AustralieFrV1, Main, Exploration, bibRecord, 006711

Sports-Related Sudden Death in the General Population

Identifieur interne : 006711 ( Main/Exploration ); précédent : 006710; suivant : 006712

Sports-Related Sudden Death in the General Population

Auteurs : Eloi Marijon [France] ; Muriel Tafflet [France] ; David S. Celermajer [Australie] ; Florence Dumas [France] ; Marie-Cécile Perier [France] ; Hazrije Mustafic [France] ; Jean-François Toussaint [France] ; Michel Desnos [France] ; Michel Rieu [France] ; Nordine Benameur [France] ; Jean-Yves Le Heuzey [France] ; Jean-Philippe Empana [France] ; Xavier Jouven [France]

Source :

Circulation : (New York, N.Y.) [ 0009-7322 ] ; 2011.

RBID : Pascal:11-0371397

Descripteurs français

Pascal (Inist)
- Mort subite, Arrêt cardiocirculatoire, Trouble du rythme cardiaque, Pathologie de l'appareil circulatoire, Sport, Sportif, Réanimation cardiocirculatoire, Défibrillation, Exercice physique, Arrêt cardiorespiratoire.
Wicri :
- topic : Sport.

English descriptors

KwdEn :
- Arrhythmia, Athlete, Cardiocirculatory arrest, Cardiovascular disease, Defibrillation, Intensive cardiocirculatory care, Physical exercise, Sport, Sudden death.

Abstract

Background-Although such data are available for young competitive athletes, the prevalence, characteristics, and outcome of sports-related sudden death have not been assessed previously in the general population. Methods and Results-A prospective and comprehensive national survey was performed throughout France from 2005 to 2010, involving subjects 10 to 75 years of age. Case detection for sports-related sudden death, including resuscitated cardiac arrest, was undertaken via national ambulance service reporting and Web-based screening of media releases. The overall burden of sports-related sudden death was 4.6 cases per million population per year, with 6% of cases occurring in young competitive athletes. Sensitivity analyses used to address suspected underreporting demonstrated an incidence ranging from 5 to 17 new cases per million population per year. More than 90% of cases occurred in the context of recreational sports. The age of subjects was relatively young (mean±SD 46±15 years), with a predominance of men (95%). Although most cases were witnessed (93%), bystander cardiopulmonary resuscitation was only commenced in 30.7% of cases. Bystander cardiopulmonary resuscitation (odds ratio 3.73, 95% confidence interval 2.19 to 6.39, P<0.0001) and initial use of cardiac defibrillation (odds ratio 3.71, 95% confidence interval 2.07 to 6.64, P<0.0001) were the strongest independent predictors for survival to hospital discharge (15.7%, 95% confidence interval 13.2% to 18.2%). Conclusions-Sports-related sudden death in the general population is considerably more common than previously suspected. Most cases are witnessed, yet bystander cardiopulmonary resuscitation was only initiated in one third of cases. Given the often predictable setting of sports-related sudden death and that prompt interventions were significantly associated with improved survival, these data have implications for health services planning. I.

Affiliations:

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Background-Although such data are available for young competitive athletes, the prevalence, characteristics, and outcome of sports-related sudden death have not been assessed previously in the general population. Methods and Results-A prospective and comprehensive national survey was performed throughout France from 2005 to 2010, involving subjects 10 to 75 years of age. Case detection for sports-related sudden death, including resuscitated cardiac arrest, was undertaken via national ambulance service reporting and Web-based screening of media releases. The overall burden of sports-related sudden death was 4.6 cases per million population per year, with 6% of cases occurring in young competitive athletes. Sensitivity analyses used to address suspected underreporting demonstrated an incidence ranging from 5 to 17 new cases per million population per year. More than 90% of cases occurred in the context of recreational sports. The age of subjects was relatively young (mean±SD 46±15 years), with a predominance of men (95%). Although most cases were witnessed (93%), bystander cardiopulmonary resuscitation was only commenced in 30.7% of cases. Bystander cardiopulmonary resuscitation (odds ratio 3.73, 95% confidence interval 2.19 to 6.39, P<0.0001) and initial use of cardiac defibrillation (odds ratio 3.71, 95% confidence interval 2.07 to 6.64, P<0.0001) were the strongest independent predictors for survival to hospital discharge (15.7%, 95% confidence interval 13.2% to 18.2%). Conclusions-Sports-related sudden death in the general population is considerably more common than previously suspected. Most cases are witnessed, yet bystander cardiopulmonary resuscitation was only initiated in one third of cases. Given the often predictable setting of sports-related sudden death and that prompt interventions were significantly associated with improved survival, these data have implications for health services planning. I.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
</country>
<region><li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
<li>Nouvelle-Galles du Sud</li>
<li>Île-de-France</li>
</region>
<settlement><li>Lille</li>
<li>Paris</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université Paris-Descartes</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="France"><region name="Île-de-France"><name sortKey="Marijon, Eloi" sort="Marijon, Eloi" uniqKey="Marijon E" first="Eloi" last="Marijon">Eloi Marijon</name>
</region>
<name sortKey="Benameur, Nordine" sort="Benameur, Nordine" uniqKey="Benameur N" first="Nordine" last="Benameur">Nordine Benameur</name>
<name sortKey="Desnos, Michel" sort="Desnos, Michel" uniqKey="Desnos M" first="Michel" last="Desnos">Michel Desnos</name>
<name sortKey="Desnos, Michel" sort="Desnos, Michel" uniqKey="Desnos M" first="Michel" last="Desnos">Michel Desnos</name>
<name sortKey="Dumas, Florence" sort="Dumas, Florence" uniqKey="Dumas F" first="Florence" last="Dumas">Florence Dumas</name>
<name sortKey="Dumas, Florence" sort="Dumas, Florence" uniqKey="Dumas F" first="Florence" last="Dumas">Florence Dumas</name>
<name sortKey="Empana, Jean Philippe" sort="Empana, Jean Philippe" uniqKey="Empana J" first="Jean-Philippe" last="Empana">Jean-Philippe Empana</name>
<name sortKey="Empana, Jean Philippe" sort="Empana, Jean Philippe" uniqKey="Empana J" first="Jean-Philippe" last="Empana">Jean-Philippe Empana</name>
<name sortKey="Jouven, Xavier" sort="Jouven, Xavier" uniqKey="Jouven X" first="Xavier" last="Jouven">Xavier Jouven</name>
<name sortKey="Jouven, Xavier" sort="Jouven, Xavier" uniqKey="Jouven X" first="Xavier" last="Jouven">Xavier Jouven</name>
<name sortKey="Jouven, Xavier" sort="Jouven, Xavier" uniqKey="Jouven X" first="Xavier" last="Jouven">Xavier Jouven</name>
<name sortKey="Le Heuzey, Jean Yves" sort="Le Heuzey, Jean Yves" uniqKey="Le Heuzey J" first="Jean-Yves" last="Le Heuzey">Jean-Yves Le Heuzey</name>
<name sortKey="Le Heuzey, Jean Yves" sort="Le Heuzey, Jean Yves" uniqKey="Le Heuzey J" first="Jean-Yves" last="Le Heuzey">Jean-Yves Le Heuzey</name>
<name sortKey="Marijon, Eloi" sort="Marijon, Eloi" uniqKey="Marijon E" first="Eloi" last="Marijon">Eloi Marijon</name>
<name sortKey="Marijon, Eloi" sort="Marijon, Eloi" uniqKey="Marijon E" first="Eloi" last="Marijon">Eloi Marijon</name>
<name sortKey="Mustafic, Hazrije" sort="Mustafic, Hazrije" uniqKey="Mustafic H" first="Hazrije" last="Mustafic">Hazrije Mustafic</name>
<name sortKey="Mustafic, Hazrije" sort="Mustafic, Hazrije" uniqKey="Mustafic H" first="Hazrije" last="Mustafic">Hazrije Mustafic</name>
<name sortKey="Perier, Marie Cecile" sort="Perier, Marie Cecile" uniqKey="Perier M" first="Marie-Cécile" last="Perier">Marie-Cécile Perier</name>
<name sortKey="Perier, Marie Cecile" sort="Perier, Marie Cecile" uniqKey="Perier M" first="Marie-Cécile" last="Perier">Marie-Cécile Perier</name>
<name sortKey="Rieu, Michel" sort="Rieu, Michel" uniqKey="Rieu M" first="Michel" last="Rieu">Michel Rieu</name>
<name sortKey="Tafflet, Muriel" sort="Tafflet, Muriel" uniqKey="Tafflet M" first="Muriel" last="Tafflet">Muriel Tafflet</name>
<name sortKey="Tafflet, Muriel" sort="Tafflet, Muriel" uniqKey="Tafflet M" first="Muriel" last="Tafflet">Muriel Tafflet</name>
<name sortKey="Tafflet, Muriel" sort="Tafflet, Muriel" uniqKey="Tafflet M" first="Muriel" last="Tafflet">Muriel Tafflet</name>
<name sortKey="Toussaint, Jean Francois" sort="Toussaint, Jean Francois" uniqKey="Toussaint J" first="Jean-François" last="Toussaint">Jean-François Toussaint</name>
<name sortKey="Toussaint, Jean Francois" sort="Toussaint, Jean Francois" uniqKey="Toussaint J" first="Jean-François" last="Toussaint">Jean-François Toussaint</name>
</country>
<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Celermajer, David S" sort="Celermajer, David S" uniqKey="Celermajer D" first="David S." last="Celermajer">David S. Celermajer</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Sports-Related Sudden Death in the General Population

Sports-Related Sudden Death in the General Population

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