Abstract
Environmental stress like important soccer events can induce excitation, stress and anger. We aimed to investigate (i) whether the FIFA soccer world cup (WC) 2014 and (ii) whether the soccer games of the German national team had an impact on total numbers and in-hospital mortality of patients with myocardial infarction (MI) in Germany. We analyzed data of MI inpatients of the German nationwide inpatient sample (2013–2015). Patients admitted due to MI during FIFA WC 2014 (12th June–13th July2014) were compared to those during the same period 2013 and 2015 (12th June–13th July). Total number of MI patients was higher during WC 2014 than in the comparison-period 2013 (18,479 vs.18,089, P < 0.001) and 2015 (18,479 vs.17,794, P < 0.001). WC was independently associated with higher MI numbers (2014 vs. 2013: OR 1.04 [95% CI 1.01–1.07]; 2014 vs. 2015: OR 1.07 [95% CI 1.04–1.10], P < 0.001). Patient characteristics and in-hospital mortality rate (8.3% vs. 8.3% vs. 8.4%) were similar during periods. In-hospital mortality rate was not affected by games of the German national team (8.9% vs. 8.1%, P = 0.110). However, we observed an increase regarding in-hospital mortality from 7.9 to 9.3% before to 12.0% at final-match-day. Number of hospital admissions due to MI in Germany was 3.7% higher during WC 2014 than during the same 31-day period 2015. While in-hospital mortality was not affected by the WC, the in-hospital mortality was highest at WC final.
Highlights
Environmental stress like important soccer events can induce excitation, stress and anger
As approximately half of the German citizens occupied itself with the big sporting event, we aimed to investigate (I) the impact of the Fédération Internationale de Football Association (FIFA) world cup (WC) 2014 on total numbers and in-hospital mortality of patients with myocardial infarction (MI) in Germany and (II) whether the soccer games of the German national team influenced the number of admissions and in-hospital mortality during the FIFA WC 2014
71,844 patients were admitted for MI during the four periods, the FIFA WC 2014 from 12th June 2014 to 13th July 2014 and during the comparison periods from 12th June to 13th July 2013 as well as from 12th June to 13th July 2015 without soccer WC and during the additional comparison-period between 14th of July and 14th August 2014
Summary
Environmental stress like important soccer events can induce excitation, stress and anger. We aimed to investigate (i) whether the FIFA soccer world cup (WC) 2014 and (ii) whether the soccer games of the German national team had an impact on total numbers and in-hospital mortality of patients with myocardial infarction (MI) in Germany. In-hospital mortality rate was not affected by games of the German national team (8.9% vs 8.1%, P = 0.110). As approximately half of the German citizens occupied itself with the big sporting event, we aimed to investigate (I) the impact of the FIFA WC 2014 on total numbers and in-hospital mortality of patients with MI in Germany and (II) whether the soccer games of the German national team influenced the number of admissions and in-hospital mortality during the FIFA WC 2014
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