Exertional Heat Stroke and Rhabdomyolysis: A Medical Record Review and Patient Perspective on Management and Long-Term Symptoms

Sports Medicine - Open

Table 5 Self-reported sequelae at six and twelve months after the EHS/ERM event

	EHS		ERM		Total		P-value
	Yes	No	Yes	No	Yes	No
	(n = 46)		(n = 11)		(n = 57)
Sequelae after 6 months (n)	21	25	10	1	31	26	0.007
Subjective heat intolerance	19	24**	9	2	28	26**	0.041
Muscle symptoms at rest	8	38	7	3*	15	41*	0.002
Myalgia	4	42	6	4*	10	46*	0.001
Muscle cramps	3	43	4	6*	7	49*	0.015
Muscle swelling	–	46	2	8*	2	54*	0.029
Muscle weakness	5	41	5	5*	10	46*	0.011
Muscle symptoms during exercise	7	39	9	2	16	41	< 0.001
Myalgia	5	41	7	4	12	45	< 0.001
Muscle cramps	2	44	7	4	9	48	< 0.001
Muscle swelling	–	46	3	7*	3	53*	0.004
Muscle weakness	3	43	8	3	11	46	< 0.001
Neurological sequelae	10	36	1	9*	11	45*	0.67
Impaired balance	2	44	–	10*	2	45*	1.00
Speech disorders	–	46	–	10*	–	56*	–
Slower thought process	7	39	1	9*	8	48*	1.00
Impaired memory	4	42		10*	4	52*	1.00

	EHS		ERM		Total		P-value
	Yes	No	Yes	No	Yes	No
	(n = 32)		(n = 11)		(n = 43)
Sequelae after 12 months (n)	11	21	10	1	21	22	0.002
Subjective heat intolerance	10	22	9	2	19	24	0.005
Muscle symptoms at rest	4	28	7	3*	11	31*	0.001
Myalgia	1	31	6	4*	7	35*	< 0.001
Muscle cramps	2	30	3	7*	5	37*	0.08
Muscle swelling	–	32	1	9*	1	41*	0.24
Muscle weakness	3	29	5	5*	8	34*	0.012
Muscle symptoms during exercise	3	29	9	2	12	31	< 0.001
Myalgia	2	30	8	3	10	33	< 0.001
Muscle cramps	2	30	7	4	9	34	< 0.001
Muscle swelling	–	32	3	8	3	40	0.010
Muscle weakness	2	30	8	3	10	33	< 0.001
Neurological sequelae	5	27	–	11	5	38	0.30
Impaired balance	1	31	–	11	1	32	1.00
Slower thought process	3	29	–	11	3	40	0.55
Impaired memory	1	31	–	11	1	40	1.00