Association of Heat Index and Patient Presentation Rate at a Stadium

Introduction: A mass gathering is defined as an event that has the potential to strain the resources of the local health system. An onsite physician for mass gatherings can mitigate the strain on the local health infrastructure. One factor affecting onsite medical usage and patient presentation rate...

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Main Authors: Jennifer Wolin, Daniel Wolf, John Su, Eric Quinn, David Eng, Humaira Ali, David Lobel, Matt Friedman
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-05-01
Series:Western Journal of Emergency Medicine
Online Access:https://escholarship.org/uc/item/3qr29651
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author Jennifer Wolin
Daniel Wolf
John Su
Eric Quinn
David Eng
Humaira Ali
David Lobel
Matt Friedman
author_facet Jennifer Wolin
Daniel Wolf
John Su
Eric Quinn
David Eng
Humaira Ali
David Lobel
Matt Friedman
author_sort Jennifer Wolin
collection DOAJ
description Introduction: A mass gathering is defined as an event that has the potential to strain the resources of the local health system. An onsite physician for mass gatherings can mitigate the strain on the local health infrastructure. One factor affecting onsite medical usage and patient presentation rates is the heat index, which is a calculated value of perceived heat exposure that combines air temperature and relative humidity. In this study we asked whether there was a positive association between heat index and patient presentation rates for onsite medical care at a bounded (large event in an enclosed location) professional stadium sporting event. We hypothesized that a positive correlation exists between these two variables and assess whether it might surpass current onsite resources. Methods: We performed a prospective observational study with patients seeking medical care at a baseball stadium in a large northeastern city in the United States. The onsite physician collected information on patients who presented during games held at the stadium. Data on game attendance, temperature in degrees Fahrenheit (F), humidity, and heat index were collected using government and professional organization websites. We assessed the correlation between heat index and patient presentation rate with the Pearson product-moment correlation (PPMC) per 100,000 attendees at the game. Results: A total of 81 baseball games occurred at the studied stadium from April–September 2023, with eight games excluded due to incomplete data. The heat index ranged from 46°F to 91°F, with a mean (± SD) of 70.8°F (± 10.4°F). The number of patients varied from 0–5 per game, with a mean of 1.92 (± 1.13), and stadium attendance ranged from 25,007 to 47,295, with a mean of 40,824. The patient presentation rate per 100,000 in attendance was 5.04 (± 2.13). The PPMC was calculated to be 0.37 ( P < .01), indicating a positive correlation between heat index and patient presentation rates. The most common reasons for seeking medical care were lightheadedness and musculoskeletal complaints. Conclusion: In this study we found that the heat index was moderately associated with higher patient presentation rates at bounded mass gathering baseball events. No additional resources were needed, but this correlation could aid future event medical planning efforts as the climate continues to evolve.
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institution Kabale University
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spelling doaj-art-434ac4d076e6418fa73dd670f69bc0392025-08-20T03:31:51ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182025-05-0126366767310.5811/westjem.21222wjem-26-667Association of Heat Index and Patient Presentation Rate at a StadiumJennifer Wolin0Daniel Wolf1John Su2Eric Quinn3David Eng4Humaira Ali5David Lobel6Matt Friedman7Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkStanford Medicine, Department of Emergency Medicine, Stanford, CaliforniaMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkMaimonides Medical Center, Department of Emergency Medicine, Brooklyn, New YorkIntroduction: A mass gathering is defined as an event that has the potential to strain the resources of the local health system. An onsite physician for mass gatherings can mitigate the strain on the local health infrastructure. One factor affecting onsite medical usage and patient presentation rates is the heat index, which is a calculated value of perceived heat exposure that combines air temperature and relative humidity. In this study we asked whether there was a positive association between heat index and patient presentation rates for onsite medical care at a bounded (large event in an enclosed location) professional stadium sporting event. We hypothesized that a positive correlation exists between these two variables and assess whether it might surpass current onsite resources. Methods: We performed a prospective observational study with patients seeking medical care at a baseball stadium in a large northeastern city in the United States. The onsite physician collected information on patients who presented during games held at the stadium. Data on game attendance, temperature in degrees Fahrenheit (F), humidity, and heat index were collected using government and professional organization websites. We assessed the correlation between heat index and patient presentation rate with the Pearson product-moment correlation (PPMC) per 100,000 attendees at the game. Results: A total of 81 baseball games occurred at the studied stadium from April–September 2023, with eight games excluded due to incomplete data. The heat index ranged from 46°F to 91°F, with a mean (± SD) of 70.8°F (± 10.4°F). The number of patients varied from 0–5 per game, with a mean of 1.92 (± 1.13), and stadium attendance ranged from 25,007 to 47,295, with a mean of 40,824. The patient presentation rate per 100,000 in attendance was 5.04 (± 2.13). The PPMC was calculated to be 0.37 ( P < .01), indicating a positive correlation between heat index and patient presentation rates. The most common reasons for seeking medical care were lightheadedness and musculoskeletal complaints. Conclusion: In this study we found that the heat index was moderately associated with higher patient presentation rates at bounded mass gathering baseball events. No additional resources were needed, but this correlation could aid future event medical planning efforts as the climate continues to evolve.https://escholarship.org/uc/item/3qr29651
spellingShingle Jennifer Wolin
Daniel Wolf
John Su
Eric Quinn
David Eng
Humaira Ali
David Lobel
Matt Friedman
Association of Heat Index and Patient Presentation Rate at a Stadium
Western Journal of Emergency Medicine
title Association of Heat Index and Patient Presentation Rate at a Stadium
title_full Association of Heat Index and Patient Presentation Rate at a Stadium
title_fullStr Association of Heat Index and Patient Presentation Rate at a Stadium
title_full_unstemmed Association of Heat Index and Patient Presentation Rate at a Stadium
title_short Association of Heat Index and Patient Presentation Rate at a Stadium
title_sort association of heat index and patient presentation rate at a stadium
url https://escholarship.org/uc/item/3qr29651
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