Abstract 19592: Management and Outcomes of Sports-Related Cardiac Arrest in Young Adults
Introduction: Sports-related Out of Hospital Cardiac Arrests (OHCA) have a higher survival rate compared to those occurring outside the context of sports.
Hypothesis: Initial management is better in sports-related OHCA than in OHCA occurring outside the context of sports.
Methods: Data was taken between May 2011 and February 2016 from the Paris Sudden Cardiac Death Expertise Center prospective registry that includes all adult patients who present OHCA in Paris and its suburbs. Sports-related OHCA was defined as OHCA occurring during sports activities or within 1 hour of sports cessation. OHCA occurring among patients aged below 35 years were included in the study and compared to non-sports related OHCA occurring in the same age range.
Results: During the study period, 15,398 OHCA were recorded of which 9087 had a resuscitation attempt. Among them, 361 occurred in patients ≤ 35 years, including 26 (7.2%) during sports activities. Young adults’ sports-related OHCA occurred more frequently in men (92.3% vs 67.8%; P=0.016), during weekends (61.5% vs 30.4%, P=0.002), and in a public location (96.2% vs 35.2%, P<0.001). They were more often witnessed (96.2% vs 70.0%, P=0.009) and bystanders more frequently initiated cardio-pulmonary resuscitation (CPR) (73.1% vs 44.5%, P=0.009) and used automated external defibrillators (AED, 16% vs. 1.6%, P=0.004). The rate of coronary angiography, targeted temperature control, and ECMO were similar in the two groups but sports-related OHCA had a higher survival rate, whether at hospital admission (88.5% vs 45.1%, P<0.001), or at hospital discharge (52.0% vs 15.4%, P<0.001).
Conclusion: Among young adults aged below 35 years, sports-related OHCA had a survival rate above 50%, 3 folds higher than the survival rate of non-sports related OHCA. This difference is at least partially explained by better bystanders’ responsiveness, highlighting once more the major role of bystanders in OHCA outcomes.
Author Disclosures: N. Karam: None. L. Pechmajou: None. F. Beganton: None. W. Bougouin: None. F. Dumas: None. D. Jost: None. J. Empana: None. A. Cariou: None. C. Spaulding: None. X. Jouven: None. E. Marijon: None.
- © 2016 by American Heart Association, Inc.