*Department of Family Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee; †Department of Family Medicine, University of Washington, Seattle, Washington; and ‡National Collegiate Athletic Association, Indianapolis, Indiana.
Clin J Sport Med. 2013 Nov;23(6):439-43. doi: 10.1097/JSM.0b013e31829610cc.
To report the leading cause of death in National Collegiate Athletic Association (NCAA) athletes.
Retrospective analysis from January 2004 to December 2008.
NCAA institutions.
Collegiate athletes.
NCAA divisions, sport, gender, and race.
Mortality.
During the 5-year period, there were 273 deaths and a total of 1 969 663 athlete participation-years. Of these 273 deaths, 145 (53%) were due to accidents or unintentional injury, 45 (16%) from cardiac arrest, 25 (9%) suicides, and 18 (6%) homicides. The rate of death due to accidents was 7.36/100 000 participants per year. Motor vehicle accidents accounted for 100 accidents (69%). There was no significant difference in accident rates between NCAA divisions. Accidents were twice as likely in men compared with women (P < 0.0001). There was no significant difference in the accident rates in white versus black athletes. Although accidents usually occurred more frequently in the general population (5-fold) compared with NCAA athletes, certain athlete subgroups (Division I wrestling, Divisions I and II basketball, and Divisions I and II football) seem to be high-risk populations with death rates that were no different than the general population. This suggests that these athletes may engage in higher risk behaviors compared with other sporting subgroups.
Motor vehicle accidents are the most common cause of sudden death in athletes across NCAA divisions, gender, race, and sport. Medical teams and institutions should design (1) effective safety prevention programs, and (2) catastrophic incident plans that can be implemented in the event of such tragedies.
报告美国大学生体育协会（NCAA）运动员的主要死因。
2004 年 1 月至 2008 年 12 月的回顾性分析。
NCAA 机构。
大学生运动员。
NCAA 分部、运动项目、性别和种族。
死亡率。
在 5 年期间，共有 273 人死亡，共有 1969663 名运动员参与。在这 273 例死亡中，145 例（53%）死于意外或非故意伤害，45 例（16%）死于心搏骤停，25 例（9%）自杀，18 例（6%）死于他杀。因意外导致的死亡率为每 100000 名参与者每年 7.36 例。机动车事故占 100 起事故（69%）。NCAA 分部之间的事故发生率没有显著差异。男性发生事故的可能性是女性的两倍（P<0.0001）。白人和黑人运动员的事故发生率没有显著差异。尽管意外通常比 NCAA 运动员在普通人群中更频繁地发生（5 倍），但某些运动员亚组（一级摔跤、一级和二级篮球、一级和二级足球）似乎是高风险人群，死亡率与普通人群相同。这表明这些运动员的行为可能比其他运动亚组更具风险。
机动车事故是 NCAA 各分部、性别、种族和运动项目中运动员猝死的最常见原因。医疗团队和机构应设计（1）有效的安全预防计划，以及（2）在发生此类悲剧时可以实施的灾难性事件计划。
