Acute cardiac care & resuscitation
Commotio Cordis in Non–Sport-Related Events: A Systematic Review
Authors' conclusion
Mortality is higher in non-sport-related commotio cordis, likely owing to lower rates of cardiopulmonary resuscitation, defibrillation, automated external defibrillator availability, and extended time to resuscitation.
Study context
- Population
- Published cases of commotio cordis (PubMed and Embase, inception to January 5, 2022)
- Participants
- 334 cases
- Comparison
- Non-sport-related vs sport-related commotio cordis
- Non-sport-relatedn = 121
- Outcome
- Mortality
Pooled result
As reported in the abstract
P < 0.001
Further pooled results
Projectile involvement
P < 0.001
Female victims
P = 0.025
Cardiopulmonary resuscitation
P < 0.001
Defibrillation
P < 0.001
Resuscitation delayed beyond 3 min
P < 0.001
- Projectile involvement: non-sport nonprojectile causes mostly impacts with body parts (79%)
Age
- Similar younger aged demographic in both categories
- P = 0.10
Original publication
Commotio Cordis in Non–Sport-Related Events: A Systematic Review. JACC Clin Electrophysiol. Published 22 March 2023. doi:10.
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