期刊
BRITISH JOURNAL OF SPORTS MEDICINE
卷 56, 期 3, 页码 138-+出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bjsports-2021-104486
关键词
resuscitation; sports; cardiovascular diseases; defibrillators
资金
- National Center for Catastrophic Sports Injury Research (University of North Carolina at Chapel Hill) - National Collegiate Athletic Association
- National Federation of State High School Associations
- American Football Coaches Association
- National Athletic Trainers' Association
- National Operating Committee on Standards for Athletic Equipment
- American Medical Society for Sports Medicine
- University of Rochester School of Medicine and Dentistry, Research Training Program
This study found that minority student-athletes with exercise-related SCA on high school campuses have lower survival rates than white non-Hispanic athletes, but this difference is not fully explained by SES markers of the school. The presence of an athletic trainer on-site and the use of an on-site AED were associated with higher survival rates.
Objective Minority student-athletes have a lower survival rate from sudden cardiac arrest (SCA) than non-minority student-athletes. This study examined the relationship between high school indicators of socioeconomic status (SES) and survival in student-athletes with exercise-related SCA. Methods High school student-athletes in the USA with exercise-related SCA on school campuses were prospectively identified from 1 July 2014 to 30 June 2018 by the National Center for Catastrophic Sports Injury Research. High school indicators of SES included the following: median household and family income, proportion of students on free/reduced lunch and percent minority students. Resuscitation details included witnessed arrest, presence of an athletic trainer, bystander cardiopulmonary resuscitation and use of an on-site automated external defibrillator (AED). The primary outcome was survival to hospital discharge. Differences in survival were analysed using risk ratios (RR) and univariate general log-binomial regression models. Results Of 111 cases identified (mean age 15.8 years, 88% male, 49% white non-Hispanic), 75 (68%) survived. Minority student-athletes had a lower survival rate compared with white non-Hispanic student-athletes (51.1% vs 75.9%; RR 0.67, 95% CI 0.49 to 0.92). A non-significant monotonic increase in survival was observed with increasing median household or family income and with decreasing percent minority students or proportion on free/reduced lunch. The survival rate was 83% if an athletic trainer was on-site at the time of SCA and 85% if an on-site AED was used. Conclusions Minority student-athletes with exercise-related SCA on high school campuses have lower survival rates than white non-Hispanic athletes, but this difference is not fully explained by SES markers of the school.
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