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Incidence of Swimming-Induced Pulmonary Edema: A Cohort Study Based on 47,600 Open-Water Swimming Distances

Chest, 2021-11, Vol.160 (5), p.1789-1798 [Peer Reviewed Journal]

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved. ;2021 The Authors 2021 ;ISSN: 0012-3692 ;ISSN: 1931-3543 ;EISSN: 1931-3543 ;DOI: 10.1016/j.chest.2021.06.034 ;PMID: 34186036

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Title:
Incidence of Swimming-Induced Pulmonary Edema: A Cohort Study Based on 47,600 Open-Water Swimming Distances
Author: Hårdstedt, Maria ; Kristiansson, Linda ; Seiler, Claudia ; Braman Eriksson, Annika ; Sundh, Josefin
Subjects: Adult ; Age Factors ; Algorithms ; Auscultation - methods ; Cohort Studies ; Cold Temperature - adverse effects ; Education and Clinical Practice: Original Research ; Emergency Medical Services - methods ; Emergency Medical Services - organization & administration ; Emergency Medical Services - statistics & numerical data ; Humans ; immersion pulmonary edema ; Incidence ; Lung - diagnostic imaging ; Lung - physiopathology ; lung ultrasound ; Male ; Middle Aged ; Prospective Studies ; Pulmonary Edema - diagnosis ; Pulmonary Edema - epidemiology ; Pulmonary Edema - etiology ; Pulmonary Edema - therapy ; Sex Factors ; SIPE ; Sweden - epidemiology ; swimming ; Swimming - statistics & numerical data ; swimming-induced pulmonary edema ; Symptom Assessment - methods
Is Part Of: Chest, 2021-11, Vol.160 (5), p.1789-1798
Description: Despite increasing awareness of swimming-induced pulmonary edema (SIPE), large population-based studies are lacking and the incidence is unknown. What is the incidence of SIPE in a mixed group of competitive and recreational swimmers during a large open-water swimming event? 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. 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. 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.
Publisher: United States: American College of Chest Physicians
Language: English
Identifier: ISSN: 0012-3692
ISSN: 1931-3543
EISSN: 1931-3543
DOI: 10.1016/j.chest.2021.06.034
PMID: 34186036
Source: MEDLINE
Alma/SFX Local Collection
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Incidence of Swimming-Induced Pulmonary Edema: A Cohort Study Based on 47,600 Open-Water Swimming Distances

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved. ;2021 The Authors 2021 ;ISSN: 0012-3692 ;ISSN: 1931-3543 ;EISSN: 1931-3543 ;DOI: 10.1016/j.chest.2021.06.034 ;PMID: 34186036

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