Evidence map›Paper›PMID 42459997›Full record

SynthesisPublic health reviews2026

Preventive Measures and Crowd Management Strategies to Mitigate the Risk of Stampedes in Public Gatherings: A Systematic Review.

Rahul Singh Chowhan, Ramesh Kumar Hudda, Arun Kumar Sharma, Pankaj Bhardwaj

Abstract readSystematic Review
In one paragraph

Synthesis in Public health reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rahul Singh ChowhanICMR - National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, India.
Ramesh Kumar HuddaICMR - National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, India.
Arun Kumar SharmaDepartment of Community Medicine, UCMS, New Delhi, India.
Pankaj BhardwajICMR - National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate crowd-management strategies used at mass public gatherings and to identify the evidence gaps and priorities that reduce the risk of stampedes. Methods: Following PRISMA 2020 and PRISMA-S guidelines, the paper searched PubMed, Scopus, Web of Science, Google Scholar (gray literature), and the WHO Global Health Library (gray literature) published between January 1, 2010 and December 30, 2025. Eligible studies included observational, quasi-experimental, and simulation-based evaluations of crowd-safety interventions. Two reviewers independently screened records, extracted data, and appraised study quality using ROBINS-I and JBI checklist. A narrative (thematic) synthesis grouped interventions into engineering, operational, technology, and communication approaches. Results: Of 833 unique records identified, 13 studies met the inclusion criteria. Included studies were mainly observational analyses, simulation/modeling studies, or quasi-experiments from diverse settings (pilgrimages, festivals, sports events). Multi-modal strategies combining environmental design (one-way flows, barriers), operational controls, real-time monitoring, and trained personnel were consistently associated with improved crowd-flow indicators (shorter evacuation times). Conclusion: Integrated crowd-management approaches can mitigate stampede risks, but require high-quality empirical evaluations and standardized outcome metrics to strengthen evidence for policy and practice. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251142906, identifier CRD420251142906.

Indexed as

crowd managementemergency evacuationhuman stampedespublic safetyrisk mitigation in crowds

Identifiers

PMID42459997
PMCPMC13370754

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.