Cutler Todd S, DeFilippis Ersilia M, Unterbrink Michelle E, Evans Arthur T
Division of Hospital Medicine, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, New York.
Clin J Sport Med. 2016 Sep;26(5):429-31. doi: 10.1097/JSM.0000000000000281.
To compare outcomes of spinning-induced rhabdomyolysis to those with exertional rhabdomyolysis from other physical activities.
Retrospective cohort study.
Academic medical center, single-center.
A retrospective chart review was conducted on patients evaluated from December 2010 through November 2014. Patients were selected by ICD-9 code for rhabdomyolysis. Patients were included if the reason for admission was rhabdomyolysis caused by exertion. Cases of rhabdomyolysis caused by trauma or drugs were excluded.
Muscle group involvement, admission, and peak creatine kinase levels, time from activity to hospitalization, length of hospital stay, and incidence of complications.
Twenty-nine cases were reviewed with 14 admissions secondary to spinning. Median admission creatine kinase (73 000 IU/L vs 29 000 IU/L, P = 0.02) and peak creatine kinase levels were significantly higher in the spinning group (81 000 IU/L vs 31 000 IU/L, P = 0.007). Hospital admissions for spinning-induced rhabdomyolysis increased over time.
Health care providers should be aware of the potential dangers of spinning-related rhabdomyolysis especially in otherwise healthy young people.
比较由动感单车运动引发的横纹肌溶解症与其他体育活动导致的运动性横纹肌溶解症的结果。
回顾性队列研究。
学术医疗中心，单中心。
对2010年12月至2014年11月期间接受评估的患者进行回顾性病历审查。通过国际疾病分类第九版（ICD-9）横纹肌溶解症编码选择患者。如果入院原因是运动引起的横纹肌溶解症，则纳入患者。排除由创伤或药物引起的横纹肌溶解症病例。
肌肉群受累情况、入院时及肌酸激酶峰值水平、从运动到住院的时间、住院时间及并发症发生率。
共审查了29例病例，其中14例因动感单车运动入院。动感单车运动组的入院时肌酸激酶中位数（73000 IU/L对29000 IU/L，P = 0.02）和肌酸激酶峰值水平显著更高（81000 IU/L对31000 IU/L，P = 0.007）。因动感单车运动引发的横纹肌溶解症导致的住院人数随时间增加。
医疗保健提供者应意识到与动感单车运动相关的横纹肌溶解症的潜在危险，尤其是在原本健康的年轻人中。
