Medicine for Sports and Performing Arts, Department of Health and Sport Sciences, Graduate School of Medicine, Osaka University, 2-2 Yamada-Oka, Suita 565-0871, Japan.
Department of Food Science, Otsuma Women's University, 12 Sanbancho Chiyoda-ku, Tokyo 102-8357, Japan.
Resuscitation. 2019 Jun;139:33-40. doi: 10.1016/j.resuscitation.2019.03.041. Epub 2019 Apr 3.
Sudden cardiac death during exercise or sports is an important problem among young athletes and non-athletes. An understanding of the epidemiological features of sports-related out-of-hospital cardiac arrest (OHCA) among children is crucial for planning approaches for prevention and better outcomes of paediatric OHCAs. We assessed the characteristics and outcomes of sports-related OHCA among children at schools in Japan to prevent sports-related paediatric OHCA at schools.
The Stop and Prevent cardIac aRrest, Injury, and Trauma in Schools (SPIRITS) is a nationwide, prospective, observational study linking databases of two nationally representative registries. Data on the characteristics and outcomes of sports-related paediatric OHCA at schools in Japan were obtained from these databases.
Between 2008 and 2015, 188 sports-related paediatric OHCAs due to presumed cardiac origin occurred. The greatest proportion of OHCA during or after sports was due to long-distance running (21.8%), followed by soccer/futsal (13.3%), basketball (12.2%), and baseball/rubber-ball baseball (11.2%). We also assessed the association between prehospital factors and one-month survival with favourable neurological outcome after sports-related OHCA. The proportions of ventricular fibrillation as the first documented rhythm, bystander cardiopulmonary resuscitation (CPR), and public-access defibrillation (PAD) were 87.8%, 87.2%, and 63.3%, respectively. Compared with the non-PAD group, the adjusted odds ratio (95% confidence interval) of the PAD group was 3.64 (1.78-7.45).
In Japan, 188 schoolchildren experienced OHCAs of cardiac origin occurring during or after sports activity at schools during the 8-year period. Increasing PAD is essential to enhance better neurological outcome after sports-related OHCA among students.
运动或体育活动中发生的心脏性猝死是年轻运动员和非运动员的一个重要问题。了解儿童与运动相关的院外心脏骤停（OHCA）的流行病学特征对于规划预防措施和改善儿科 OHCA 的结局至关重要。我们评估了日本学校中与运动相关的 OHCA 的特征和结局，以预防学校中与运动相关的儿科 OHCA。
停止和预防心脏骤停、损伤和创伤于学校（SPIRITS）是一项全国性的、前瞻性的、观察性的研究，将两个具有全国代表性的登记处的数据库联系起来。从这些数据库中获得了日本学校中与运动相关的儿科 OHCA 的特征和结局的数据。
在 2008 年至 2015 年期间，有 188 例由推定心脏原因引起的与运动相关的儿科 OHCA。在运动期间或之后发生的 OHCA 中，最大比例是由于长跑（21.8%），其次是足球/五人足球（13.3%）、篮球（12.2%）和棒球/橡胶球棒球（11.2%）。我们还评估了院外因素与心脏骤停后 1 个月的生存和神经功能良好结局之间的关联。首次记录的节律为室颤、旁观者心肺复苏（CPR）和公共接入除颤（PAD）的比例分别为 87.8%、87.2%和 63.3%。与非 PAD 组相比，PAD 组的调整后优势比（95%置信区间）为 3.64（1.78-7.45）。
在日本，8 年间有 188 名学童在学校的体育活动中或之后发生了心脏性 OHCA。增加 PAD 对于提高学生运动相关 OHCA 后神经功能良好结局至关重要。
