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Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA.

Publication ,  Journal Article
Schattenkerk, J; Kucera, K; Peterson, DF; Huggins, RA; Drezner, JA
Published in: Br J Sports Med
February 2022

OBJECTIVE: Minority student-athletes have a lower survival rate from sudden cardiac arrest (SCA) than non-minority student-athletes. This study examined the relationship between high school indicators of socioeconomic status (SES) and survival in student-athletes with exercise-related SCA. METHODS: High school student-athletes in the USA with exercise-related SCA on school campuses were prospectively identified from 1 July 2014 to 30 June 2018 by the National Center for Catastrophic Sports Injury Research. High school indicators of SES included the following: median household and family income, proportion of students on free/reduced lunch and percent minority students. Resuscitation details included witnessed arrest, presence of an athletic trainer, bystander cardiopulmonary resuscitation and use of an on-site automated external defibrillator (AED). The primary outcome was survival to hospital discharge. Differences in survival were analysed using risk ratios (RR) and univariate general log-binomial regression models. RESULTS: Of 111 cases identified (mean age 15.8 years, 88% male, 49% white non-Hispanic), 75 (68%) survived. Minority student-athletes had a lower survival rate compared with white non-Hispanic student-athletes (51.1% vs 75.9%; RR 0.67, 95% CI 0.49 to 0.92). A non-significant monotonic increase in survival was observed with increasing median household or family income and with decreasing percent minority students or proportion on free/reduced lunch. The survival rate was 83% if an athletic trainer was on-site at the time of SCA and 85% if an on-site AED was used. CONCLUSIONS: Minority student-athletes with exercise-related SCA on high school campuses have lower survival rates than white non-Hispanic athletes, but this difference is not fully explained by SES markers of the school.

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Published In

Br J Sports Med

DOI

EISSN

1473-0480

Publication Date

February 2022

Volume

56

Issue

3

Start / End Page

138 / 143

Location

England

Related Subject Headings

  • United States
  • Students
  • Sport Sciences
  • Socioeconomic Factors
  • Schools
  • Male
  • Humans
  • Female
  • Defibrillators
  • Death, Sudden, Cardiac
 

Citation

APA
Chicago
ICMJE
MLA
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Schattenkerk, J., Kucera, K., Peterson, D. F., Huggins, R. A., & Drezner, J. A. (2022). Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA. Br J Sports Med, 56(3), 138–143. https://doi.org/10.1136/bjsports-2021-104486
Schattenkerk, Jared, Kristen Kucera, Danielle F. Peterson, Robert A. Huggins, and Jonathan A. Drezner. “Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA.Br J Sports Med 56, no. 3 (February 2022): 138–43. https://doi.org/10.1136/bjsports-2021-104486.
Schattenkerk J, Kucera K, Peterson DF, Huggins RA, Drezner JA. Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA. Br J Sports Med. 2022 Feb;56(3):138–43.
Schattenkerk, Jared, et al. “Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA.Br J Sports Med, vol. 56, no. 3, Feb. 2022, pp. 138–43. Pubmed, doi:10.1136/bjsports-2021-104486.
Schattenkerk J, Kucera K, Peterson DF, Huggins RA, Drezner JA. Socioeconomic factors and outcomes from exercise-related sudden cardiac arrest in high school student-athletes in the USA. Br J Sports Med. 2022 Feb;56(3):138–143.

Published In

Br J Sports Med

DOI

EISSN

1473-0480

Publication Date

February 2022

Volume

56

Issue

3

Start / End Page

138 / 143

Location

England

Related Subject Headings

  • United States
  • Students
  • Sport Sciences
  • Socioeconomic Factors
  • Schools
  • Male
  • Humans
  • Female
  • Defibrillators
  • Death, Sudden, Cardiac