PDF(Pubmed)
Abstract：
UNASSIGNED: This descriptive retrospective study analyzed coronial recommendations for natural deaths in sport and recreation from January 2006 to December 2019 using data from the Bureau du coroner du Québec.
UNASSIGNED: Reports with recommendations were analyzed by sex, age group, cause of death, context, and activity. The nature of recommendations was assessed using a public health-based model. Thematic analysis was conducted following a four-phase approach in which themes developed were emphasized and further connected with existing literature.
UNASSIGNED: Reports involving individuals aged 18-24 and reports related to ice hockey were significantly more likely to contain recommendations. Reports related to individuals ≥45 years old, or related to cycling or hunting had higher death frequencies, but relatively low recommendation rates. Most recommendations aligned with the public health-based model but specifying implementation time frames was rare (11.7%). Nearly 60% of coroner\'s recommendations focused on automated external defibrillator implementation, delivery and training.
UNASSIGNED: Mitigation of sudden cardiac arrest risk for individuals ≥45 years old, timely treatment of life-threatening arrhythmias especially for activity practiced in remote regions and specifying implementation time frames were identified as improvement areas. The multi-faceted approach to enhancing public access defibrillation developed by the International Liaison Committee on Resuscitation in 2022 addresses recurrent themes covered by coroners and holds the potential to inform evidence-based decision making.
UNASSIGNED: Reports with recommendations were analyzed by sex, age group, cause of death, context, and activity. The nature of recommendations was assessed using a public health-based model. Thematic analysis was conducted following a four-phase approach in which themes developed were emphasized and further connected with existing literature.
UNASSIGNED: Reports involving individuals aged 18-24 and reports related to ice hockey were significantly more likely to contain recommendations. Reports related to individuals ≥45 years old, or related to cycling or hunting had higher death frequencies, but relatively low recommendation rates. Most recommendations aligned with the public health-based model but specifying implementation time frames was rare (11.7%). Nearly 60% of coroner\'s recommendations focused on automated external defibrillator implementation, delivery and training.
UNASSIGNED: Mitigation of sudden cardiac arrest risk for individuals ≥45 years old, timely treatment of life-threatening arrhythmias especially for activity practiced in remote regions and specifying implementation time frames were identified as improvement areas. The multi-faceted approach to enhancing public access defibrillation developed by the International Liaison Committee on Resuscitation in 2022 addresses recurrent themes covered by coroners and holds the potential to inform evidence-based decision making.
摘要：
这项描述性回顾性研究使用魁北克验尸官局的数据，分析了2006年1月至2019年12月在体育和娱乐中自然死亡的建议。
■有建议的报告按性别进行了分析，年龄组,死因,context,和活动。使用基于公共卫生的模型评估建议的性质。主题分析是按照四个阶段的方法进行的，其中强调了所开发的主题，并将其与现有文献进一步联系起来。
■涉及18-24岁个人的报告和与冰球相关的报告更有可能包含建议。与≥45岁的个人有关的报告，或与骑自行车或狩猎有关的死亡频率更高，但推荐率相对较低。大多数建议与基于公共卫生的模型一致，但很少指定实施时间框架(11.7%)。近60％的验尸官的建议集中在自动体外除颤器的实施，交付和培训。
■降低≥45岁个体心脏骤停风险，及时治疗危及生命的心律失常,特别是在偏远地区进行的活动,并规定实施时间范围被确定为改善领域.国际复苏联络委员会在2022年制定的加强公众获取除颤的多方面方法解决了验尸官重复出现的主题，并有可能为循证决策提供信息。
■有建议的报告按性别进行了分析，年龄组,死因,context,和活动。使用基于公共卫生的模型评估建议的性质。主题分析是按照四个阶段的方法进行的，其中强调了所开发的主题，并将其与现有文献进一步联系起来。
■涉及18-24岁个人的报告和与冰球相关的报告更有可能包含建议。与≥45岁的个人有关的报告，或与骑自行车或狩猎有关的死亡频率更高，但推荐率相对较低。大多数建议与基于公共卫生的模型一致，但很少指定实施时间框架(11.7%)。近60％的验尸官的建议集中在自动体外除颤器的实施，交付和培训。
■降低≥45岁个体心脏骤停风险，及时治疗危及生命的心律失常,特别是在偏远地区进行的活动,并规定实施时间范围被确定为改善领域.国际复苏联络委员会在2022年制定的加强公众获取除颤的多方面方法解决了验尸官重复出现的主题，并有可能为循证决策提供信息。
