Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
Waseda University, Tokorozawa, Saitama, Japan.
J Athl Train. 2024 Mar 1;59(3):304-309. doi: 10.4085/1062-6050-0065.23.
A high number of exertional heat stroke (EHS) cases occur during the Falmouth Road Race.
To extend previous analyses of EHS cases during the Falmouth Road Race by assessing or describing (1) EHS and heat exhaustion (HE) incidence rates, (2) EHS outcomes as they relate to survival, (3) the effect of the environment on these outcomes, and (4) how this influences medical provider planning and preparedness.
Descriptive epidemiologic study.
Falmouth Road Race.
Patients with EHS or HE admitted to the medical tent.
MAIN OUTCOME MEASURE(S): We obtained 8 years (2012 to 2019) of Falmouth Road Race anonymous EHS and HE medical records. Meteorologic data were collected and analyzed to evaluate the effect of environmental conditions on the heat illness incidence (exertional heat illness [EHI] = EHS + HE). The EHS treatment and outcomes (ie, cooling time, survival, and discharge outcome), number of HE patients, and wet bulb globe temperature (WBGT) for each race were analyzed.
A total of 180 EHS and 239 HE cases were identified. Overall incidence rates per 1000 participants were 2.07 for EHS and 2.76 for HE. The EHI incidence rate was 4.83 per 1000 participants. Of the 180 EHS cases, 100% survived, and 20% were transported to the emergency department. The WBGT was strongly correlated with the incidence of both EHS (r2 = 0.904, P = .026) and EHI (r2 = 0.912, P = .023).
This is the second-largest civilian database of EHS cases reported. When combined with the previous dataset of EHS survivors from this race, it amounts to 454 EHS cases resulting in 100% survival. The WBGT remained a strong predictor of EHS and EHI cases. These findings support 100% survival from EHS when patients over a wide range of ages and sexes are treated with cold-water immersion.
在法尔茅斯公路赛中，高强度热射病（EHS）的发生案例数量较高。
通过评估或描述以下内容，扩展之前关于法尔茅斯公路赛中 EHS 案例的分析：（1）EHS 和热衰竭（HE）的发病率；（2）EHS 结局与生存的关系；（3）环境对这些结局的影响；（4）这如何影响医疗服务提供者的规划和准备工作。
描述性流行病学研究。
法尔茅斯公路赛。
被送往医疗帐篷接受 EHS 或 HE 治疗的患者。
我们获得了 8 年（2012 年至 2019 年）法尔茅斯公路赛匿名 EHS 和 HE 医疗记录。收集气象数据并进行分析，以评估环境条件对热疾病发病率（体力活动相关热疾病 [EHI] = EHS + HE）的影响。分析了每次比赛的 EHS 治疗和结局（即冷却时间、生存和出院结局）、HE 患者人数和湿球黑球温度（WBGT）。
共确定了 180 例 EHS 和 239 例 HE 病例。每 1000 名参与者的总发病率分别为 EHS 2.07 例和 HE 2.76 例。EHI 的发病率为每 1000 名参与者 4.83 例。在 180 例 EHS 病例中，100%的患者存活，其中 20%被送往急诊室。WBGT 与 EHS（r2 = 0.904，P =.026）和 EHI（r2 = 0.912，P =.023）的发生率均呈强相关。
这是报告的第二大民用 EHS 病例数据库。与之前该比赛中 EHS 幸存者的数据集结合起来，就得到了 454 例 EHS 病例，其中 100%的患者存活。WBGT 仍然是 EHS 和 EHI 病例的强有力预测指标。这些发现支持当广泛年龄和性别范围内的患者接受冷水浸泡治疗时，EHS 患者 100%存活的结论。
