Introduction: Optimizing Emergency Department (ED) resources based on patient volumes is crucial for patient care and hospital operations. Previous literature demonstrated varied effects of large-scale gatherings on Emergency Medical Services (EMS) call volume and ED volume. We assessed the impact of Atlanta Falcons home games on EMS call and trip volume, and ED volume at Grady Memorial Hospital.
Methods: Historical data were obtained between 2014 and 2024, approximately 2 weeks prior to and 2 weeks following completion of each NFL regular season. ED volume was based on patient visits per day at the Grady ED. EMS volume was based on Grady EMS call and trip volumes. Data were evaluated using a mixed-effects time-series Poisson regression with an autoregressive covariance matrix.
Results: A total of 497,726 patient visits, 431,255 EMS calls, and 275,437 EMS trips were analyzed. Average ED volumes slightly decreased for home games, with a rate ratio of 0.98 (95 % CI 0.96-0.99, p = 0.008). No differences were noted in EMS metrics. ED volume, EMS trips, and EMS trips per call increased with increasing game attendance.
Conclusion: Grady saw an approximate 2 % decrease in average ED volume on Atlanta Falcons home game days, which is not a clinically significant difference and would not warrant operational changes. The same can be said for pre-hospital EMS metrics when considering call center and patient transport staffing. Based on our attendance-to-volume correlations, however, one might expect higher than average volumes for especially large events. These data serve to inform staffing decisions within the ED and EMS sectors.
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http://dx.doi.org/10.1016/j.ajem.2025.03.004 | DOI Listing |
Am J Emerg Med
March 2025
Emory University, Department of Emergency Medicine, 531 Asbury Circle, Annex Building, Suite N340, Atlanta, GA 30322, United States of America. Electronic address:
Introduction: Optimizing Emergency Department (ED) resources based on patient volumes is crucial for patient care and hospital operations. Previous literature demonstrated varied effects of large-scale gatherings on Emergency Medical Services (EMS) call volume and ED volume. We assessed the impact of Atlanta Falcons home games on EMS call and trip volume, and ED volume at Grady Memorial Hospital.
View Article and Find Full Text PDFInt J Gynecol Cancer
January 2025
Mount Sinai Medical Center and Florida International University, Miami Beach, Florida, USA.
Lack of patient diversity in clinical trial enrollment remains an obstacle to achieving equitable healthcare outcomes. Under-representation has resulted in non-generalizable clinical knowledge, inequitable access to treatment, and health disparities among minority and disadvantaged groups. A multidisciplinary panel was convened to consider the challenges of diverse patient accrual and provide actionable solutions to improve representation in clinical trials.
View Article and Find Full Text PDFAnn Clin Transl Neurol
June 2024
Football Players Health Study at Harvard University, Harvard Medical School, Boston, Massachusetts, USA.
Objective: Mid-life cardiovascular risk factors are associated with later cognitive decline. Whether repetitive head injury among professional athletes impacts cardiovascular risk is unknown. We investigated associations between concussion burden and postcareer hypertension, high cholesterol, and diabetes among former professional American-style football (ASF) players.
View Article and Find Full Text PDFNPJ Breast Cancer
April 2024
Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
In this post hoc analysis of the ASCENT study, we compared outcomes with sacituzumab govitecan (SG) vs single-agent chemotherapy in clinically important subgroups of patients with metastatic triple-negative breast cancer (mTNBC). Patients with mTNBC refractory to/relapsing after ≥2 prior chemotherapies (≥1 in the metastatic setting) were randomized 1:1 to receive SG or treatment of physician's choice (TPC) until unacceptable toxicity/progression. The primary endpoint was progression-free survival (PFS) per RECIST 1.
View Article and Find Full Text PDFClin Infect Dis
July 2024
Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA.
Background: Desirability of outcome ranking (DOOR) is an innovative approach to clinical trial design and analysis that uses an ordinal ranking system to incorporate the overall risks and benefits of a therapeutic intervention into a single measurement. Here we derived and evaluated a disease-specific DOOR endpoint for registrational trials for hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia (HABP/VABP).
Methods: Through comprehensive examination of data from nearly 4000 participants enrolled in six registrational trials for HABP/VABP submitted to the Food and Drug Administration (FDA) between 2005 and 2022, we derived and applied a HABP/VABP specific endpoint.
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