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Characteristics and Causes of Sports-Related Sudden Death in the General Population during the COVID-19 Pandemic.
Medicine & Science in Sports & Exercise ( IF 4.1 ) Pub Date : 2024-12-30 , DOI: 10.1249/mss.0000000000003637
Youcef Azeli,Sonia Rio,Yobanka Toledo,Gonzalo Grazioli,Daniel Brotons,Silvia Solà-Muñoz,Xavier Jiménez-Fábrega,Xavier Escalada,Ramon Brugada,Josep Brugada,Marisa Ortega,Eneko Barbería
Medicine & Science in Sports & Exercise ( IF 4.1 ) Pub Date : 2024-12-30 , DOI: 10.1249/mss.0000000000003637
Youcef Azeli,Sonia Rio,Yobanka Toledo,Gonzalo Grazioli,Daniel Brotons,Silvia Solà-Muñoz,Xavier Jiménez-Fábrega,Xavier Escalada,Ramon Brugada,Josep Brugada,Marisa Ortega,Eneko Barbería
PURPOSE
COVID-19 is an independent risk factor for cardiovascular disease. The aim of this study is to determine the burden, characteristics, and causes of sudden death in sport (SrSD) before and after the COVID-19 pandemic in the general population.
METHODS
Retrospective observational study. Autopsied SrSD studied in Catalonia were consecutively included. Two periods were considered: Before lockdown (January 2019-March 2020) and after lockdown (March 2020-December 2021). Initial care variables and causes of death were collected. Periods were compared, and logistic regression analyses were performed.
RESULTS
A total of 156 SrSD were collected, with no differences in the incidence between the study periods. Of the cases, 98.7% were male, with a mean age of 55.8 years (SD 12.1). Cycling was practised by 40.0%. Coronary artery disease was the leading cause of death, with no difference before and after lockdown. No cases of myocarditis were described. Of the total number of SrSD, 98 (62.8%) received a CPR attempt. After lockdown, the SrSD that occurred in country areas decreased (40.6% vs 24.4 %, p = 0.032), the rate of CPR attempts (54.3% vs 69.8%, p = 0.034) and hands only CPR increased (76.6% vs 57.9%, p = 0.048).
CONCLUSIONS
There were no changes in the burden and causes of SrSD before and after the COVID-19 lockdown. Differences were found in the SrSD initial care received due to the change of basic life support recommendations and the sport activity habits.
中文翻译:
COVID-19 大流行期间普通人群与运动相关的猝死的特征和原因。
目的 COVID-19 是心血管疾病的独立危险因素。本研究的目的是确定普通人群在 COVID-19 大流行前后运动猝死 (SrSD) 的负担、特征和原因。方法 回顾性观察研究。连续纳入在加泰罗尼亚研究的尸检 SrSD。考虑了两个时期:封锁前(2019 年 1 月至 2020 年 3 月)和封锁后(2020 年 3 月至 2021 年 12 月)。收集初始护理变量和死亡原因。比较时期,并进行 logistic 回归分析。结果 共收集 156 例 SrSD,研究期间的发生率无差异。在这些病例中,98.7% 为男性,平均年龄为 55.8 岁 (SD 12.1)。骑自行车的比例为 40.0%。冠状动脉疾病是导致死亡的主要原因,封锁前后没有差异。未见心肌炎病例。在 SrSD 的总数中,98 人 (62.8%) 接受了 CPR 尝试。锁定后,乡村地区发生的 SrSD 下降(40.6% 对 24.4%,p = 0.032),心肺复苏术尝试率(54.3% 对 69.8%,p = 0.034)和仅徒手心肺复苏术增加(76.6% 对 57.9%,p = 0.048)。结论 COVID-19 封锁前后 SrSD 的负担和原因没有变化。由于基本生命支持建议和体育活动习惯的变化,在接受的 SrSD 初始护理中发现了差异。
更新日期:2024-12-30
中文翻译:
![](https://scdn.x-mol.com/jcss/images/paperTranslation.png)
COVID-19 大流行期间普通人群与运动相关的猝死的特征和原因。
目的 COVID-19 是心血管疾病的独立危险因素。本研究的目的是确定普通人群在 COVID-19 大流行前后运动猝死 (SrSD) 的负担、特征和原因。方法 回顾性观察研究。连续纳入在加泰罗尼亚研究的尸检 SrSD。考虑了两个时期:封锁前(2019 年 1 月至 2020 年 3 月)和封锁后(2020 年 3 月至 2021 年 12 月)。收集初始护理变量和死亡原因。比较时期,并进行 logistic 回归分析。结果 共收集 156 例 SrSD,研究期间的发生率无差异。在这些病例中,98.7% 为男性,平均年龄为 55.8 岁 (SD 12.1)。骑自行车的比例为 40.0%。冠状动脉疾病是导致死亡的主要原因,封锁前后没有差异。未见心肌炎病例。在 SrSD 的总数中,98 人 (62.8%) 接受了 CPR 尝试。锁定后,乡村地区发生的 SrSD 下降(40.6% 对 24.4%,p = 0.032),心肺复苏术尝试率(54.3% 对 69.8%,p = 0.034)和仅徒手心肺复苏术增加(76.6% 对 57.9%,p = 0.048)。结论 COVID-19 封锁前后 SrSD 的负担和原因没有变化。由于基本生命支持建议和体育活动习惯的变化,在接受的 SrSD 初始护理中发现了差异。