Eloi Marijon1, Wulfran Bougouin2, Nicole Karam1, Frankie Beganton3, Lionel Lamhaut4, Marie-Cécile Perier5, Nordine Benameur6, Muriel Tafflet5, Guillaume Beal5, Albert Hagege7, Jean-Yves Le Heuzey7, Michel Desnos7, Christian Spaulding1, Francois Carré8, Florence Dumas5, David S Celermajer9, Alain Cariou5, Xavier Jouven10. 1. Paris Cardiovascular Research Center, European Georges Pompidou Hospital, Paris, France; Paris Descartes University, Paris, France; Cardiology Department, Georges Pompidou European Hospital, Paris, France. 2. Paris Cardiovascular Research Center, European Georges Pompidou Hospital, Paris, France; Paris Descartes University, Paris, France; Intensive Care Unit, Cochin Hospital, Paris, France. 3. Paris Cardiovascular Research Center, European Georges Pompidou Hospital, Paris, France. 4. Paris Cardiovascular Research Center, European Georges Pompidou Hospital, Paris, France; Paris Descartes University, Paris, France; Intensive Care Unit and SAMU 75, Necker Enfants-Malades Hospital, Paris, France. 5. Paris Cardiovascular Research Center, European Georges Pompidou Hospital, Paris, France; Paris Descartes University, Paris, France. 6. Lille 2 University Hospital, University of Lille, Emergency Department and SAMU 59, Lille, France. 7. Paris Descartes University, Paris, France; Cardiology Department, Georges Pompidou European Hospital, Paris, France. 8. Rennes 1 University, Pontchaillou Hospital, INSERM UMR, Rennes, France. 9. Sydney Medical School, University of Sydney, Sydney, Australia. 10. Paris Cardiovascular Research Center, European Georges Pompidou Hospital, Paris, France; Paris Descartes University, Paris, France; Cardiology Department, Georges Pompidou European Hospital, Paris, France. Electronic address: eloi_marijon@yahoo.fr.
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.
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.
Authors: Carsten Lott; Anatolij Truhlář; Anette Alfonzo; Alessandro Barelli; Violeta González-Salvado; Jochen Hinkelbein; Jerry P Nolan; Peter Paal; Gavin D Perkins; Karl-Christian Thies; Joyce Yeung; David A Zideman; Jasmeet Soar Journal: Notf Rett Med Date: 2021-06-10 Impact factor: 0.826
Authors: Thomas Kingston; Nicholas B Tiller; Elle Partington; Mukhtar Ahmed; Gareth Jones; Mark I Johnson; Nigel A Callender Journal: PLoS One Date: 2021-07-22 Impact factor: 3.240