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Medical encounters (including injury and illness) at mass community-based endurance sports events: an international consensus statement on definitions and methods of data recording and reporting.

Journal article
Authors 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 Börjesson
Published in British journal of sports medicine
Volume 53
Issue 17
Pages 1048-1055
ISSN 1473-0480
Publication year 2019
Published at Institute of Neuroscience and Physiology
Pages 1048-1055
Language en
Keywords Athletic Injuries, epidemiology, Consensus, Crowding, Data Collection, standards, Disease, Emergency Medical Services, Humans, Physical Endurance, Sports, Sports Medicine, standards
Subject categories Clinical Medicine


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. This consensus statement has two goals. It (1) defines terms for injury and illness-related medical encounters, severity and timing of medical encounters, and diagnostic categories of medical encounters, and (2) describes the methods for recording data at mass participation endurance sports events and reporting results to authorities and for publication. This unifying consensus statement will allow data from various events to be compared and aggregated. This will inform athlete/patient management, and thus make endurance events safer.

Page Manager: Webmaster|Last update: 9/11/2012

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