scholarly journals Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA

2021 ◽  
pp. bjsports-2021-104486
Author(s):  
Jared Schattenkerk ◽  
Kristen Kucera ◽  
Danielle F Peterson ◽  
Robert A Huggins ◽  
Jonathan A Drezner
Keyword(s):  
High School ◽  
Survival Rate ◽  
Student Athletes ◽  
Family Income ◽  
Sudden Cardiac Arrest ◽  
Minority Student ◽  
Athletic Trainer ◽  
Lower Survival Rate ◽  
Lower Survival ◽  
The Usa

ObjectiveMinority student-athletes have a lower survival rate from sudden cardiac arrest (SCA) than non-minority student-athletes. This study examined the relationship between high school indicators of socioeconomic status (SES) and survival in student-athletes with exercise-related SCA.MethodsHigh school student-athletes in the USA with exercise-related SCA on school campuses were prospectively identified from 1 July 2014 to 30 June 2018 by the National Center for Catastrophic Sports Injury Research. High school indicators of SES included the following: median household and family income, proportion of students on free/reduced lunch and percent minority students. Resuscitation details included witnessed arrest, presence of an athletic trainer, bystander cardiopulmonary resuscitation and use of an on-site automated external defibrillator (AED). The primary outcome was survival to hospital discharge. Differences in survival were analysed using risk ratios (RR) and univariate general log-binomial regression models.ResultsOf 111 cases identified (mean age 15.8 years, 88% male, 49% white non-Hispanic), 75 (68%) survived. Minority student-athletes had a lower survival rate compared with white non-Hispanic student-athletes (51.1% vs 75.9%; RR 0.67, 95% CI 0.49 to 0.92). A non-significant monotonic increase in survival was observed with increasing median household or family income and with decreasing percent minority students or proportion on free/reduced lunch. The survival rate was 83% if an athletic trainer was on-site at the time of SCA and 85% if an on-site AED was used.ConclusionsMinority student-athletes with exercise-related SCA on high school campuses have lower survival rates than white non-Hispanic athletes, but this difference is not fully explained by SES markers of the school.

Gender differences in abdominal aortic aneurysm therapy – a systematic review

VASA ◽  
2018 ◽  
Vol 47 (4) ◽  
pp. 267-272 ◽  
Author(s):  
Konstanze Stoberock ◽  
Tilo Kölbel ◽  
Gülsen Atlihan ◽  
Eike Sebastian Debus ◽  
Nikolaos Tsilimparis ◽  
...  
Keyword(s):  
Gender Differences ◽  
Abdominal Aortic Aneurysm ◽  
Survival Rate ◽  
Aortic Aneurysm ◽  
Endovascular Treatment ◽  
Aortic Aneurysms ◽  
Lower Survival Rate ◽  
Lower Survival ◽  
Abdominal Aortic ◽  
Risk Of Rupture

Abstract. This article analyses if and to what extent gender differences exist in abdominal aortic aneurysm (AAA) therapy. For this purpose Medline (PubMed) was searched from January 1999 to January 2018. Keywords were: “abdominal aortic aneurysm”, “gender”, “prevalence”, “EVAR”, and “open surgery of abdominal aortic aneurysm”. Regardless of open or endovascular treatment of abdominal aortic aneurysms, women have a higher rate of complications and longer hospitalizations compared to men. The majority of studies showed that women have a lower survival rate for surgical and endovascular treatment of abdominal aneurysms after both elective and emergency interventions. Women receive less surgical/interventional and protective medical treatment. Women seem to have a higher risk of rupture, a lower survival rate in AAA, and a higher rate of complications, regardless of endovascular or open treatment. The gender differences may be due to a higher age of women at diagnosis and therapy associated with higher comorbidity, but also because of genetic, hormonal, anatomical, biological, and socio-cultural differences. Strategies for treatment in female patients must be further defined to optimize outcome.

scholarly journals Incidence of Sudden Cardiac Arrest in Minnesota High School Student Athletes

2014 ◽  
Vol 63 (14) ◽  
pp. 1455-1456 ◽  
Author(s):  
Jonathan A. Drezner ◽  
Kimberly G. Harmon ◽  
Joseph C. Marek
Keyword(s):  
High School ◽  
Cardiac Arrest ◽  
High School Student ◽  
Student Athletes ◽  
Sudden Cardiac Arrest

Traumatic cardiac arrest is associated with lower survival rate vs. medical cardiac arrest – Results from the French national registry

Resuscitation ◽  
2018 ◽  
Vol 131 ◽  
pp. 48-54 ◽  
Author(s):  
Joséphine Escutnaire ◽  
Michael Genin ◽  
Evgéniya Babykina ◽  
Cyrielle Dumont ◽  
François Javaudin ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Survival Rate ◽  
National Registry ◽  
Lower Survival Rate ◽  
Lower Survival ◽  
Traumatic Cardiac Arrest

Incidence of sudden cardiac arrest in high school student athletes on school campus

Heart Rhythm ◽  
2014 ◽  
Vol 11 (7) ◽  
pp. 1190-1194 ◽  
Author(s):  
Brett G. Toresdahl ◽  
Ashwin L. Rao ◽  
Kimberly G. Harmon ◽  
Jonathan A. Drezner
Keyword(s):  
High School ◽  
Cardiac Arrest ◽  
High School Student ◽  
Student Athletes ◽  
Sudden Cardiac Arrest

Comminuted, Articular Fractures of the Olecranon Process in Horses: 17 Cases (1980 to 1990)

1995 ◽  
Vol 08 (03) ◽  
pp. 141-145 ◽  
Author(s):  
D. Allen ◽  
R. M. DeBowes ◽  
D. E. Anderson
Keyword(s):  
Body Weight ◽  
Survival Rate ◽  
Fracture Site ◽  
Computer Assisted ◽  
Articular Fracture ◽  
Lower Survival Rate ◽  
Lower Survival ◽  
Olecranon Process ◽  
Articular Fractures

SummaryCase records of 17 horses with a radiographic and surgical diagnosis of comminuted, articular fracture of the olecranon process of the ulna were retrieved using a computer-assisted search of hospital records entered between January 1, 1980 and October 31, 1990. The records were reviewed, and case management data summarized. Radiographic images were retrieved, and descriptions of the fractures recorded. Horses were classified as survivors if they were discharged from the hospital. Follow-up information was obtained by examination or phone conversation with the referring veterinarian, owner or trainer.Twelve horses (71%) survived to be discharged from the hospital. Survivors were significantly younger and weighed less (mean age, 3.9 years; mean body weight 290.2 kg) than non-survivors (mean age, 9.1 years; mean body weight, 412.2 kg). Breed, gender, and duration of clinical signs prior to surgery were not significant to the outcome. Seven horses admitted with open wounds, and two horses suffered sepsis of the surgical site after internal fixation. Of these nine horses, four (44%) were discharged from the hospital. Patients with sepsis of the fracture site, because of open wounds or postoperative infection, had a significantly lower survival rate than horses in which asepsis of the fracture site was maintained.Follow-up information was available for eight of 12 survivors (mean followup period, 2.6 years). Five (63%) horses were riding or “training sound” at the time of follow-up. Of five horses less than one year of age at the time of surgery, three (60%) were sound at a mean of 1.2 years after surgery. Of three horses four years or older, two (66%) were sound at follow-up 3.7 years after the operation.Comminuted, articular fractures involving the olecranon process can be managed successfully in horses using a dynamic compression plate applied to the caudal aspect of the ulna. Also, application of a second plate on the lateral aspect of the ulna is possible, when fracture instability has been noted after application of the caudal plate. Age, weight, and sepsis of the fracture site were the most important prognostic indicators in this study.Historical data, physical examination findings, surgical findings, clinical management data, and follow-up information are reported for 17 horses affected with comminuted, articular fracture of the olecranon process. Twelve (71%) horses survived to be discharged from the hospital. Survivors were significantly younger and of lighter body weight than non-survivors. Horses in which sepsis of the fracture site occurred had a significantly lower survival rate than horses in which aseptic fracture environment was maintained. Of eight horses available for follow-up information, five (63%) were riding or training sound at a mean of 2.6 years after surgery.

Sign in / Sign up

Export Citation Format

Share Document