On-site medical interventions for spectators at venues during major international sporting tournaments: a prospective comparative study of four single-sport and multi-sport tournaments[1]
Summary
Prospective comparison of daily on-site medical data from four major tournaments — UEFA EURO 2012 and EHF EURO 2016 (single-sport) vs The World Games 2017 and European Games 2023 (multi-sport): 2,188,497 spectators, 1,539 patient presentations, 135 hospital transports. Spectator PPR was higher at single-sport tournaments (5.71 vs 3.97 per 10,000) while transport rates were similar (0.42 vs 0.48); fewer than 10% of on-site presentations required transport. Single-sport events concentrate demand per event; multi-sport events distribute it across venues. Framed as evidence for scalable staffing models.
So what
The first prospective head-to-head of tournament FORMATS: format changes the shape of demand (concentrated vs distributed) more than its severity (transport rates identical). Planning translation for the FIFA 2026/LA28 cycle: single-sport mega events need deep per-venue capacity; multi-sport events need breadth and logistics across many thinner posts — same total medicine, different geometry. The <10% transport fraction reconfirms the treat-on-site economics across 2.2M European spectators.
Key findings
- 2.19M spectators, 4 tournaments: PPR 5.71 (single-sport) vs 3.97 (multi-sport) per 10,000
- Transport rates equivalent (0.42 vs 0.48 per 10,000) - format shifts volume, not severity
- <10% of on-site presentations needed hospital transport
- Single-sport = concentrated per-venue demand; multi-sport = distributed demand
- Prospective, multi-event - rare design quality for this literature
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