在一般人群中,与运动相关的突然死亡
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
概括
与体育相关的突然死亡在一般人群中比以前认为的更为常见. 及时的旁观者心肺复苏和除显著提高了这些悲剧事件的生存率.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 运动医学 运动医学
背景情况:
- 有限的数据存在于与运动相关的突然死亡在一般人群中,与年轻的竞争运动员不同.
- 评估患病率,特征和结果对于公共卫生至关重要.
- 以前的研究主要集中在精英年轻运动员身上.
研究的目的:
- 确定一般人群中与体育有关的突发死亡的发生率和特征.
- 为了确定与体育有关的突然死亡的生存预测因素.
- 为公共卫生战略和应急响应计划提供信息.
主要方法:
- 法国的一项前性全国调查 (2005-2010) 覆盖了10-75岁的年龄段.
- 通过救护车服务和媒体查与体育有关的突然死亡和心脏骤停的病例检测.
- 统计分析以确定生存的预测因素.
主要成果:
- 与运动有关的突然死亡的发生率为每年每百万人口4.6例.
- 超过90%的病例发生在休运动期间,平均年龄为46岁.
- 旁观者心肺复苏和除是生存的关键预测因素 (15.7%的生存率).
结论:
- 与运动相关的突然死亡在一般人群中比以前估计的更为普遍.
- 尽管目击事件,旁观者心肺复苏率很低 (30.7%).
- 改善的生存率与及时干预有关,突出了公共卫生规划和意识的必要性.
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