van de Sandt Femke, Umans Victor
Department of Cardiology, Medical Center Alkmaar, Wilhelminalaan 12, Alkmaar, The Netherlands.
Eur J Cardiovasc Prev Rehabil. 2009 Oct;16(5):571-5. doi: 10.1097/HJR.0b013e32832d1927.
The incidence of acute cardiac events - including out-of-hospital cardiac arrest - may be increased in visitors of large sports stadiums when compared with the general population. This study sought to investigate the incidence of acute cardiac events inside large Dutch football stadiums, as well as the emergency response systems deployed in these stadiums and the success rate for in-stadium resuscitation.
Retrospective cohort study using a questionnaire sent to the 20 Dutch stadiums that hosted professional matches during the 2006-2007 and 2007-2008 football seasons.
Stadium capacity ranged from 3600 to 51 600 spectators. Nearly 13 million spectators attended 686 'Eredivisie' (Honorary Division) and European football matches. All stadiums distribute multiple emergency medical teams among the spectators. Eighty-five percent of the stadiums have an ambulance standby during matches, 95% of the stadiums were equipped with automated external defibrillators (AEDs) during the study period. On an average, one AED was available for every 7576 spectators (range 1800-29 600). Ninety-three cardiac events were reported (7.3 per 1 million spectators). An AED was used 22 times (1.7 per 1 million spectators). Resuscitation was successful in 18 cases (82%, 95% confidence interval: 61-93).
The incidence of out-of-hospital cardiac arrest inside large football stadiums in the Netherlands, albeit increased when compared with the general population, is low. The success rate for in-stadium resuscitation by medical teams equipped with AEDs is high. Dutch stadiums appear vigilant in regard to acute cardiac events. This report highlights the importance of adequate emergency medical response systems (including AEDs) in large sports venues.
与普通人群相比，大型体育场的参观者发生急性心脏事件（包括院外心脏骤停）的几率可能会增加。本研究旨在调查荷兰大型足球场内心脏急性事件的发生率，以及这些体育场所采用的应急响应系统和场内复苏成功率。
采用回顾性队列研究，向20家在2006 - 2007和2007 - 2008足球赛季举办职业比赛的荷兰体育场发放调查问卷。
体育场容量从3600名到51600名观众不等。近1300万观众观看了686场“荷甲联赛”（荣誉联赛）和欧洲足球比赛。所有体育场都在观众中部署了多个紧急医疗小组。85%的体育场在比赛期间有救护车待命，在研究期间，95%的体育场配备了自动体外除颤器（AED）。平均每7576名观众有一台AED（范围为1800 - 29600）。共报告了93起心脏事件（每100万观众中有7.3起）。AED使用了22次（每100万观众中有1.7次）。18例复苏成功（82%，95%置信区间：61 - 93）。
荷兰大型足球场院外心脏骤停的发生率虽然比普通人群高，但仍然较低。配备AED的医疗团队在场内进行复苏的成功率很高。荷兰体育场在应对急性心脏事件方面似乎保持警惕。本报告强调了大型体育场馆中充分的应急医疗响应系统（包括AED）的重要性。
