PURPOSE OF THE STUDY
Sudden cardiac arrest during sports is an extremely uncommon event that has a very strong social impact. We aim to study the basic epidemiological characteristics and outcome when life support is performed and compare to those in overall population (OP).
MATERIAL AND METHODS
Descriptive, retrospective, observational study.
Study period: January 1st 2015 to December 31st 2016.
Inclusion criteria: OHCA at sports event (Utstein definition) assisted by SAMU-Asturias, regardless of the/treatment: BLS, ACLS or no treatment.
Data collected from clinical reports and Utstein based OHCA registry and analysed with SPSS Statistics 21 software.
Out of 1108 OHCA registered, 7 (0.6%) at sports events. 6 patients (85.7%) male; average age, 48.1 years (s=21.8), being 66.7 (s=16.3) in OP. Witnessed OHCA in 85.7% of cases, being 66.3% in OP. Bystander BLS in 6 patients (85.7%), use of AED in 3 (42.9%), all with shock delivered; in OP use of AED in 159 cases (14.4%), with shock delivered in 46 (28.8% of them). ACLS by an EMS unit in 2 patients, both with initial shockable rhythm, and postresuscitation care, due to return to spontaneous circulation prior to the EMS team arrival, in 1 patient. All 3 were survived events (100%); in OP rate was 25.9% (p=0.01). 100% with hospital discharge: neurological outcome, CPC 1, 2 patients (66.6%), CPC 4, 1 patient (33.3%).
- The incidence proves to be extremely low thus limiting the statistical validity of this study.
- Trends show high rate of witnessed CA, of bystander CPR and better short-term survival in those with survived event.
- Utstein definition does not discriminate organised sport events and casual sports practice.