一般人口のスポーツ関連の突然死
Eloi Marijon1, Muriel Tafflet, David S Celermajer
1Paris Cardiovascular Research Center, INSERM U970, Hôpital européen Georges Pompidou, Paris CEDEX 15, France. eloi_marijon@yahoo.fr
Circulation
|July 27, 2011
まとめ
スポーツに関連した突然死は,これまで考えられていたよりも一般の人々の中でより一般的です. 迅速な旁観者の心肺蘇生と除細動は,これらの悲劇的な出来事の生存率を大幅に改善します.
科学分野:
- 心臓病学 心臓病学
- 公衆衛生は公衆衛生である.
- スポーツ医学 スポーツ医学
背景:
- スポーツ関連の突然死に関するデータは,若い競争力のあるアスリートとは異なり,一般の人々の間で限られている.
- 罹患率,特徴,アウトカムを評価することは,公衆衛生にとって極めて重要です.
- 以前の研究は主にエリートな若いアスリートに焦点を当てていた.
研究 の 目的:
- 一般人口のスポーツ関連突然死亡の発生率と特徴を決定する.
- スポーツ関連の突然死における生存率の予測要因を特定する.
- 公衆衛生戦略と緊急対応計画に情報を提供するためです.
主な方法:
- 10歳から75歳までの年齢を対象としたフランスにおける将来的な全国調査 (2005年−2010年)
- スポーツ関連の突然死と心臓発作の検診のための救急車サービスとメディアスクリーニングによる症例検出.
- 生存の予測要因を特定するための統計分析.
主要な成果:
- スポーツ関連の突然死亡の発生率は,年間100万人あたり4.6例でした.
- 症例の90%以上がレクリエーションスポーツ中に発生し,平均年齢は46歳でした.
- 傍観者の心肺蘇生と除細動は,生存の主要な予測因子であった (15.7%の生存率).
結論:
- スポーツに関連した突然死は,これまで考えられていたよりも一般の人口の中でより一般的です.
- 目撃された出来事にもかかわらず,傍観者の心肺蘇生率は低かった (30.7%).
- 改善された生存率は,迅速な介入と関連しており,公衆衛生計画と意識の必要性を強調しています.
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