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A high incidence of serious life-threatening cardiovascular medical encounters during a marathon (2014-2019) calls for prevention strategies: SAFER XL.
Green, Darren; Sewry, Nicola; Derman, Wayne; Killops, Jannelene; Boer, Pieter Henk; Jordaan, Esmè; Schwellnus, Martin.
Afiliación
  • Green D; Mediclinic Corporate Events Department, Mediclinic (PTY) Ltd, Stellenbosch, South Africa.
  • Sewry N; Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Stellenbosch University, Cape Town, South Africa.
  • Derman W; Sport, Exercise Medicine and Lifestyle Institute, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
  • Killops J; International Olympic Committee Research Centre, Pretoria, South Africa.
  • Boer PH; Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Stellenbosch University, Cape Town, South Africa.
  • Jordaan E; International Olympic Committee Research Centre, Pretoria, South Africa.
  • Schwellnus M; Section Sports Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Phys Sportsmed ; : 1-9, 2024 Sep 08.
Article en En | MEDLINE | ID: mdl-39234673
ABSTRACT

OBJECTIVE:

The aim of this study was to determine the incidence and nature (severity and type by organ system and specific diagnosis) of all medical encounters (MEs), including serious/life-threatening MEs (SLMEs) during a South African road marathon.

METHODS:

This descriptive study was a retrospective analysis of data collected over 6 years at the Cape Town Marathon from 2014 to 2019, which included 40 446 starters. All MEs were collected and described as per the consensus statement for mass community-based sporting events. Incidences (I; per 1000 starters; 95% CI) are described for all MEs, SLMEs, and by organ system and specific diagnosis.

RESULTS:

The incidence of all MEs was 8.7 (95% CI 7.8-9.6) per 1000 starters. The largest contributor to all MEs, by organ system affected, was cardiovascular-related, with an incidence of 1.8 (95% CI 1.4-2.2), where exercise-associated postural hypotension was the most common specific diagnosis (I = 1.3; 95% CI 1.0-1.7). The incidence of all SLMEs was 1.0 (95% CI 0.7-1.4) making up 11.7% (41/350) of all MEs. The incidence of SLMEs by organ system was highest in the cardiovascular system (I = 0.4; 95% CI 0.3-0.7), with acute coronary syndrome (ACS) (I = 0.2; 95% CI 0.1-0.4) the most common specific diagnosis. There were no sudden cardiac deaths (SCD) nor sudden cardiac arrests (SCA).

CONCLUSION:

There was a high proportion of cardiovascular-related medical encounters, as well as SLMEs. We recommend that event organizers and race medical directors investigate prevention strategies to mitigate against risk of SLMEs, specifically acute cardiovascular SLMEs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Phys Sportsmed Año: 2024 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Phys Sportsmed Año: 2024 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Reino Unido