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<article article-type="abstract" dtd-version="2.0" xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e36393</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/36393</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>The Pattern of Referral of Sick Omani Pilgrims From the Omani Medical Mission During Hajj 2019</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Khader</surname>
            <given-names>Yousef</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes" equal-contrib="yes">
          <name name-style="western">
            <surname>Almashaykhi</surname>
            <given-names>Ahmed Obaid</given-names>
          </name>
          <degrees>PhD, MD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Ministry of Health</institution>
            <addr-line>128 Culture Street</addr-line>
            <addr-line>Al Khuwair</addr-line>
            <addr-line>Muscat, 11</addr-line>
            <country>Oman</country>
            <phone>968 92966264</phone>
            <email>dr.ahmed929@hotmail.com</email>
          </address>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>M Nooh</surname>
            <given-names>Randa</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Almudarra</surname>
            <given-names>Sami Said</given-names>
          </name>
          <xref rid="aff3" ref-type="aff">3</xref>
        </contrib>
        <contrib id="contrib4" contrib-type="author">
          <name name-style="western">
            <surname>ALMutari</surname>
            <given-names>Abdulaziz Saad</given-names>
          </name>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
        <contrib id="contrib5" contrib-type="author">
          <name name-style="western">
            <surname>ALBudayri</surname>
            <given-names>Naif Saud</given-names>
          </name>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
        <contrib id="contrib6" contrib-type="author">
          <name name-style="western">
            <surname>AlGhamdi</surname>
            <given-names>Khalid Masoud</given-names>
          </name>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
        <contrib id="contrib7" contrib-type="author">
          <name name-style="western">
            <surname>Aldarwish</surname>
            <given-names>Ali</given-names>
          </name>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Ministry of Health</institution>
        <addr-line>Muscat</addr-line>
        <country>Oman</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Field Epidemiology Training Program</institution>
        <institution>Ministry of Health</institution>
        <addr-line>Riyad</addr-line>
        <country>Saudi Arabia</country>
      </aff>
      <aff id="aff3">
        <label>3</label>
        <institution>Ministry of Health</institution>
        <addr-line>Riyad</addr-line>
        <country>Saudi Arabia</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Ahmed Obaid Almashaykhi <email>dr.ahmed929@hotmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>8</day>
        <month>2</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e36393</elocation-id>
      <history>
        <date date-type="received">
          <day>13</day>
          <month>1</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>17</day>
          <month>1</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Ahmed Obaid Almashaykhi, Randa M Nooh, Sami Said Almudarra, Abdulaziz Saad ALMutari, Naif Saud ALBudayri, Khalid Masoud AlGhamdi, Ali Aldarwish. Originally published in Iproceedings (https://www.iproc.org), 08.02.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e36393" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>Annually, in the month of Dhul hijjah, over 2 million Muslims travel to Saudi Arabia to perform hajj. Hajj is the biggest mass gathering globally, which creates a substantial influence on hajjes’ health. The Omani medical mission is the official delegation from the Omani government to Saudi Arabia to serve the Omani hajjees regarding their health issues.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>This study investigates the referral rate and pattern of diseases among hajjees referred by the Omani medical mission during Hajj 1440 H.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>We conducted a cross-sectional study at the Omani Medical missions in Makkah, Madinah, Mina, and Arafat. Data was collected via a predesigned form. All Omani pilgrims presenting to the mission who were referred to local hospitals were included.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>The total number of cases was 5000, of which 106 (2.1%) were referred to local hospitals (21.2 per 1000 hajjees). The most common causes of referral were cardiovascular diseases (23.6%), followed by gastrointestinal disease (17.9%) and trauma (16.9%). Male patients comprised 60.1% of the sample. Their mean age was 47.3 (SD 11.27) years, with the highest referrals in the 51-60 years age group (30%). Over half (55.7%) had comorbidities. Patients’ mean time to reach the clinic was 8.87 (SD 6.41) minutes, with 65% arriving in 5 minutes or less. The mean time needed to reach the hospital by ambulance was 11.39 (SD 6.6) minutes, with 36% arriving within 5 minutes. Of the referrals, 42% were admitted into the hospital. Hospitalization was significantly higher among patients with chest pain (<italic>P</italic>&lt;.006), diabetics (<italic>P</italic>&lt;.001), and patients with heart disease (<italic>P</italic>=.01).</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>The most common causes for referral of hajjees from the Omani Medical Mission were cardiovascular diseases, gastrointestinal disease, and trauma. This information should assist the Omani government in planning their medical services in the hajj season in future years.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>hajj</kwd>
        <kwd>referral</kwd>
        <kwd>Omani</kwd>
        <kwd>pilgrims</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
