Evidence map›Paper›PMID 37655801›Full record

ArticleJournal of athletic training2024

Exertional Heat Stroke Survival at the Falmouth Road Race: 180 New Cases With Expanded Analysis.

Rebecca L Stearns, Yuri Hosokawa, Luke N Belval, David G Martin, Robert A Huggins, John F Jardine, Douglas J Casa

Open access · diamondAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
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

4 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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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

7 authors at 2 institutions in 2 countries.

Rebecca L StearnsKorey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
Yuri HosokawaWaseda University, Tokorozawa, Saitama, Japan.
Luke N BelvalNaval Submarine Medical Research Laboratory, Groton, CT.
David G MartinKorey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
Robert A HugginsKorey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
John F JardineKorey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
Douglas J CasaKorey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs.
University of Connecticut · USWaseda University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextA high number of exertional heat stroke (EHS) cases occur during the Falmouth Road Race.

objectivesTo extend previous analyses of EHS cases during the Falmouth Road Race by assessing or describing (1) EHS and heat exhaustion (HE) incidence rates, (2) EHS outcomes as they relate to survival, (3) the effect of the environment on these outcomes, and (4) how this influences medical provider planning and preparedness.

designDescriptive epidemiologic study.

settingFalmouth Road Race. PATIENTS OR OTHER

participantsPatients with EHS or HE admitted to the medical tent. MAIN OUTCOME MEASURE(S): We obtained 8 years (2012 to 2019) of Falmouth Road Race anonymous EHS and HE medical records. Meteorologic data were collected and analyzed to evaluate the effect of environmental conditions on the heat illness incidence (exertional heat illness [EHI] = EHS + HE). The EHS treatment and outcomes (ie, cooling time, survival, and discharge outcome), number of HE patients, and wet bulb globe temperature (WBGT) for each race were analyzed.

resultsA total of 180 EHS and 239 HE cases were identified. Overall incidence rates per 1000 participants were 2.07 for EHS and 2.76 for HE. The EHI incidence rate was 4.83 per 1000 participants. Of the 180 EHS cases, 100% survived, and 20% were transported to the emergency department. The WBGT was strongly correlated with the incidence of both EHS (r2 = 0.904, P = .026) and EHI (r2 = 0.912, P = .023).

conclusionsThis is the second-largest civilian database of EHS cases reported. When combined with the previous dataset of EHS survivors from this race, it amounts to 454 EHS cases resulting in 100% survival. The WBGT remained a strong predictor of EHS and EHI cases. These findings support 100% survival from EHS when patients over a wide range of ages and sexes are treated with cold-water immersion.

Indexed as

Heat Stress DisordersHeat StrokeCold TemperatureFemaleHumansIncidenceMaleWaterWatercold-water immersionemergency treatmentexertional heat illnesstreatment outcomes

Identifiers

PMID37655801
PMCPMC10976335
OpenAlexW4386347463

What OpenQuestion holds

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Registered trials

None linked

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.