Increasing Incidence and Unique Clinical Characteristics of Spinning-Induced Rhabdomyolysis.
OBJECTIVE
To compare outcomes of spinning-induced rhabdomyolysis to those with exertional rhabdomyolysis from other physical activities.


METHODS
Retrospective cohort study.


METHODS
Academic medical center, single-center.


METHODS
A retrospective chart review was conducted on patients evaluated from December 2010 through November 2014. Patients were selected by ICD-9 code for rhabdomyolysis. Patients were included if the reason for admission was rhabdomyolysis caused by exertion. Cases of rhabdomyolysis caused by trauma or drugs were excluded.


METHODS
Muscle group involvement, admission, and peak creatine kinase levels, time from activity to hospitalization, length of hospital stay, and incidence of complications.


RESULTS
Twenty-nine cases were reviewed with 14 admissions secondary to spinning. Median admission creatine kinase (73 000 IU/L vs 29 000 IU/L, P = 0.02) and peak creatine kinase levels were significantly higher in the spinning group (81 000 IU/L vs 31 000 IU/L, P = 0.007). Hospital admissions for spinning-induced rhabdomyolysis increased over time.


CONCLUSIONS
Health care providers should be aware of the potential dangers of spinning-related rhabdomyolysis especially in otherwise healthy young people.
Division of Hospital Medicine, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, New York.
Todd S
TS
Cutler
Ersilia M
EM
DeFilippis
Michelle E
ME
Unterbrink
Arthur T
AT
Evans
D000293:Adolescent; D000328:Adult; D000368:Aged; D001642:Bicycling / Q000502:physiology*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D012189:Retrospective Studies; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D055815:Young Adult