「2010台北國際花卉博覽會」疾病與外傷之流行病學

The Epidemiology of Illness and Injury during the 2010 Taipei International Flora Exposition

林孟臻(Menu-Chen Lin) ； 李欣岱(Hsin-Dai Lee) ； 游文瑜(Wen-Yu Yu) ； 汪世潔(Shih-Chieh Wang) ； 林茂榮(Mau-Roung Lin)

《台灣公共衛生雜誌》 32卷5期 (2013/10) Pp. 502-515

https://doi.org/10.6288/TJPH2013-32-05-09

摘要

目標：瞭解「2010台北國際花卉博覽會」期間尋求醫療站協助之疾病與外傷病人人口學特性、疾病與外傷類型與原因及嚴重疾病與外傷之影響因子。方法：採橫斷式研究於博覽會活動期間收案，從2010/11/06至2011/04/25，171天共累計8,963,666參觀人次。博覽會於四個園區設置醫療站（圓山、美術、新生及大佳河濱公園區），共提供11,489醫療服務人次。測量變項為病人人口學及疾病與外傷相關特性，並用邏輯斯迴歸分析較嚴重疾病與外傷之相關因子。結果：醫療使用率為每天每百萬旅客7.5次，救護車轉送率為每天每萬名病人2.3次。疾病前三名為腸胃道疾病、頭痛、發燒／感冒，外傷前三名為擦傷／撕裂傷、拉／鈍／扭傷、燙／曬傷／起水泡。嚴重疾病發生於旅客密度低於124人／100 m^2、2010年十一、十二月與2011年一月、二月及三月；嚴重外傷發生於年齡七十歲以上、早上、雨天、旅客密度低於57人／100 m^2、2010年十一、十二月與2011年三月。結論：未來大型活動應將疾病與外傷相關資料分析並找出危險因子，進一步預防或減少疾病與外傷，讓旅客及工作人員安全更有保障。

關鍵字

大型活動 ； 緊急醫療救護 ； 嚴重度 ； 博覽會

並列摘要

Objectives: The aim of this study was to investigate the demographics, types and causes of illness and injury, and risk factors for serious illness and injury among visitors at the 2010 Taipei International Floral Exposition. Methods: During the 171-day period from November 6th to April 25th 2011, 8,963,666 people visited the Exposition. There were four medical stations located in parks in Yuanshan, Arts, Xinsheng, and Dajia-Riverside during the Exposition period. Of these visitors, 11,489 people received medical services, and 470 of them were sent to a hospital for further treatment. Logistic regression analysis was used to examine factors associated with serious illness and injury. Results: The medical usage rate was 7.5 per million person-days, and the rate of ambulance to hospital usage was 2.3 per 10,000 patient-days. The three most prevalent illnesses were gastrointestinal disorders, headaches, and flu, while the three most prevalent injuries were abrasions/lacerations, strained muscles/contusions/sprains, and burns/sunburns/blisters. Serious illnesses were associated with a population density of ＜ 124 persons per 100 m^2, and the time periods of November and December 2010, and January to March 2011. Serious injuries were associated with age over 70, morning sessions, rain, a population density of ＜ 57 persons per 100 m^2, and the time periods November and December, 2010 and March, 2011. Conclusions: We suggest that the occurrences and severity of illness and injury be monitored during an exposition in order to provide immediate and effective medical interventions.

並列關鍵字

mass gathering ； emergency medical services ； severity ； exposition

參考文獻

台北市政府：2010台北國際花卉博覽會。http://www.2010taipeiexpo.tw/MP_3.html。引用2010/12/24。Department of Health, Taipei City Government. 2010 Taipei International Flora Exposition. Available at: http://www.2010taipeiexpo.tw/MP_3.html. Accessed December 24, 2010

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