Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities
Survival from sports-related sudden cardiac arrest: In sports facilities versus outside of sports facilities
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DOI：
10.1016/j.ahj.2015.03.022
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发表时间：
2015-08-01
影响因子：
4.8
通讯作者：
Jouven, Xavier
中科院分区：
文献类型：
--
作者：
Marijon, Eloi;Bougouin, Wulfran;Jouven, Xavier
研究背景：我们试图根据发生的部位来评估体育活动中心脏骤停（SCA）的频率、特征和结局方法和结果这是一项为期5年的前瞻性法国国家调查，对象是10至75岁的在运动期间出现SCA的受试者。（2005-2010年），在法国60个行政区（覆盖人口3 500万）。在运动期间发生的820起SCA中，426起（52%）发生在体育设施中。总体而言，在体育设施中观察到SCA的出院存活率（22.8%，95% CI 18.8-26.8）显著高于在体育设施外发生的SCA（8.0%，95% CI 5.3-10.7）（P < .0001）。运动设施中的SCA患者更年轻（42.1 vs 51.3岁，P < .0001），已知心血管疾病的频率更低（P < .0001）。这些事件更常见（99.8% vs 84.9%，0.0001），更频繁地启动旁观者心肺复苏（35.4% vs 25.9%，P = 0.003）。当SCA发生在体育设施中时，干预延迟明显较短（9.3 vs 13.6，P=0.03），初始可电击心律的比例较高（58.8% vs 33.1%，P <0.0001）。在体育设施更好的生存主要是解释伴随的情况下发生（调整后的比值比1.48，95%CI 0.88-2.49，P = 0.134）。据报道，与体育相关的SCA的生存率高出3倍，主要是由于发生在体育设施内的病例，而在体育设施外发生的体育运动期间的SCA的生存率通常非常低。
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.