Görgens Sophia, Hertelendy Attila J, Issa Fadi, Fernandez David, Alshadad Ahmad, Davis Lindsay, Franc Jeffrey M, Kung Janice, Woodward Christina Ann, Voskanyan Amalia, Ciottone Greg
BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, https://ror.org/04drvxt59Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL, USA.
Disaster Med Public Health Prep. 2025 Jul 24;19:e206. doi: 10.1017/dmp.2025.10135.
As temperatures globally continue to rise, sporting events such as marathons will take place on warmer days, increasing the risk of exertional heat stroke (EHS).
The medical librarian developed and executed comprehensive searches in Ovid MEDLINE, Ovid Embase, CINAHL, SPORTDiscus, Scopus, and Web of Science Core Collection. Relevant keywords were selected. The results underwent title, abstract, and full text screening in a web-based tool called Covidence, and were analyzed for pertinent data.
A total of 3918 results were retrieved. After duplicate removal and title, abstract, and full text screening, 38 articles remained for inclusion. There were 22 case reports, 12 retrospective reviews, and 4 prospective observational studies. The races included half marathons, marathons, and other long distances. In the case reports and retrospective reviews, the mean environmental temperatures were 21.3°C and 19.8°C, respectively. Discussions emphasized that increasing environmental temperatures result in higher incidences of EHS.
With rising global temperatures from climate change, athletes are at higher risk of EHS. Early ice water immersion is the best treatment for EHS. Earlier start times and cooling stations for races may mitigate incidences of EHS. Future work needs to concentrate on the establishment of EHS prevention and mitigation protocols.
随着全球气温持续上升，马拉松等体育赛事将在更炎热的日子举行，这增加了劳力性热射病（EHS）的风险。
医学图书馆员在Ovid MEDLINE、Ovid Embase、CINAHL、SPORTDiscus、Scopus和科学引文索引核心合集数据库中进行了全面检索。选择了相关关键词。检索结果在一个名为Covidence的基于网络的工具中进行标题、摘要和全文筛选，并对相关数据进行分析。
共检索到3918条结果。经过去除重复项以及标题、摘要和全文筛选后，有38篇文章被纳入。其中有22篇病例报告、12篇回顾性综述和4篇前瞻性观察性研究。这些赛事包括半程马拉松、全程马拉松和其他长距离赛事。在病例报告和回顾性综述中，平均环境温度分别为21.3°C和19.8°C。讨论强调环境温度升高会导致EHS发病率上升。
随着气候变化导致全球气温上升，运动员患EHS的风险更高。早期冰水浸泡是EHS的最佳治疗方法。比赛提前开始时间和设置降温站可能会降低EHS的发病率。未来的工作需要集中在建立EHS预防和缓解方案上。
