Health care services in shopping centers: A routine mass-gathering event

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dc.authorid0000-0001-9975-5507
dc.contributor.authorCeyhan, Mehmet Ali
dc.contributor.authorDemir, Gültekin Günhan
dc.date.accessioned2020-12-11T07:28:18Z
dc.date.available2020-12-11T07:28:18Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractBackground: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.
dc.identifier.citationCeyhan, M. A. ve Demir, G. G. (2020). Health care services in shopping centers: A routine mass-gathering event. Prehospital and Disaster Medicine, 35(6), 669-675. https://dx.doi.org/10.1017/S1049023X2000120X
dc.identifier.doi10.1017/S1049023X2000120X
dc.identifier.endpage675
dc.identifier.issn1049-023X
dc.identifier.issn1945-1938
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage669
dc.identifier.urihttps://dx.doi.org/10.1017/S1049023X2000120X
dc.identifier.urihttps://hdl.handle.net/20.500.12511/6084
dc.identifier.volume35
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCambridge University Press
dc.relation.ispartofPrehospital and Disaster Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEmergency Medical Intervention Unit
dc.subjectEmergency Medical Services
dc.subjectMass Gathering
dc.subjectShopping Center
dc.titleHealth care services in shopping centers: A routine mass-gathering event
dc.typeArticle

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