ArticleAcute medicine & surgery
Sports-Related Out-of-Hospital Cardiac Arrest due to External Causes, Including Commotio Cordis, at Schools in Japan.
Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: To describe the characteristics and outcomes of sports-related out-of-hospital cardiac arrest (OHCA) due to external causes, including commotio cordis, during school-supervised sports activities in Japan's elementary schools, junior high schools, high schools, and technical colleges. Methods: OHCA data (2008-2022) were obtained from the Stop and Prevent cardIac aRrest, Injury, and Trauma in Schools (SPIRITS)-a nationwide database of OHCAs occurring under school supervision across Japan. We identified sports-related OHCAs with external causes and summarized patients' characteristics, bystander interventions, available response intervals, and survival outcomes. Results: We identified 30 sports-related OHCA cases due to external causes. The most frequently played sports were soccer/futsal ( Conclusions: Nationwide case-level reconstruction revealed distinct mechanism-to-response pathways. Although these descriptive data cannot establish the causal effects of the public access defibrillation programs or other interventions on outcomes, they highlight potentially actionable, mechanism-specific opportunities for emergency response and prevention.
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