Evidence map›Paper›PMID 36936589›Full record

ReviewBMJ medicine2022

Exertional heat stroke: pathophysiology and risk factors.

Christian K Garcia, Liliana I Renteria, Gabriel Leite-Santos, Lisa R Leon, Orlando Laitano

Abstract readReview
In one paragraph

Review in BMJ medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

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  14. The 2025Lancet regional health. Americas · 2025
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christian K GarciaDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA.
Liliana I RenteriaDepartment of Nutrition and Integrative Physiology, Florida State University, Tallahassee, FL, USA.
Gabriel Leite-SantosDepartment of Nutrition and Integrative Physiology, Florida State University, Tallahassee, FL, USA.
Lisa R LeonDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA.
Orlando LaitanoDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA.ORCID 0000-0003-2768-1427

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exertional heat stroke, the third leading cause of mortality in athletes during physical activity, is the most severe manifestation of exertional heat illnesses. Exertional heat stroke is characterised by central nervous system dysfunction in people with hyperthermia during physical activity and can be influenced by environmental factors such as heatwaves, which extend the incidence of exertional heat stroke beyond athletics only. Epidemiological data indicate mortality rates of about 27%, and survivors display long term negative health consequences ranging from neurological to cardiovascular dysfunction. The pathophysiology of exertional heat stroke involves thermoregulatory and cardiovascular overload, resulting in severe hyperthermia and subsequent multiorgan injury due to a systemic inflammatory response syndrome and coagulopathy. Research about risk factors for exertional heat stroke remains limited, but dehydration, sex differences, ageing, body composition, and previous illness are thought to increase risk. Immediate cooling remains the most effective treatment strategy. In this review, we provide an overview of the current literature emphasising the pathophysiology and risk factors of exertional heat stroke, highlighting gaps in knowledge with the objective to stimulate future research.

Indexed as

Occupational diseasesPhysiologySports medicineStroke

Identifiers

PMID36936589
PMCPMC9978764

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.