Martin Schwellnus, Courtney Kipps, William O Roberts, Jonathan A Drezner, Pierre D'Hemecourt, Chris Troyanos, Dina Christina Janse van Rensburg, Jannelene Killops, Jill Borresen, Mark Harrast, Paolo E Adami, Stéphane Bermon, Xavier Bigard, Sergio Migliorini, Esme Jordaan, Mats Borjesson
Mass participation endurance sports events are popular but a large number of participants are older and may be at risk of medical complications during events. Medical encounters (defined fully in the statement) include those traditionally considered 'musculoskeletal' (eg, strains) and those due to 'illness' (eg, cardiac, respiratory, endocrine). The rate of sudden death during mass endurance events (running, cycling and triathlon) is between 0.4 and 3.3 per 100 000 entrants. The rate of other serious medical encounters (eg, exertional heat stroke, hyponatraemia) is rarely reported; in runners it can be up to 100 times higher than that of sudden death, that is, between 16 and 155 per 100 000 race entrants...
February 22, 2019: British Journal of Sports Medicine