Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators

Aschieri, Daniela; Penela, Diego; Pelizzoni, Valentina; Guerra, Federico; Vermi, Anna Chiara; Rossi, Luca; Torretta, L.; Losi, Giulia; Villani, Giovanni; Capucci, Alessandro

doi:10.1136/heartjnl-2017-312441

Cited by 37 publications

(21 citation statements)

References 22 publications

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“…[7][8][9][11][12][13][14] These improvements in emergency preparedness are very important, as the implementation of an EAP by trained medical professionals that led to prompt use of an AED dramatically increased survival rates after sudden cardiac arrest in adolescents. 7,12,13,15 Additionally, the presence of an AT has been cited as integral to prompt evaluation and management of more common but still serious injuries, such as concussion. 16 Despite improvements in emergency preparedness and medical coverage for high school athletics, implementation remains variable.…”

mentioning

confidence: 99%

A Comparison of Emergency Preparedness Between High School Coaches and Club Sport Coaches

Post

Schaefer

Biese

et al. 2019

Journal of Athletic Training

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Context Recent studies suggested that a large population of high school-aged athletes participate on club sport teams. Despite attempts to document emergency preparedness in high school athletics, the adherence to emergency and medical coverage standards among club sport teams is unknown. Objective To determine if differences in emergency preparedness and training existed between coaches of high school teams and coaches of high school-aged club teams. Design Cross-sectional survey. Setting Online questionnaire. Patients or Other Participants A total of 769 coaches (females = 266, 34.6%) completed an anonymous online questionnaire regarding their emergency preparedness and training. Main Outcome Measure(s) The questionnaire consisted of (1) demographics and team information, (2) emergency preparedness factors (automated external defibrillator [AED] availability, emergency action plan [EAP] awareness, medical coverage), and (3) emergency training requirements (cardiopulmonary resuscitation/AED, first aid). Results High school coaches were more likely than club sport coaches to be aware of the EAP for their practice venue (83.9% versus 54.4%, P < .001), but most coaches in both categories had not practiced their EAP in the past 12 months (70.0% versus 68.9%, P = .54). High school coaches were more likely to be made aware of the EAP during competitions (47.5% versus 37.1%, P = .02), but the majority of coaches in both categories indicated that they were never made aware of EAPs. High school coaches were more likely than club coaches to (1) have an AED available at practice (87.9% versus 58.8%, P < .001), (2) report that athletic trainers were responsible for medical care at practices (31.2% versus 8.8%, P < .001) and competitions (57.9% versus 31.2%, P < .001), and (3) be required to have cardiopulmonary resuscitation, AED, or first-aid training (P < .001). Conclusions High school coaches displayed much greater levels of emergency preparedness and training than coaches of high school-aged club teams. Significant attention and effort may be needed to address the lack of emergency preparedness and training observed in club coaches.

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confidence: 99%

A Comparison of Emergency Preparedness Between High School Coaches and Club Sport Coaches

Post

Schaefer

Biese

et al. 2019

Journal of Athletic Training

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“…Despite the apparent impressive difference in survival at centres with a PAD seen by Ascheiri et al ,3 like any observational study, there are potential biases that may affect the results due to lack of randomisation, changes over time in awareness and treatment for OHCA, and other confounding factors. Even so, ‘from many studies, it is beyond any doubt that automated external defibrillation can be used properly by lay people and that this approach has the potential to save numerous lives’.…”

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confidence: 87%

“…Based on prospectively collected data from 252 sports facilities over an 18-year period, Aschieri and colleagues3 were able to compare response times and survival rates at centres with and without an on-site PAD. Although the number of events was low (n=26, 92% men, mean age 54 years), neurologically intact survival was much higher for the 15 patients who arrested at centre with an on-site PAD compared with the 11 who arrested at centres without a PAD (93% vs 9%, p<0.001) (figure 2).…”

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confidence: 99%

Heartbeat: Do public access defibrillators save lives?

Ribeiro

Otto

2018

Heart

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“…Indeed, neurologically intact survival rates were 93% in centres with onsite AEDs and 9% in centres without (P < 0.001). 56…”

Section: Aedsmentioning

confidence: 99%

Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes

Johri

Poirier

Dorian

et al. 2019

Canadian Journal of Cardiology

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Sudden cardiac death (SCD), especially in a young seemingly healthy individual, is a tragic and highly publicized event, which is often followed by a strong emotional reaction from the public and medical community." Although rare, SCD in the young is devastating to families and communities, underpinning our society's desire to avoid any R ESUM E La mort subite d'origine cardiaque (MSOC), en particulier chez une personne jeune et qui semblait être en bonne sant e, est un ev enement tragique et hautement m ediatis e qui engendre souvent de la part du public ou du milieu m edical un « appel à l'action ». La MSOC chez les jeunes, si elle est rare, n'en a pas moins des cons equences The Canadian Cardiovascular Society (CCS) Guidelines Committee identified the need for a Position Statement addressing cardiovascular (CV) screening of competitive athletes with particular attention to the 12-lead electrocardiogram (ECG). Currently, European and American recommendations exist, however the lack of a national position has led to tremendous variation of practice in Canada. 1 This statement provides appropriate, evidence-based recommendations for Canadian sporting organizations and institutions with a focus on the role of routine ECG screening in preventing sudden cardiac death (SCD). Methods and Terminology The CCS Guidelines Committee appointed co-chairs, and a primary and secondary panel to develop this document. The primary panel established its scope, identified topics, reviewed literature, prepared and voted on the recommendations on the

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Outcomes after sudden cardiac arrest in sports centres with and without on-site external defibrillators

Abstract: The presence of on-site AEDs is associated with neurologically intact survival after an exercise-related SCA. Continuous efforts are recommended in order to introduce AEDs in sports and fitness centres, implement educational programmes and increase common awareness about SCA.

Cited by 37 publications

References 22 publications

A Comparison of Emergency Preparedness Between High School Coaches and Club Sport Coaches

A Comparison of Emergency Preparedness Between High School Coaches and Club Sport Coaches

Heartbeat: Do public access defibrillators save lives?

Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes

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