Out-of-Hospital Cardiac Arrests during the Japanese Professional Baseball Championship Series
Out-of-Hospital Cardiac Arrests during the Japanese Professional Baseball Championship Series
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日本职业棒球锦标赛系列赛期间出现院外心脏骤停事件
DOI：
10.1016/j.amjcard.2018.02.038
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发表时间：
2018
期刊：
影响因子：
2.8
通讯作者：
Hagihara Akihito
中科院分区：
文献类型：
--
作者：
Onozuka Daisuke;Hagihara Akihito
由于日本职业棒球锦标赛系列赛（日本系列赛）是一项紧张的体育赛事，观看日本系列赛可能会增加心血管事件的风险。因此，我们研究了日本系列与院外心脏骤停（OHCA）事件发生率之间的潜在相关性。从日本47个都道府县获得了2005年至2014年期间所有OHCA病例的国家登记数据。我们采用时间分层病例交叉设计和条件泊松回归模型，将日本系列期间的OHCA事件与除日本系列日期外的期间发生的事件进行比较。使用随机效应荟萃分析，在全国范围内汇总了每个县的估计关联。在研究期间，共报告了666，020例假定心源性OHCA。在日本系列赛匹配日，OHCA的合并相对风险为1.033（95%置信区间1.012 - 1.055; p = 0.002;I2= 3.5%，异质性P = 0.405）。按性别进行的分层分析显示，在活动期间观察到男性的OHCA大幅增加，而我们发现女性没有显著增加。我们还发现年龄≥65岁的患者OHCA显著升高;然而，没有显著证据表明18至64岁的患者风险增加。总之，紧张的棒球比赛与OHCA的风险增加有关。应实施严重情绪压力相关OHCA的预防措施，特别是老年男性。
Because the Japan Professional Baseball Championship Series (Japan Series) is a stressful sports event, it is possible that watching Japan Series matches may increase the risk of cardiovascular events. Therefore, we investigated the potential association between the Japan Series and the incidence of out-of-hospital cardiac arrest (OHCA) events. National registry data for all cases of OHCA between 2005 and 2014 from 47 prefectures of Japan were obtained. We used a time-stratified case-crossover design with a conditional Poisson regression model to compare OHCA events during the Japan Series with those events that occurred during the periods except for dates of the Japan Series. The estimated associations for each prefecture were pooled at the nationwide level using a random-effects meta-analysis. In total, 666,020 OHCAs of presumed cardiac origin were reported during the study period. On days of Japan Series matches, the pooled relative risk of OHCA was 1.033 (95% confidence interval 1.012 to 1.055; p = 0.002;I2= 3.5%, P for heterogeneity = 0.405). Stratified analyses by gender revealed that the substantial increase in OHCA during the events was observed for men, whereas we found no significant increase for women. We also found a considerable rise in OHCA among patients aged ≥65 years; however, there was no significant evidence of increased risk in those aged 18 to 64 years. In conclusion, stressful baseball match is associated with an increased risk of OHCA. Prevention measures for severe emotional stress-related OHCA should be implemented, particularly for elderly men.