Impact of the Qatar 2022 FIFA World Cup on PED Use and Misuse Patterns

Completed

• Conditions: Epidemic Disease; Electronic Medical Record; Emergencies; Pediatric ALL
• Interventions: Other: NO intervention

• Registration Number: NCT05818215
• Lead Sponsor: Pediatric Clinical Research Platform

Brief Summary

A retrospective cohort study to explore the impact of the FIFA World Cup 2022 Qatar on paediatric emergency department attendance at two tertiary centres during unprecedent winter viral epidemics.

Detailed Description

Earlier studies have reported contradictory relationship between major sporting events and paediatric emergency department attendance. None were conducted during an epidemic surge. The FIFA football World Cup 2022 was held for the first time in its history during the winter period in the northern hemisphere during unprecedented cumulative waves of respiratory syncitial virus (RSV), influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemics.

This study aims to measure the impact of such a global major sporting events on the pattern of paediatric emergency department use and hospital admissions during a peak epidemic season in 2 tertiary hospitals. The study hypothesis was that major sporting events, even during an epidemic peak, can reduce the number of paediatric emergency department visits compared with periods without a sporting event. Major sporting events could serve as a model for identifying human behaviours and patterns leading to paediatric emergency department misuse, in order to develop public health interventions to better rationalise health-seeking behaviours.

Study Timeline

• Study Start: 2021-09-01
• Primary Completion: 2023-01-20
• Study Completion: 2023-01-20
• Status Verified: 2023-04
• Study First Submitted: 2023-04-05
• Study First Submitted QC: 2023-04-05
• Last Update Submitted: 2023-04-05
• Study First Posted: 2023-04-18
• Last Update Posted: 2023-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 18000

Inclusion Criteria

• all patients

Exclusion Criteria

• none

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
All participants	NO intervention	Data from electronic medical records of all patients under 16 years of age with medical, surgical and traumatology emergencies attending the paediatric emergency departments during the study period

Primary Outcome Measures

Name	Time	Method
PED visits	Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022	Retrospective analysis of number of PED visits (counts).

Secondary Outcome Measures

Name	Time	Method
Main diagnosis	Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022	Retrospective analysis of number of PED visits (counts) by main diagnosis (coded using the International Classification of Primary Care, 2nd edition \[ICPC-2\], and International Statistical Classification of Diseases and Related Health Problems, 10th revision \[ICD-10-GM\]).
Influenza incidence	Analysed retrospectively from October 1st, 2022 to December 31, 2022	Influenza-incidence among children visiting the PED during the study period will be obtained from the institutional electronic medical records. RSV testing on nasopharyngeal swabs uses reverse-transcription polymerase chain reaction at the point of care.
Triage acuity score	Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022	Retrospective analysis of number of PED visits (counts) by triage acuity score (coded using the 5-level Canadian Triage and Acuity Scale (from level 1 \[resuscitation\] to level 5 \[nonurgent\]).
Chief complaint	Institutional electronic medical records analysed retrospectively from October 1st, 2022 to December 31, 2022	Retrospective analysis of number of PED visits (counts) by chief complaints.
Audience	Analysed retrospectively from October 1st, 2022 to December 31, 2022	Daily television and online media audience collected by the independent, multi-platform Swiss national foundation for media research (Mediapulse AG, Bern, Switzerland).
RSV incidence	Analysed retrospectively from October 1st, 2022 to December 31, 2022	RSV-incidence estimates among children will be obtained from the anonymised Swiss RSV EpiCH multicentre database. RSV testing uses reverse-transcription polymerase chain reaction or rapid antigen test at the point of care.
SARS-CoV-2 incidence	Analysed retrospectively from October 1st, 2022 to December 31, 2022	SARS-CoV-2-incidence among children visiting the PED during the study period will be obtained from the institutional electronic medical records. SARS-CoV-2 testing on nasopharyngeal swabs uses reverse-transcription polymerase chain reaction at the point of care.

Trial Locations

Locations (1)

Geneva Children's Hospital; 🇨🇭 Geneva, Switzerland