Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-06-01T00:30:21.842Z Has data issue: false hasContentIssue false

Validation of a Belgian Prediction Model for Patient Encounters at Belgium’s Largest Public Cultural Mass Gathering

Published online by Cambridge University Press:  15 June 2021

Kris Spaepen*
Affiliation:
Research Group on Emergency and Disaster Medicine, Vrije Universiteit Brussels, Belgium
Geert Arno
Affiliation:
Crisis Management at Federal Public Health Service, Belgium
Leonard Kaufman
Affiliation:
Research Group on Emergency and Disaster Medicine, Vrije Universiteit Brussels, Belgium
Winne Haenen
Affiliation:
Crisis Management at Federal Public Health Service, Belgium
Ives Hubloue
Affiliation:
Research Group on Emergency and Disaster Medicine, Vrije Universiteit Brussels, Belgium
*
Corresponding author: Kris Spaepen, Email: kris.spaepen@vub.be.

Abstract

Objective:

To compare actual patient presentation rates from Belgium’s largest public open-air cultural festival with predictions provided by existing models and the Belgian Plan Risk Manifestations model.

Methods:

Retrospectively, actual patient presentation rates gathered from the Ghent Festivities (Belgium) during 2013–2019 were compared to predicted patient presentation rates by the Arbon, Hartman, and PRIMA models.

Results:

During 7 editions, 8673000 people visited the Ghent Festivities; 9146 sought medical assistance resulting in a mean patient presentation rate (PPR) of 1.05. The PRIMA model overestimated the number of patient encounters for each occasion. The other models had a high rate of underprediction. When comparing deviations in predictions between the PRIMA model to the other models, there is a significant difference in the mean deviation (Arbon: T = 0.000, P < 0.0001, r = −0.8701; Hartman: T = 0.000, P < 0.0001, r = −0.869).

Conclusion:

Despite the differences between the predictions of all 3 models, our results suggest that the PRIMA model is a valid tool to predict patient presentations to IEHS during public cultural MG. However, to substantiate the PRIMA model even further, more research is needed to further validate the model for a broad range of MG.

Type
Original Research
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Friedman, NMG, O’Connor, EK, Munro, T, Goroff, D. Mass-Gathering medical care provided by a collegiate-based first response service at an annual college music festival and campus-wide celebration [published online ahead of print, 2018 Dec 26]. Prehosp Disaster Med. 2018;1-6.Google Scholar
World Health Organization. Communicable disease alert and response for mass gatherings. epidemic and pandemic alert and response. Technical Workshop, Geneva, Switzerland 2008. http://www.who.int/csr/resources/publications/WHO_HSE_EPR_2008_8c.pdf. Accessed January 26, 2014.Google Scholar
Arbon, P. Mass-gathering medicine: A review of the evidence and future directions for research. Prehosp Disaster Med. 2007;22(2):131-135.CrossRefGoogle ScholarPubMed
Federal Public Service Interior. Royal Decree of February 16, 2006, regarding the Contingency and Intervention Plans. Brussels, Belgium; 2006.Google Scholar
Lund, A, Turris, SA, Bowles, R, et al. Mass-gathering health research foundational theory: part 1 - population models for mass gatherings [published correction appears in Prehosp Disaster Med. 2015 Apr;30(2):223] [published correction appears in Prehosp Disaster Med. 2015 Apr;30(2):223]. Prehosp Disaster Med. 2014;29(6):648-654.CrossRefGoogle Scholar
Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG. Mass-gathering medical care: A review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.CrossRefGoogle ScholarPubMed
Milsten, AM, Seaman, KG, Liu, P, Bissell, RA, Maguire, BJ. Variables influencing medical usage rates, injury patterns, and levels of care for mass gatherings. Prehosp Disaster Med. 2003;18(4):334-346.CrossRefGoogle ScholarPubMed
Zeitz, KM, Zeitz, CJ, Arbon, P. Forecasting medical work at mass-gathering events: predictive model versus retrospective review. Prehosp Disaster Med. 2005;20(3):164-168.CrossRefGoogle ScholarPubMed
Moore, R, Williamson, K, Sochor, M, Brady, WJ. Large-event medicine--event characteristics impacting medical need. Am J Emerg Med. 2011;29(9):1217-1221.CrossRefGoogle ScholarPubMed
Allgaier, RL, Shaafi-Kabiri, N, Romney, CA, et al. Use of predictive modeling to plan for special event medical care during mass gathering events. Disaster Med Public Health Prep. 2019;13(5-6):874-879.CrossRefGoogle ScholarPubMed
Westrol, MS, Koneru, S, McIntyre, N, Caruso, AT, Arshad, FH, Merlin, MA. Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):289-296.CrossRefGoogle ScholarPubMed
Gentse, Feesten. About us. Gentse Feesten website; 2019. https://gentsefeesten-2019.stad.gent. Accessed April 19, 2020.Google Scholar
Alquthami, AH, Pines, JM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Disaster Med. 2014;29(2):167-175.CrossRefGoogle ScholarPubMed
Locoh-Donou, S, Guofen, Y, Welcher, M, Berry, T, O’Connor, RE, Brady, WJ. Mass-gathering medicine: A descriptive analysis of a range of mass-gathering event types. Am J Emerg Med. 2013;31(5):843-846.CrossRefGoogle ScholarPubMed
Ranse, J, Hutton, A, Keene, T, et al. Health service impact from mass gatherings: A systematic literature review. Prehosp Disaster Med. 2017;32(1):71-77.CrossRefGoogle ScholarPubMed
Arbon, P, Bridgewater, FH, Smith, C. Mass gathering medicine: A predictive model for patient presentation and transport rates. Prehosp Disaster Med. 2001;16(3):150-158.CrossRefGoogle ScholarPubMed
Hartman, N, Williamson, A, Sojka, B, et al. Predicting resource use at mass gatherings using a simplified stratification scoring model. Am J Emerg Med. 2009;27(3):337-343.CrossRefGoogle ScholarPubMed
Spaepen, K, Haenen, WA, Hubloue, I. The development of PRIMA - A Belgian prediction model for patient encounters at mass gatherings. Prehosp Disaster Med. 2020;35(5):554-560.CrossRefGoogle Scholar
Spaepen, K, Haenen, WA, Kaufman, L, Beens, K, Vandekerckhove, P, Hubloue, I. Validation of a Belgian prediction model for patient encounters at music mass gatherings. Prehosp Disaster Med. 2020;35(5):561-566.CrossRefGoogle ScholarPubMed
Gogaert, S, Vande Veegaete, A, Scholliers, A, Vandekerckhove, P. “MedTRIS” (Medical Triage and Registration Informatics System): A web-based client server system for the registration of patients being treated in first aid posts at public events and mass gatherings. Prehosp Disaster Med. 2016;31(5):557-562.CrossRefGoogle ScholarPubMed
The City of Ghent. How many in the city of Ghent? Ghent website. https://hoeveelin.stad.gent. Accessed April 20, 2020.Google Scholar
Turris, SA, Lund, A, Hutton, A, et al. Mass-gathering health research foundational theory: Part 2 - event modeling for mass gatherings. Prehosp Disaster Med. 2014;29(6):655-663.CrossRefGoogle ScholarPubMed
Arnold, JL. Risk and risk assessment in health emergency management. Prehosp Disaster Med. 2005;20(3):143-154.CrossRefGoogle ScholarPubMed
Anikeeva, O, Arbon, P, Zeitz, K, et al. Patient presentation trends at 15 mass-gathering events in South Australia. Prehosp Disaster Med. 2018;33(4):368-374.CrossRefGoogle ScholarPubMed
Crabtree, N, Mo, S, Ong, L, et al. Retrospective analysis of patient presentations at the Sydney (Australia) Royal Easter Show from 2012 to 2014. Prehosp Disaster Med. 2017;32(2):187-194.CrossRefGoogle ScholarPubMed
Baird, MB, O’Connor, RE, Williamson, AL, Sojka, B, Alibertis, K, Brady, WJ. The impact of warm weather on mass event medical need: a review of the literature. Am J Emerg Med. 2010;28(2):224-229A CrossRefGoogle Scholar
Flabouris, A, Bridgewater, F. An analysis of demand for first-aid care at a major public event. Prehosp Disaster Med. 1996;11(1):48-54.CrossRefGoogle Scholar
Hutton, A, Brown, S. Influence of the program on patient presentations at outdoor music festivals. Prehosp Disaster Med. 2017;32(S1):S133.CrossRefGoogle Scholar
Ranse, J, Hutton, A, Turris, SA, Lund, A. Enhancing the minimum data set for mass-gathering research and evaluation: an integrative literature review. Prehosp Disaster Med. 2014;29(3):280-289.CrossRefGoogle ScholarPubMed
FitzGibbon, KM, Nable, JV, Ayd, B, et al. Mass-gathering medical care in electronic dance music festivals. Prehosp Disaster Med. 2017;32(5):563-567.CrossRefGoogle ScholarPubMed