Medical encounters, cardiac arrests and deaths during a 109 km community-based mass-participation cycling event: a 3-year study in 102 251 race starters-SAFER IX

British Journal of Sports Medicine
Jannelene KillopsEsme Jordaan

Abstract

There are few data on medical encounters, including deaths during mass-participation cycling events. To determine the incidence and nature of medical encounters during a community-based mass-participation cycling event. Cross-sectional study across three annual events. 2012-2014 Cape Town Cycle Tour (109 km), South Africa. 102 251 race starters (male=80 354, female=21 897). Medical encounters (moderate, serious life-threatening, sudden cardiac arrest/death), using the 2019 international consensus definitions, were recorded on race day for 3 years as incidence rates (IR per 1000 starters; 95% CI). Overall illness-related (by organ system) or injury-related (by anatomical region) encounters, and severity were recorded. We recorded 539 medical encounters (IR 5.3; 4.8 to 5.7). The IR was 3.2 for injuries (2.9 to 3.6), 2.1 for illnesses (1.0 to 2.4) and 0.5 for serious life-threatening medical encounters (0.4 to 0.7). In the 3-year study, we encountered three cardiac arrests and one death (2.9 and 1.0 per 100 000 starters, respectively). Injury IRs included upper limb (1.9; 1.6 to 2.1), lower limb (1.0; 0.8 to 1.0) and head/neck (0.8; 0.6 to 1.0). Illness IRs included fluid/electrolyte abnormalities (0.6; 0.5 to 0.8) and the cardiov...Continue Reading

References

Jan 1, 1990·European Journal of Applied Physiology and Occupational Physiology·I TabataM Miyashita
Dec 8, 1984·The Medical Journal of Australia·A KretschI Gillam
Sep 1, 1996·Social Science & Medicine·V Stambolovic
Feb 24, 1998·Annals of Emergency Medicine·L J FriedmanS R Votey
Dec 29, 1998·Annals of Emergency Medicine·S D EmondC A Camargo
Sep 20, 2000·Medicine and Science in Sports and Exercise·W O Roberts
Jan 25, 2003·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Tamara D HewJon G Divine
Jul 9, 2005·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Tamara Hew-ButlerUNKNOWN Exercise-Associated Hyponatremia (EAH) Consensus Panel
Oct 8, 2005·Wilderness & Environmental Medicine·David A TownesMichael Cromeans
May 1, 2007·Sports Medicine·Priscilla M Clarkson
May 1, 2007·Sports Medicine·William O Roberts
May 1, 2007·Sports Medicine·William O Roberts
Jun 30, 2009·Prehospital and Disaster Medicine·Richard B NguyenJeremy T Cushman
Jan 20, 2011·The Nurse Practitioner·Suzanne Elizabeth Finn, Jessica Coviello
Nov 2, 2011·Pacing and Clinical Electrophysiology : PACE·Stafford I Cohen, Ethan R Ellis
Jan 13, 2012·The New England Journal of Medicine·Jonathan H KimUNKNOWN Race Associated Cardiac Arrest Event Registry (RACER) Study Group
Apr 25, 2012·Medicine and Science in Sports and Exercise·David WebnerWilliam O Roberts
May 9, 2012·The American Journal of Sports Medicine·Simon C MathewsJulius Cuong Pham
May 23, 2012·The American Journal of Medicine·Arthur J Siegel
Jun 28, 2012·British Journal of Sports Medicine·William O RobertsScott Lunos
Jul 1, 2010·Sports Health·Sharlene M Day, Paul D Thompson
Oct 13, 2017·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Mia BreedtMartin P Schwellnus
Jun 27, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Mia BreedtMartin P Schwellnus

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Citations

Aug 18, 2020·Medicine and Science in Sports and Exercise·Nicola SewryEsme Jordaan
Sep 11, 2020·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·François du ToitEsme Jordaan
May 6, 2021·International Journal of Environmental Research and Public Health·Alexandros IliadisAsterios Pantazis Deligiannis
Aug 24, 2021·BMJ Open Sport & Exercise Medicine·Dáire RooneyNeil Heron

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