Incidence of Sudden Cardiac Arrest and Death in Young Athletes and Military Members: A Systematic Review and Meta-Analysis

13Citations
Citations of this article
53Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Objective: To evaluate the quality of the evidence on the incidence of sudden cardiac arrest (SCA) and sudden cardiac death (SCD) in athletes and military members and estimate the annual incidence of SCA and SCD. Data Sources: We searched MEDLINE, Embase, Cochrane CENTRAL, Web of Science, BIOSIS, Scopus, SPORTDiscus, PEDro, and ClinicalTrials.gov from inception to dates between February 21 and July 29, 2019. Study Selection: Studies in which the incidence of SCA, SCD, or both in athletes or military members aged,40 years was reported were eligible for inclusion. We identified 40 studies for inclusion. Data Extraction: Risk of bias (ROB) was assessed using a validated, customized tool for prevalence studies. Twelve had a low ROB, while the remaining 28 had a moderate or high ROB. Data were extracted for narrative review and meta-analysis. Data Synthesis: Random-effects meta-analysis was performed in studies judged to have a low ROB in 2 categories: (1) 5 studies of regional- or national-level data, including athletes at all levels and both sexes, demonstrated 130 SCD events with a total of 11 272 560 athlete-years, showing a cumulative incidence rate of 0.98 (95% CI ¼ 0.62, 1.53) per 100 000 athlete-years and high heterogeneity (I 2 ¼ 78%) and (2) 3 studies of competitive athletes aged 14 to 25 years were combined for a total of 183 events and 17 798 758 athlete-years, showing an incidence rate of 1.91 (95% CI ¼ 0.71, 5.14) per 100 000 athlete-years and high heterogeneity (I 2 ¼ 97%). The remaining low-ROB studies involved military members and were not synthesized. Conclusions: The worldwide incidence of SCD is rare. Low-ROB studies indicated the incidence was,2 per 100 000 athlete-years. Overall, the quality of the available evidence was low, but high-quality individual studies inform the question of incidence levels. PROSPERO Registration: CRD42019125560

Author supplied keywords

References Powered by Scopus

Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement

22464Citations
N/AReaders
Get full text

Assessing risk of bias in prevalence studies: Modification of an existing tool and evidence of interrater agreement

1853Citations
N/AReaders
Get full text

Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program

1340Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Sudden Cardiac Arrest in Basketball and Soccer Stadiums, the Role of Automated External Defibrillators: A Review. For the BELTRAN Study (BaskEtbaLl and soccer sTadiums: Registry on Automatic exterNal defibrillators)

8Citations
N/AReaders
Get full text

Strenuous Endurance Exercise and the Heart: Physiological Versus Pathological Adaptations

7Citations
N/AReaders
Get full text

Screening Electrocardiogram in Young Athletes and Military Members: A Systematic Review and Meta-Analysis

6Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Lear, A., Patel, N., Mullen, C., Simonson, M., Leone, V., Koshiaris, C., & Nunan, D. (2022, May 1). Incidence of Sudden Cardiac Arrest and Death in Young Athletes and Military Members: A Systematic Review and Meta-Analysis. Journal of Athletic Training. National Athletic Trainers’ Association Inc. https://doi.org/10.4085/1062-6050-0748.20

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 6

55%

Researcher 3

27%

Professor / Associate Prof. 2

18%

Readers' Discipline

Tooltip

Medicine and Dentistry 8

53%

Nursing and Health Professions 4

27%

Sports and Recreations 2

13%

Arts and Humanities 1

7%

Article Metrics

Tooltip
Mentions
News Mentions: 2

Save time finding and organizing research with Mendeley

Sign up for free