Bassi Mario D, Farina Juan M, Bombau Jorge, Fitz Maurice Mario, Bortman Guillermo, Nuñez Elaine, Márquez Manlio, Bornancini Norberto, Baranchuk Adrian
Department of Medicine, Kingston Health Science Centre, Queen's University, Kingston, Ontario, Canada.
Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, US.
Arrhythm Electrophysiol Rev. 2023 Jan;12:e03. doi: 10.15420/aer.2022.30.
Sudden cardiac arrest (SCA) during sports events has a dramatic impact on stadium-goers and the public and is often associated with poor outcomes unless treated with an automated external defibrillator (AED). Despite this, stadiums vary in AED use. This review aims to identify the risks and incidences of SCA, and the use of AEDs in soccer and basketball stadiums. A narrative review of all relevant papers was conducted. Athletes across all sports face an SCA risk of 1:50,000 athlete-years, with the greatest risk of SCA in young male athletes (1:35,000 person-years) and black male athletes (1:18,000 person-years). Africa and South America have the poorest soccer SCA outcomes at 3% and 4% survival. AED use on-site improves survival greater than defibrillation by emergency services. Many stadiums do not have AEDs implemented into medical plans and the AEDs are often unrecognisable or are obstructed. Therefore, AEDs should be used on-site, use clear signalling, have certified trained personnel, and be incorporated into stadiums' medical plans.
体育赛事期间的心脏骤停（SCA）对现场观众和公众会产生巨大影响，若不使用自动体外除颤器（AED）进行治疗，往往会导致不良后果。尽管如此，各体育场在AED的使用方面存在差异。本综述旨在确定SCA的风险和发生率，以及AED在足球和篮球体育场中的使用情况。对所有相关论文进行了叙述性综述。所有运动项目的运动员面临SCA的风险为每10000名运动员年中有1例，年轻男性运动员（每10000人年中有1例）和黑人男性运动员（每10000人年中有1例）发生SCA的风险最高。非洲和南美洲足球SCA的预后最差，生存率分别为3%和4%。现场使用AED比紧急服务部门进行除颤更能提高生存率。许多体育场没有将AED纳入医疗计划，而且AED往往难以识别或被遮挡。因此，应在现场使用AED，设置清晰的信号标识，配备经过认证培训的人员，并将其纳入体育场的医疗计划。
