Abstract：
BACKGROUND: Commotio cordis is a rare event that occurs following blunt, non-penetrating trauma to the chest, precipitating a ventricular arrhythmia. Commotio cordis requires immediate medical attention through cardiopulmonary resuscitation and defibrillation, often resulting in death. Commotio cordis is most common condition among young male athletes. The purpose of this study was to describe the incidents and patterns of commotio cordis among young athletes participating in organised sports in the USA from academic years 1982-1983 through 2022-2023.
METHODS: This was a retrospective, descriptive epidemiology study using surveillance data from the National Center for Catastrophic Sport Injury Research. The study included all commotio cordis incidents captured in the database. We calculated descriptive statistics (counts and proportions) overall and stratified by outcome and athlete sport.
RESULTS: Over the study period, 64 incidents of commotio cordis were captured. The majority occurred among males (n=60) and were caused by contact with an object/apparatus (n=39) or contact with another player (n=20). The most common sports were baseball (n=20), lacrosse (n=17) and football (n=13). Over half of these incidents resulted in death (n=34), although survival from commotio cordis increased over the study period. A higher proportion of fatal incidents occurred among football athletes and were caused by contact with another player.
CONCLUSIONS: Commotio cordis remains most common among young male athletes who participate in organised baseball, lacrosse and football. Although survival has improved over time, greater awareness and emergency preparedness for commotio cordis in an organised sport are needed to facilitate prompt recognition and intervention.
METHODS: This was a retrospective, descriptive epidemiology study using surveillance data from the National Center for Catastrophic Sport Injury Research. The study included all commotio cordis incidents captured in the database. We calculated descriptive statistics (counts and proportions) overall and stratified by outcome and athlete sport.
RESULTS: Over the study period, 64 incidents of commotio cordis were captured. The majority occurred among males (n=60) and were caused by contact with an object/apparatus (n=39) or contact with another player (n=20). The most common sports were baseball (n=20), lacrosse (n=17) and football (n=13). Over half of these incidents resulted in death (n=34), although survival from commotio cordis increased over the study period. A higher proportion of fatal incidents occurred among football athletes and were caused by contact with another player.
CONCLUSIONS: Commotio cordis remains most common among young male athletes who participate in organised baseball, lacrosse and football. Although survival has improved over time, greater awareness and emergency preparedness for commotio cordis in an organised sport are needed to facilitate prompt recognition and intervention.
摘要：
背景：Commotiocordis是一种罕见的事件，在钝后发生，胸部非穿透性创伤,导致室性心律失常.Commotiocordis需要通过心肺复苏和除颤立即就医，往往导致死亡。Commotiocordis是年轻男性运动员中最常见的疾病。这项研究的目的是描述从1982年至1983年至2022年至2023年在美国参加有组织运动的年轻运动员中发生的事件和模式。
方法：这是一个回顾性研究，使用国家灾难性运动损伤研究中心的监测数据进行描述性流行病学研究。该研究包括数据库中捕获的所有commotiocordis事件。我们计算了总体的描述性统计数据（计数和比例），并按结果和运动员运动进行了分层。
结果：在研究期间，捕获了64起commotiocordis事件。大多数发生在男性（n=60）中，是由于与物体/设备接触（n=39）或与另一个玩家接触（n=20）引起的。最常见的运动是棒球（n=20），曲棍球（n=17）和足球（n=13）。这些事件中有一半以上导致死亡（n=34），尽管在研究期间，commotiocordis的存活率增加。足球运动员中发生的致命事件比例更高，并且是由于与另一名球员接触而引起的。
结论：Commotiocordis在参加有组织棒球的年轻男性运动员中仍然最常见，曲棍球和足球。虽然生存率随着时间的推移而提高，在有组织的运动中，需要提高对Commotiocordis的认识和应急准备，以促进及时的识别和干预。
方法：这是一个回顾性研究，使用国家灾难性运动损伤研究中心的监测数据进行描述性流行病学研究。该研究包括数据库中捕获的所有commotiocordis事件。我们计算了总体的描述性统计数据（计数和比例），并按结果和运动员运动进行了分层。
结果：在研究期间，捕获了64起commotiocordis事件。大多数发生在男性（n=60）中，是由于与物体/设备接触（n=39）或与另一个玩家接触（n=20）引起的。最常见的运动是棒球（n=20），曲棍球（n=17）和足球（n=13）。这些事件中有一半以上导致死亡（n=34），尽管在研究期间，commotiocordis的存活率增加。足球运动员中发生的致命事件比例更高，并且是由于与另一名球员接触而引起的。
结论：Commotiocordis在参加有组织棒球的年轻男性运动员中仍然最常见，曲棍球和足球。虽然生存率随着时间的推移而提高，在有组织的运动中，需要提高对Commotiocordis的认识和应急准备，以促进及时的识别和干预。
