A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue
Introduction: Rates of out-of-hospital cardiac arrest (OHCA) at major sporting events are as high as 0.7 per 100,000 attendees. However, factors contributing to OHCA at mass gatherings have not been well-described. We describe our experience with ten years of medical oversight and OHCA care at a pro...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520423000292 |
| _version_ | 1797850923167383552 |
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| author | Scott A. Goldberg Vincent Battistini Rebecca E. Cash Michael Kelleher Christopher Laporte Gregory Peters Eric Goralnick |
| author_facet | Scott A. Goldberg Vincent Battistini Rebecca E. Cash Michael Kelleher Christopher Laporte Gregory Peters Eric Goralnick |
| author_sort | Scott A. Goldberg |
| collection | DOAJ |
| description | Introduction: Rates of out-of-hospital cardiac arrest (OHCA) at major sporting events are as high as 0.7 per 100,000 attendees. However, factors contributing to OHCA at mass gatherings have not been well-described. We describe our experience with ten years of medical oversight and OHCA care at a professional football stadium. Methods: We performed a retrospective review of OHCA events between August 2010 and January 2020 at a 65,878-seat football stadium, with a single transporting EMS agency and a single receiving hospital. We analyzed EMS incident reports and matched patients to hospital records for outcome data. Results: A total of 7,767,345 people attended 115 football games during the study period. There were 21 OHCAs (0.27 per 100,000 attendees). Ninety-five percent of OHCAs were witnessed and 71.4% had an initial shockable rhythm, with bystander AED use in 47.6%. Median EMS response time was 2 minutes (IQR 1–6). For 7 patients defibrillated by EMS, time to defibrillation was 4 minutes (IQR 4–11). Return of spontaneous circulation (ROSC) occurred in 71%, with 47% having good 30-day neurologic survival. All patients with an initial rhythm of asystole died. Conclusion: The ROSC rate at our stadium exceeded 70% with almost half surviving with good neurologic outcomes, substantially higher than that reported for the general public. We hope that our experience will provide valuable lessons to other similarly sized stadiums. |
| first_indexed | 2024-04-09T19:08:22Z |
| format | Article |
| id | doaj.art-ac5e14ac80eb47d8b72bb95d9fc18d37 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-09T19:08:22Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-ac5e14ac80eb47d8b72bb95d9fc18d372023-04-07T06:50:59ZengElsevierResuscitation Plus2666-52042023-06-0114100386A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venueScott A. Goldberg0Vincent Battistini1Rebecca E. Cash2Michael Kelleher3Christopher Laporte4Gregory Peters5Eric Goralnick6Brigham and Women’s Hospital, Boston, MA, USA; Corresponding author at: Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115, USA.Tufts University School of Medicine, Boston, MA, USAMassachusetts General Hospital, Boston, MA, USAFoxborough Fire Department, Foxborough, MA, USABrigham and Women’s Hospital, Boston, MA, USA; Foxborough Fire Department, Foxborough, MA, USABrigham and Women’s Hospital, Boston, MA, USABrigham and Women’s Hospital, Boston, MA, USAIntroduction: Rates of out-of-hospital cardiac arrest (OHCA) at major sporting events are as high as 0.7 per 100,000 attendees. However, factors contributing to OHCA at mass gatherings have not been well-described. We describe our experience with ten years of medical oversight and OHCA care at a professional football stadium. Methods: We performed a retrospective review of OHCA events between August 2010 and January 2020 at a 65,878-seat football stadium, with a single transporting EMS agency and a single receiving hospital. We analyzed EMS incident reports and matched patients to hospital records for outcome data. Results: A total of 7,767,345 people attended 115 football games during the study period. There were 21 OHCAs (0.27 per 100,000 attendees). Ninety-five percent of OHCAs were witnessed and 71.4% had an initial shockable rhythm, with bystander AED use in 47.6%. Median EMS response time was 2 minutes (IQR 1–6). For 7 patients defibrillated by EMS, time to defibrillation was 4 minutes (IQR 4–11). Return of spontaneous circulation (ROSC) occurred in 71%, with 47% having good 30-day neurologic survival. All patients with an initial rhythm of asystole died. Conclusion: The ROSC rate at our stadium exceeded 70% with almost half surviving with good neurologic outcomes, substantially higher than that reported for the general public. We hope that our experience will provide valuable lessons to other similarly sized stadiums.http://www.sciencedirect.com/science/article/pii/S2666520423000292Emergency medical servicesOut-of-hospital cardiac arrestMass gathering medicine |
| spellingShingle | Scott A. Goldberg Vincent Battistini Rebecca E. Cash Michael Kelleher Christopher Laporte Gregory Peters Eric Goralnick A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue Resuscitation Plus Emergency medical services Out-of-hospital cardiac arrest Mass gathering medicine |
| title | A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue |
| title_full | A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue |
| title_fullStr | A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue |
| title_full_unstemmed | A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue |
| title_short | A retrospective review of out of hospital cardiac arrest at Gillette Stadium: 10 years of experience at a large sports venue |
| title_sort | retrospective review of out of hospital cardiac arrest at gillette stadium 10 years of experience at a large sports venue |
| topic | Emergency medical services Out-of-hospital cardiac arrest Mass gathering medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2666520423000292 |
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