Table 4

Incidence studies in the military and general population

AuthorYearCountryStudy designCase identificationDenominatorExertional deaths of all?SCD or SCA+SCDYears studiedPopulationIncidenceNo. of yearsAge rangeMean ageNo. of cardiac deaths
Eckart442004USARetrospective cohortMandatory reporting of all deaths to DOD recruit mortality registry with autopsy dataNumbers from DODAllSCD1977–2001Military recruits1:10 0002518–3519108
Gunnarson362006IcelandRetrospective cohortDeath certificates and autopsy reports reviewedIceland population statisticsAllSCD1974–2004Young people1:68 0003012–3545
Atkins412009USA and CanadaProspective cohort studyEMS responding to confirmed cardiac casesPopulation statisticsAllSCA+SCD2005–2007Young people1:49 000312–1916.4193
Chugh422009USAProspective population basedEMS responding to confirmed cardiac casesPopulation statisticsAllSCA+SCD2002–2005Young people1:58 828310–14_2
Papdakis372009UKRetrospective cohortReview of death certificatesPopulation statisticsAll2002–2005Young people1:55 00041–34_3409
Holst62010DenmarkRetrospect cohortDeath certificates and autopsy reports reviewed if available (67%)Population statisticsAllSCD2000–2006Young people1:35 00071–3526.415
Solberg142010NorwayRetrospective cohortNorwegian cause of death registry—validated with autopsy and medical recordsPopulation statisticsExertionalSCD1979–1998Young people1:111 1112015–342723
Cooper402011USARetrospective cohortAutomated data from 4 health plans—study carried out to compare ADHD users to non-usersNumber of those 2–24 in health planAllSCA+SCD1986–2005Young people1:32 258192–2411.181
Eckart122011USARetrospective cohortMandatory reporting of all deaths to DOD mortality registry with autopsy dataDOD statisticsAllSCD1998–2008Military<20–1:2 967 320–24 1:4 098 325–29–1:3 012 030–35–1:25 0001018–34_298
Margey392011IrelandRetrospective cohortDeath certificate review with autopsy confirmationPopulation statisticsAllSCD2005–2007Young people1:350 001:20 000 males 1:77 000 female315–3525116
Marjion132011FranceProspectiveEMS responding to confirmed cardiac casesPopulation statisticsSports relatedSCA+SCD2005–2010Young people1:102 000 competitive athletes (10–35)512–7546820
Meyer432012USAProspective population basedEMS responding to confirmed cardiac casesPopulation statisticsAllSCA+SCD1980–2009Young people14–24 1:69.00 025 –35 1:22 7003014–24 25–35_14–24: 60 25–35: 245
Pilmer102013Ontario, CanadaRetrospective cohortFrom coroner’s databasePopulation statisticsAllSCD2008Young people1:34 000 (19–29)12–40_174
Pilmer382014Ontario, CanadaRetrospective cohortFrom coroner’s databasePopulation statisticsAllSCD2005–2009Young people1:128 00051–1912116
Winkle332014DenmarkRetrospective cohortDeath certificates, autopsy reports and health records reviewedPopulation statisticsAllSCD2000–2006Young people1:90 90971–181362
  • SCA, sudden cardiac arrest; SCD, sudden cardiac death.