Incidence of Sudden Cardiac Death in National Collegiate Athletic Association Athletes
Incidence of Sudden Cardiac Death in National Collegiate Athletic Association Athletes
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DOI：
10.1161/circulationaha.110.004622
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发表时间：
2011-04-19
期刊：
影响因子：
37.8
通讯作者：
Drezner, Jonathan A.
中科院分区：
文献类型：
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作者：
Harmon, Kimberly G.;Asif, Irfan M.;Drezner, Jonathan A.
背景-美国运动员心脏性猝死（SCD）的真实发生率尚不清楚。目前的估计数主要基于通过公共媒体报道查明的病例和估计的参与率。本研究的目的是更准确地估计全国大学体育协会（NCAA）学生运动员的SCD发病率，并评估收集SCD数据的传统方法的准确性。方法和结果-从2004年1月至2008年12月，通过使用NCAA数据库，每周系统搜索公共媒体报道，以及灾难性的保险索赔在5年期间，有273人死亡，总共有1 969 663名运动员参与年。在这273例死亡中，187例（68%）是由于非医疗或创伤原因，80例（29%）是由于医疗原因，6例（2%）是由于未知原因。在80例医疗病例中，血管相关猝死是45例（56%）死亡的主要原因，占运动期间猝死的75%。SCD的发病率为1：43770/年。在NCAA一级男子篮球运动员中，SCD的发生率为每年1：3100。39（87%）的45例心脏病的NCAA数据库中，只有25（56%）通过使用公共媒体的报道，9（20%）从灾难性索赔data. Conclusions SCD是死亡和死亡的主要医疗原因在NCAA学生运动员的运动。目前的数据收集方法低估了SCD的风险。准确评估SCD发病率对于制定适当的卫生政策决策和制定有效的预防策略是必要的。（循环。2011;123：1594-1600）。
Background-The true incidence of sudden cardiac death (SCD) in US athletes is unknown. Current estimates are based largely on case identification through public media reports and estimated participation rates. The purpose of this study was to more precisely estimate the incidence of SCD in National Collegiate Athletic Association (NCAA) student-athletes and assess the accuracy of traditional methods for collecting data on SCD.Methods and Results-From January 2004 through December 2008, all cases of sudden death in NCAA student-athletes were identified by use of an NCAA database, weekly systematic search of public media reports, and catastrophic insurance claims. During the 5-year period, there were 273 deaths and a total of 1 969 663 athlete participant-years. Of these 273 deaths, 187 (68%) were due to nonmedical or traumatic causes, 80 (29%) to medical causes, and 6 (2%) to unknown causes. Cardiovascular-related sudden death was the leading cause of death in 45 (56%) of 80 medical cases, and represented 75% of sudden deaths during exertion. The incidence of SCD was 1: 43 770 participants per year. Among NCAA Division I male basketball players, the rate of SCD was 1: 3100 per year. Thirty-nine (87%) of the 45 cardiac cases were identified in the NCAA database, only 25 (56%) by use of public media reports, and 9 (20%) from catastrophic claims data.Conclusions-SCD is the leading medical cause of death and death during exercise in NCAA student-athletes. Current methods of data collection underestimate the risk of SCD. Accurate assessment of SCD incidence is necessary to shape appropriate health policy decisions and develop effective strategies for prevention. (Circulation. 2011;123:1594-1600.)