BMJ 2003;326:600 ( 15 March )

Letters

Football may influence when patients see a doctor

The first 150 words of the full text of this article appear below.

EDITOR---Psychological or emotional stress is often suggested as a cause of disease. In dermatology stress is sometimes cited as a cause of diseases such as psoriasis. The biological causality of such correlations is not always immediately apparent, and stress may have many psychological effects. In chronic diseases it also offers a sense of consolation and explanation, which helps patients cope.

An important source of error seems not to have been taken into account in the study by Carroll et al on football and myocardial infarction.1 Delay in seeking medical treatment for myocardial infarction is an important variable.2 On the basis of personal experience as a medical house officer in 1986 when Denmark participated in the World Cup finals, I think that simple delay is an important factor in any increased mortality from cardiovascular events at such times.

The emergency rooms were notably empty during all matches, and patients reappeared . . . [Full text of this article]


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Relevant Article

Admissions for myocardial infarction and World Cup football: database survey
Douglas Carroll, Shah Ebrahim, Kate Tilling, John Macleod, and George Davey Smith
BMJ 2002 325: 1439-1442. [Abstract] [Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

The medical and social health benefits of football
P C Guyler
bmj.com, 18 Mar 2003 [Full text]
Re: The medical and social health benefits of football
Gary C Ward
bmj.com, 24 Mar 2003 [Full text]



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