Incidence of Sudden Cardiac Death in National Collegiate Athletic Association Athletes

Ovid Technologies (Wolters Kluwer Health) - Tập 123 Số 15 - Trang 1594-1600 - 2011
Kimberly G. Harmon1, Irfan M. Asif1, David Klossner1, Jonathan A. Drezner1
1From the Department of Family Medicine, University of Washington, Seattle, WA (K.G.H., I.M.A., J.A.D.), and the Director of Health and Safety, National Collegiate Athletic Association, Indianapolis, IN (D.K.).

Tóm tắt

Background— The true incidence of sudden cardiac death (SCD) in US athletes is unknown. Current estimates are based largely on case identification through public media reports and estimated participation rates. The purpose of this study was to more precisely estimate the incidence of SCD in National Collegiate Athletic Association (NCAA) student-athletes and assess the accuracy of traditional methods for collecting data on SCD. Methods and Results— From January 2004 through December 2008, all cases of sudden death in NCAA student-athletes were identified by use of an NCAA database, weekly systematic search of public media reports, and catastrophic insurance claims. During the 5-year period, there were 273 deaths and a total of 1 969 663 athlete participant-years. Of these 273 deaths, 187 (68%) were due to nonmedical or traumatic causes, 80 (29%) to medical causes, and 6 (2%) to unknown causes. Cardiovascular-related sudden death was the leading cause of death in 45 (56%) of 80 medical cases, and represented 75% of sudden deaths during exertion. The incidence of SCD was 1:43 770 participants per year. Among NCAA Division I male basketball players, the rate of SCD was 1:3100 per year. Thirty-nine (87%) of the 45 cardiac cases were identified in the NCAA database, only 25 (56%) by use of public media reports, and 9 (20%) from catastrophic claims data. Conclusions— SCD is the leading medical cause of death and death during exercise in NCAA student-athletes. Current methods of data collection underestimate the risk of SCD. Accurate assessment of SCD incidence is necessary to shape appropriate health policy decisions and develop effective strategies for prevention.

Từ khóa


Tài liệu tham khảo

10.1161/CIRCULATIONAHA.108.804617

10.1056/NEJMra022783

10.1097/01.jsm.0000179231.33132.8a

10.1136/bjsm.2008.054890

10.1016/S0735-1097(98)00491-4

10.1249/00005768-199505000-00005

10.1016/j.ccl.2007.07.006

10.1093/aje/142.Supplement_9.S48

10.1097/00001648-199509000-00023

10.1093/oxfordjournals.epirev.a036192

DeHass DM.1981-82-2007-2008 NCAA Sports Sponsorship and Participation Rates Report. Indianapolis, IN: NCAA; 2009.

Zgonc E.1999-2000-2008-2009 NCAA Student-Athlete Ethnicity Report. Indianapolis, IN: NCAA; 2010.

10.1001/jama.296.13.1593

10.1016/j.hrthm.2008.03.001

10.7326/0003-4819-141-11-200412070-00005

10.1161/CIRCULATIONAHA.107.181423

10.7326/0003-4819-152-5-201003020-00004

10.1136/bjsm.2008.056929

10.1097/00005768-199709000-00003

10.1136/bjsm.2009.063958

10.1136/bjsm.2007.039420

10.1016/j.jacc.2003.03.002

Heron M, Hoyert D, Murphy S, Xy J, Kochanek K, Tejada-Vera B. Deaths: final data for 2006. Natl Vital Stat Rep. 2009;57:1–134.

10.1161/circulationaha.108.802678

10.1016/j.hrthm.2009.07.046

10.1016/S0735-1097(02)02976-5

10.1016/0002-8703(91)90727-Y

10.1097/HCO.0b013e32830b3624

10.1161/circ.116.suppl_16.II_845-b

10.7326/0003-4819-152-5-201003020-00005

10.1093/eurheartj/ehi108

Sudden Cardiovascular Death in Sport: Lausanne Recommendations: Under the Umbrella IOC Medical Commission. Lausanne, Switzerland; IOC Medical Commission; 2004.

10.1097/JSM.0b013e318205dfb2

Thông tin
Thông tin xuất bản

Ovid Technologies (Wolters Kluwer Health)

Tập 123 Số 15

1594-1600

Thông tin tác giả