number of customers could not be 
      obtained in three SCs due to privacy issues and were not included in patient 
      presentation rate (PPR) and transport-to-hospital rate (TTHR) calculation. Total 
      number of customers in the remaining six SCs were 53,277,239. The total number of 
      patients seeking medical care was 6,749. The number of patients seeking health 
      care in six SCs with known number of customers was 4,498 and PPR ranged from 
      0.018 to 0.381 patients per 1,000 attendants. The median age of the recorded 
      4,065 patients (60.2%) was 28 (interquartile range [IQR]: 38-21), and 3,611 
      (53.5%) of the patients admitted to EMIUs were female. The number of patients 
      treated in the SC was 4,634 (68.6%) and 189 patients (2.8%) were 
      transferred-to-hospital by ambulance for further evaluation and treatment. 
      Transportation to hospital was required in 125 patients who sought medical care 
      in six SCs which provided total number of customers, and TTHR ranged from 0.000 
      to 0.005 patients per 1,000 attendants. No sudden cardiac death was seen. Medical 
      conditions were the primary reasons for seeking health care. The most frequent 
      causes of presentation were laceration and abrasions (639 patients, 9.4%). 
      CONCLUSION: The PPR and TTHR in SCs are low. The most common causes of 
      presentation are minor conditions and injuries. Majority of urgent medical 
      conditions in SCs can be managed by health care providers in EMIUs.
FAU - Ceyhan, Mehmet Ali
AU  - Ceyhan MA
AUID- ORCID: 0000-0003-0000-0177
AD  - Department of Emergency Medicine, University of Health Sciences, Ankara City 
      Hospital, Bilkent, Ankara, Turkey.
FAU - Demir, Gultekin Gunhan
AU  - Demir GG
AD  - Department of Cardiology, Istanbul Medipol University, Istanbul, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20201008
PL  - United States
TA  - Prehosp Disaster Med
JT  - Prehospital and disaster medicine
JID - 8918173
MH  - Adult
MH  - *Commerce
MH  - *Crowding
MH  - Emergencies/*epidemiology
MH  - *Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Male
MH  - *Patient Acceptance of Health Care
MH  - Turkey/epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - Emergency Medical Intervention Unit
OT  - Emergency Medical Services
OT  - mass gathering
OT  - shopping center
EDAT- 2020/10/09 06:00
MHDA- 2021/08/11 06:00
CRDT- 2020/10/08 05:26
PHST- 2020/10/09 06:00 [pubmed]
PHST- 2021/08/11 06:00 [medline]
PHST- 2020/10/08 05:26 [entrez]
AID - S1049023X2000120X [pii]
AID - 10.1017/S1049023X2000120X [doi]
PST - ppublish
SO  - Prehosp Disaster Med. 2020 Dec;35(6):669-675. doi: 10.1017/S1049023X2000120X. 
      Epub 2020 Oct 8.