Swimming-Induced Pulmonary Edema: New Data Sheds a Light on True Incidence
| Autor: | Robert P, Weenink, Thijs T, Wingelaar |
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| Rok vydání: | 2021 |
| Předmět: |
LUS
lung ultrasound Incidence Pulmonary Edema SIPE Education and Clinical Practice: Original Research SIPE swimming-induced pulmonary edema Military Personnel MMU mobile medical unit IPE immersion pulmonary edema incidence swimming-induced pulmonary edema Humans immersion pulmonary edema Spo2 peripheral oxygen saturation swimming Swimming lung ultrasound |
| Zdroj: | Chest |
| ISSN: | 1931-3543 |
| Popis: | Background Despite increasing awareness of swimming-induced pulmonary edema (SIPE), large population-based studies are lacking and the incidence is unknown. Research Question What is the incidence of SIPE in a mixed group of competitive and recreational swimmers during a large open-water swimming event? Methods In four consecutive years (2016-2019), a prospective cohort study was conducted during Sweden’s largest open-water swimming event, Vansbrosimningen. All swimmers seeking medical care with acute respiratory symptoms were eligible for the study. SIPE diagnosis was based on clinical findings in 2016 and 2017 and pulmonary edema assessed by lung ultrasound in 2018 and 2019. Data on patient characteristics, clinical findings, and information about the race were collected. Results Based on 47,573 consecutive swimming distances, 322 patients with acute respiratory symptoms (0.68%; CI, 0.61%-0.75%) were treated at the mobile medical unit. Of these, 211 patients (0.44%; CI, 0.39%-0.51%) received a diagnosis of SIPE. The annual incidence of SIPE was 0.34%, 0.47%, 0.41%, and 0.57%, respectively, from 2016 through 2019. Most patients diagnosed with SIPE were women (90%), despite about equal percentages of men and women participating (47% men and 53% women). The incidence of SIPE overall was 0.75% in women and 0.09% in men. The incidence increased with age, from 0.08% in the youngest age group (18-30 years) to 1.1% in the oldest age group (≥ 61 years). Based on multiple logistic regression analysis, the adjusted odds for SIPE occurring was 8.59 times higher for women compared with men and 12.74 times higher for the oldest age group compared with the youngest age group. Interpretation The incidence of SIPE over 4 years during a large open-water swimming event in Sweden was 0.44%. The incidence was higher in women than in men and increased with age. Graphical Abstract |
| Databáze: | OpenAIRE |
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