The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021

Abstract Mass gatherings, particularly in the context of sporting events, pose distinct public health challenges, particularly regarding the medical needs of athletes. Despite the critical role of on-site medical care in reducing hospital transfers, studies that directly compare injury patterns acro...

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Main Authors: Pei-Hsuan Ho, Ju-Chi Ou, Hon-Ping Ma, Chung–Shun Wong, Hua-Chen Lin, Chia-Hung Hsu
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-99263-7
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author Pei-Hsuan Ho
Ju-Chi Ou
Hon-Ping Ma
Chung–Shun Wong
Hua-Chen Lin
Chia-Hung Hsu
author_facet Pei-Hsuan Ho
Ju-Chi Ou
Hon-Ping Ma
Chung–Shun Wong
Hua-Chen Lin
Chia-Hung Hsu
author_sort Pei-Hsuan Ho
collection DOAJ
description Abstract Mass gatherings, particularly in the context of sporting events, pose distinct public health challenges, particularly regarding the medical needs of athletes. Despite the critical role of on-site medical care in reducing hospital transfers, studies that directly compare injury patterns across various sporting events are scarce. This study analyzed injury rates and severity among athletes participating in various sports during the National Games in Taiwan. By doing so, the study aimed to enhance medical preparedness for future large-scale sporting events. This retrospective study involved a chart review of athletes who sought medical support during the National Games in Taiwan in 2017, 2019, and 2021. Data on patient demographics, event type, injury characteristics, and the need for hospital transport were collected. Sports were categorized in accordance with the American Heart Association and American College of Cardiology classifications ( based on their static and dynamic components). Statistical analyses were conducted to determine injury rates and identify factors associated with hospital transfers. Over the three years, 20,585 athletes participated in the games, with 527 (2.56%) seeking medical support. Injury rates significantly varied among the groups of sports with differing static and dynamic demands. Sports classified as having both high static and dynamic demands had the highest injury rates. Handball, martial arts, and rowing resulted in the highest rates of medical support-seeking behavior. The need for hospital transport was more frequently associated with sports that involved both high static and dynamic demands. The study highlights the varying injury patterns across different sports in mass gatherings, with sports involving higher physical demands posing greater risks of injury. These findings underscore the importance of developing tailored medical preparedness strategies for different types of sports to ensure timely and effective provision of medical care during large-scale sporting events.
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spelling doaj-art-dcee005fd7974dacb85e3b97f6b7577c2025-08-20T02:10:56ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-99263-7The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021Pei-Hsuan Ho0Ju-Chi Ou1Hon-Ping Ma2Chung–Shun Wong3Hua-Chen Lin4Chia-Hung Hsu5Emergency Medicine, Linkou Chang Gung Memorial HospitalTMU Neuroscience Research Center, Taipei Medical UniversityEmergency Department, Shuang Ho Hospital, Taipei Medical UniversityEmergency Department, Shuang Ho Hospital, Taipei Medical UniversityEmergency Department, Shuang Ho Hospital, Taipei Medical UniversityEmergency Department, Shuang Ho Hospital, Taipei Medical UniversityAbstract Mass gatherings, particularly in the context of sporting events, pose distinct public health challenges, particularly regarding the medical needs of athletes. Despite the critical role of on-site medical care in reducing hospital transfers, studies that directly compare injury patterns across various sporting events are scarce. This study analyzed injury rates and severity among athletes participating in various sports during the National Games in Taiwan. By doing so, the study aimed to enhance medical preparedness for future large-scale sporting events. This retrospective study involved a chart review of athletes who sought medical support during the National Games in Taiwan in 2017, 2019, and 2021. Data on patient demographics, event type, injury characteristics, and the need for hospital transport were collected. Sports were categorized in accordance with the American Heart Association and American College of Cardiology classifications ( based on their static and dynamic components). Statistical analyses were conducted to determine injury rates and identify factors associated with hospital transfers. Over the three years, 20,585 athletes participated in the games, with 527 (2.56%) seeking medical support. Injury rates significantly varied among the groups of sports with differing static and dynamic demands. Sports classified as having both high static and dynamic demands had the highest injury rates. Handball, martial arts, and rowing resulted in the highest rates of medical support-seeking behavior. The need for hospital transport was more frequently associated with sports that involved both high static and dynamic demands. The study highlights the varying injury patterns across different sports in mass gatherings, with sports involving higher physical demands posing greater risks of injury. These findings underscore the importance of developing tailored medical preparedness strategies for different types of sports to ensure timely and effective provision of medical care during large-scale sporting events.https://doi.org/10.1038/s41598-025-99263-7Mass gatheringsSports injuriesAthlete medical careNational games in TaiwanStatic and dynamic sports classificationRetrospective chart review
spellingShingle Pei-Hsuan Ho
Ju-Chi Ou
Hon-Ping Ma
Chung–Shun Wong
Hua-Chen Lin
Chia-Hung Hsu
The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021
Scientific Reports
Mass gatherings
Sports injuries
Athlete medical care
National games in Taiwan
Static and dynamic sports classification
Retrospective chart review
title The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021
title_full The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021
title_fullStr The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021
title_full_unstemmed The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021
title_short The national games experience in Taiwan: a retrospective review of mass-gathering sports events from 2017 to 2021
title_sort national games experience in taiwan a retrospective review of mass gathering sports events from 2017 to 2021
topic Mass gatherings
Sports injuries
Athlete medical care
National games in Taiwan
Static and dynamic sports classification
Retrospective chart review
url https://doi.org/10.1038/s41598-025-99263-7
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