School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.
Emerg Med Australas. 2021 Feb;33(1):100-106. doi: 10.1111/1742-6723.13595. Epub 2020 Aug 31.
Despite growing emphasis on automated external defibrillators (AEDs) at sport venues in Australia, the risk of cardiac events at such locations is unknown. The aim of the present study was to investigate the incidence of out-of-hospital cardiac arrest (OHCA) at exercise and sport facilities (ESF) in Australia and the impact of effective bystander-initiated CPR and AED use on return of spontaneous circulation (ROSC) to hospital admission.
Data were obtained from the Queensland Ambulance Service for the 8-year period between January 2007 and January 2015. Data were analysed using descriptive statistics, non-parametric correlational tests and logistic regression. The OHCA incidence rate (IR) for ESF categories was standardised for 100 000 participant-years.
Over the 8-year period, there were 250 OHCA events with a median age of 62 years (interquartile range 49-69) comprising mostly males (86.6%, n = 187). The risk of OHCA for 100 000 participants per year was highest at outdoor sports facilities (IR 5.1) followed by indoor sports or fitness facilities (IR 0.8). On arrival of paramedics, bystander-initiated CPR and AED was present at 12.4% (n = 31) of the cases achieving 33.3% (n = 9) ROSC to hospital admission. The odds of ROSC for effective CPR was 2.3 times the odds of ROSC for no CPR (P = 0.01).
These findings have implications for policy development by government agencies and major sport and exercise organisations to improve bystander CPR and AED. This can help to ensure that ESF can properly respond to cardiac emergencies to save lives.
尽管澳大利亚越来越重视运动场馆中的自动体外除颤器（AED），但这些场所中心脏事件的风险仍未知。本研究旨在调查澳大利亚运动和锻炼设施（ESF）中发生的院外心脏骤停（OHCA）的发生率，以及有效旁观者启动的心肺复苏术（CPR）和 AED 使用对自主循环恢复（ROSC）至医院入院的影响。
数据来自昆士兰救护车服务局在 2007 年 1 月至 2015 年 1 月的 8 年期间的数据。使用描述性统计、非参数相关检验和逻辑回归进行数据分析。ESF 类别的 OHCA 发生率（IR）以每 10 万参与者年为标准进行标准化。
在 8 年期间，共有 250 例 OHCA 事件，中位年龄为 62 岁（四分位距 49-69），大多数为男性（86.6%，n=187）。每年每 100000 名参与者的 OHCA 风险最高的是户外运动设施（IR 5.1），其次是室内运动或健身设施（IR 0.8）。在急救人员到达时，12.4%（n=31）的病例存在旁观者启动的 CPR 和 AED，其中 33.3%（n=9）达到 ROSC 并入院。有效 CPR 实现 ROSC 的几率是无 CPR 实现 ROSC 的几率的 2.3 倍（P=0.01）。
这些发现对政府机构和主要运动和锻炼组织制定政策具有影响，以改善旁观者 CPR 和 AED。这有助于确保 ESF 能够妥善应对心脏紧急情况以挽救生命。
