Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities
Background We sought to evaluate frequency, characteristics, and outcomes of sudden cardiac arrest (SCA) during sports activities according to the location of occurrence (in sports facilities vs those occurring outside of sports facilities). Methods and results This is an observational 5-year prospe...
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| Veröffentlicht in: | The American heart journal 2015-08, Vol.170 (2), p.339-345.e1 |
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| creator | Marijon, Eloi, MD, PhD Bougouin, Wulfran, MD Karam, Nicole, MD Beganton, Frankie, MS Lamhaut, Lionel, MD Perier, Marie-Cécile, MPH Benameur, Nordine, MD Tafflet, Muriel, PhD Beal, Guillaume, MS Hagege, Albert, MD Le Heuzey, Jean-Yves, MD Desnos, Michel, MD Spaulding, Christian, MD Carré, Francois, MD, PhD Dumas, Florence, MD, PhD Celermajer, David S., PhD, FRACP Cariou, Alain, MD Jouven, Xavier, MD, PhD |
| description | Background We sought to evaluate frequency, characteristics, and outcomes of sudden cardiac arrest (SCA) during sports activities according to the location of occurrence (in sports facilities vs those occurring outside of sports facilities). Methods and results This is an observational 5-year prospective national French survey of subjects 10 to 75 years old presenting with SCA during sports (2005-2010), in 60 French administrative regions (covering a population of 35 million people). Of the 820 SCA during sports, 426 SCAs (52%) occurred in sports facilities. Overall, a substantially higher survival rate at hospital discharge was observed among SCA in sports facilities (22.8%, 95% CI 18.8-26.8) compared to those occurring outside (8.0%, 95% CI 5.3-10.7) ( P < .0001). Patients with SCA in sports facilities were younger (42.1 vs 51.3 years, P < .0001) and less frequently had known cardiovascular diseases ( P < .0001). The events were more often witnessed (99.8% vs 84.9%, 0.0001), and bystander cardiopulmonary resuscitation was more frequently initiated (35.4% vs 25.9%, P = .003). Delays of intervention were significantly shorter when SCA occurred in sports facilities (9.3 vs 13.6, P=0.03), and the proportion of initially shockable rhythm was higher (58.8% vs 33.1%, P < .0001). Better survival in sports facilities was mainly explained by concomitant circumstances of occurrence (adjusted odds ratio 1.48, 95% CI 0.88-2.49, P = .134). Conclusions Sports-related SCA is not a homogeneous entity. The 3-fold higher survival rate reported among sports-related SCA is mainly due to cases that occur in sports facilities, whereas SCA during sports occurring outside of sports facilities has the usual very low rate of survival. |
| doi_str_mv | 10.1016/j.ahj.2015.03.022 |
| format | Article |
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Methods and results This is an observational 5-year prospective national French survey of subjects 10 to 75 years old presenting with SCA during sports (2005-2010), in 60 French administrative regions (covering a population of 35 million people). Of the 820 SCA during sports, 426 SCAs (52%) occurred in sports facilities. Overall, a substantially higher survival rate at hospital discharge was observed among SCA in sports facilities (22.8%, 95% CI 18.8-26.8) compared to those occurring outside (8.0%, 95% CI 5.3-10.7) ( P < .0001). Patients with SCA in sports facilities were younger (42.1 vs 51.3 years, P < .0001) and less frequently had known cardiovascular diseases ( P < .0001). The events were more often witnessed (99.8% vs 84.9%, 0.0001), and bystander cardiopulmonary resuscitation was more frequently initiated (35.4% vs 25.9%, P = .003). Delays of intervention were significantly shorter when SCA occurred in sports facilities (9.3 vs 13.6, P=0.03), and the proportion of initially shockable rhythm was higher (58.8% vs 33.1%, P < .0001). Better survival in sports facilities was mainly explained by concomitant circumstances of occurrence (adjusted odds ratio 1.48, 95% CI 0.88-2.49, P = .134). Conclusions Sports-related SCA is not a homogeneous entity. The 3-fold higher survival rate reported among sports-related SCA is mainly due to cases that occur in sports facilities, whereas SCA during sports occurring outside of sports facilities has the usual very low rate of survival.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2015.03.022</identifier><identifier>PMID: 26299232</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Athletes ; Cardiac arrest ; Cardiopulmonary resuscitation ; Cardiovascular ; Child ; CPR ; Death, Sudden, Cardiac - epidemiology ; Death, Sudden, Cardiac - etiology ; Defibrillators ; Female ; Follow-Up Studies ; France - epidemiology ; Heart attacks ; Humans ; Incidence ; Male ; Middle Aged ; Mortality ; Odds Ratio ; Prospective Studies ; Sports ; Sports facilities ; Survival Rate - trends ; Time Factors ; Young Adult</subject><ispartof>The American heart journal, 2015-08, Vol.170 (2), p.339-345.e1</ispartof><rights>2015</rights><rights>Copyright © 2015. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Aug 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-64cb1a4389f60746607d8767e4606d8e318704b7dbd9cccd7a8c3024c4e42423</citedby><cites>FETCH-LOGICAL-c436t-64cb1a4389f60746607d8767e4606d8e318704b7dbd9cccd7a8c3024c4e42423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1715979040?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26299232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marijon, Eloi, MD, PhD</creatorcontrib><creatorcontrib>Bougouin, Wulfran, MD</creatorcontrib><creatorcontrib>Karam, Nicole, MD</creatorcontrib><creatorcontrib>Beganton, Frankie, MS</creatorcontrib><creatorcontrib>Lamhaut, Lionel, MD</creatorcontrib><creatorcontrib>Perier, Marie-Cécile, MPH</creatorcontrib><creatorcontrib>Benameur, Nordine, MD</creatorcontrib><creatorcontrib>Tafflet, Muriel, PhD</creatorcontrib><creatorcontrib>Beal, Guillaume, MS</creatorcontrib><creatorcontrib>Hagege, Albert, MD</creatorcontrib><creatorcontrib>Le Heuzey, Jean-Yves, MD</creatorcontrib><creatorcontrib>Desnos, Michel, MD</creatorcontrib><creatorcontrib>Spaulding, Christian, MD</creatorcontrib><creatorcontrib>Carré, Francois, MD, PhD</creatorcontrib><creatorcontrib>Dumas, Florence, MD, PhD</creatorcontrib><creatorcontrib>Celermajer, David S., PhD, FRACP</creatorcontrib><creatorcontrib>Cariou, Alain, MD</creatorcontrib><creatorcontrib>Jouven, Xavier, MD, PhD</creatorcontrib><title>Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background We sought to evaluate frequency, characteristics, and outcomes of sudden cardiac arrest (SCA) during sports activities according to the location of occurrence (in sports facilities vs those occurring outside of sports facilities). Methods and results This is an observational 5-year prospective national French survey of subjects 10 to 75 years old presenting with SCA during sports (2005-2010), in 60 French administrative regions (covering a population of 35 million people). Of the 820 SCA during sports, 426 SCAs (52%) occurred in sports facilities. Overall, a substantially higher survival rate at hospital discharge was observed among SCA in sports facilities (22.8%, 95% CI 18.8-26.8) compared to those occurring outside (8.0%, 95% CI 5.3-10.7) ( P < .0001). Patients with SCA in sports facilities were younger (42.1 vs 51.3 years, P < .0001) and less frequently had known cardiovascular diseases ( P < .0001). The events were more often witnessed (99.8% vs 84.9%, 0.0001), and bystander cardiopulmonary resuscitation was more frequently initiated (35.4% vs 25.9%, P = .003). Delays of intervention were significantly shorter when SCA occurred in sports facilities (9.3 vs 13.6, P=0.03), and the proportion of initially shockable rhythm was higher (58.8% vs 33.1%, P < .0001). Better survival in sports facilities was mainly explained by concomitant circumstances of occurrence (adjusted odds ratio 1.48, 95% CI 0.88-2.49, P = .134). Conclusions Sports-related SCA is not a homogeneous entity. The 3-fold higher survival rate reported among sports-related SCA is mainly due to cases that occur in sports facilities, whereas SCA during sports occurring outside of sports facilities has the usual very low rate of survival.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Athletes</subject><subject>Cardiac arrest</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiovascular</subject><subject>Child</subject><subject>CPR</subject><subject>Death, Sudden, Cardiac - epidemiology</subject><subject>Death, Sudden, Cardiac - etiology</subject><subject>Defibrillators</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>France - epidemiology</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Odds Ratio</subject><subject>Prospective Studies</subject><subject>Sports</subject><subject>Sports facilities</subject><subject>Survival Rate - 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epidemiology</topic><topic>Death, Sudden, Cardiac - etiology</topic><topic>Defibrillators</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>France - epidemiology</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Odds Ratio</topic><topic>Prospective Studies</topic><topic>Sports</topic><topic>Sports facilities</topic><topic>Survival Rate - trends</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marijon, Eloi, MD, PhD</creatorcontrib><creatorcontrib>Bougouin, Wulfran, MD</creatorcontrib><creatorcontrib>Karam, Nicole, MD</creatorcontrib><creatorcontrib>Beganton, Frankie, MS</creatorcontrib><creatorcontrib>Lamhaut, Lionel, MD</creatorcontrib><creatorcontrib>Perier, Marie-Cécile, MPH</creatorcontrib><creatorcontrib>Benameur, Nordine, MD</creatorcontrib><creatorcontrib>Tafflet, Muriel, PhD</creatorcontrib><creatorcontrib>Beal, Guillaume, MS</creatorcontrib><creatorcontrib>Hagege, Albert, MD</creatorcontrib><creatorcontrib>Le Heuzey, Jean-Yves, MD</creatorcontrib><creatorcontrib>Desnos, Michel, MD</creatorcontrib><creatorcontrib>Spaulding, Christian, MD</creatorcontrib><creatorcontrib>Carré, Francois, MD, PhD</creatorcontrib><creatorcontrib>Dumas, Florence, MD, PhD</creatorcontrib><creatorcontrib>Celermajer, David S., PhD, FRACP</creatorcontrib><creatorcontrib>Cariou, Alain, MD</creatorcontrib><creatorcontrib>Jouven, Xavier, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marijon, Eloi, MD, PhD</au><au>Bougouin, Wulfran, MD</au><au>Karam, Nicole, MD</au><au>Beganton, Frankie, MS</au><au>Lamhaut, Lionel, MD</au><au>Perier, Marie-Cécile, MPH</au><au>Benameur, Nordine, MD</au><au>Tafflet, Muriel, PhD</au><au>Beal, Guillaume, MS</au><au>Hagege, Albert, MD</au><au>Le Heuzey, Jean-Yves, MD</au><au>Desnos, Michel, MD</au><au>Spaulding, Christian, MD</au><au>Carré, Francois, MD, PhD</au><au>Dumas, Florence, MD, PhD</au><au>Celermajer, David S., PhD, FRACP</au><au>Cariou, Alain, MD</au><au>Jouven, Xavier, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>170</volume><issue>2</issue><spage>339</spage><epage>345.e1</epage><pages>339-345.e1</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background We sought to evaluate frequency, characteristics, and outcomes of sudden cardiac arrest (SCA) during sports activities according to the location of occurrence (in sports facilities vs those occurring outside of sports facilities). Methods and results This is an observational 5-year prospective national French survey of subjects 10 to 75 years old presenting with SCA during sports (2005-2010), in 60 French administrative regions (covering a population of 35 million people). Of the 820 SCA during sports, 426 SCAs (52%) occurred in sports facilities. Overall, a substantially higher survival rate at hospital discharge was observed among SCA in sports facilities (22.8%, 95% CI 18.8-26.8) compared to those occurring outside (8.0%, 95% CI 5.3-10.7) ( P < .0001). Patients with SCA in sports facilities were younger (42.1 vs 51.3 years, P < .0001) and less frequently had known cardiovascular diseases ( P < .0001). The events were more often witnessed (99.8% vs 84.9%, 0.0001), and bystander cardiopulmonary resuscitation was more frequently initiated (35.4% vs 25.9%, P = .003). Delays of intervention were significantly shorter when SCA occurred in sports facilities (9.3 vs 13.6, P=0.03), and the proportion of initially shockable rhythm was higher (58.8% vs 33.1%, P < .0001). Better survival in sports facilities was mainly explained by concomitant circumstances of occurrence (adjusted odds ratio 1.48, 95% CI 0.88-2.49, P = .134). Conclusions Sports-related SCA is not a homogeneous entity. The 3-fold higher survival rate reported among sports-related SCA is mainly due to cases that occur in sports facilities, whereas SCA during sports occurring outside of sports facilities has the usual very low rate of survival.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26299232</pmid><doi>10.1016/j.ahj.2015.03.022</doi></addata></record> |
| fulltext | fulltext |
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| ispartof | The American heart journal, 2015-08, Vol.170 (2), p.339-345.e1 |
| issn | 0002-8703 1097-6744 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Adolescent Adult Aged Athletes Cardiac arrest Cardiopulmonary resuscitation Cardiovascular Child CPR Death, Sudden, Cardiac - epidemiology Death, Sudden, Cardiac - etiology Defibrillators Female Follow-Up Studies France - epidemiology Heart attacks Humans Incidence Male Middle Aged Mortality Odds Ratio Prospective Studies Sports Sports facilities Survival Rate - trends Time Factors Young Adult |
| title | Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T17%3A08%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Survival%20from%20sports-related%20sudden%20cardiac%20arrest:%20In%20sports%20facilities%20versus%20outside%20of%20sports%20facilities&rft.jtitle=The%20American%20heart%20journal&rft.au=Marijon,%20Eloi,%20MD,%20PhD&rft.date=2015-08-01&rft.volume=170&rft.issue=2&rft.spage=339&rft.epage=345.e1&rft.pages=339-345.e1&rft.issn=0002-8703&rft.eissn=1097-6744&rft.coden=AHJOA2&rft_id=info:doi/10.1016/j.ahj.2015.03.022&rft_dat=%3Cproquest_cross%3E1706576573%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1715979040&rft_id=info:pmid/26299232&rft_els_id=S0002870315003099&rfr_iscdi=true |