Article

OBJECTIVE: To evaluate screening practices and preparticipation evaluation (PPE)
forms used to identify, or raise suspicion of, cardiovascular abnormalities in
collegiate student-athletes. DESIGN: Phone and e-mail survey. SETTING: National
Collegiate Athletic Association (NCAA) Division I universities. PARTICIPANTS: All
347 NCAA Division I universities were invited to participate in 2010-2011; 257
universities (74%) elected to participate. MAIN OUTCOME MEASURES: Information
about the preparticipation screening process was obtained from team physicians
and/or certified athletic trainers. PPE forms were evaluated for the inclusion of
the 12 specific American Heart Association (AHA) recommendations for
cardiovascular screening of competitive athletes from the 2007 AHA Council on
Nutrition, Physical Activity, and Metabolism consensus panel endorsed by the
American College of Cardiology Foundation. RESULTS: All 257 participating
universities (100%) required preparticipation screening for freshman and transfer
athletes, and 83 universities (32%) required an annual PPE for returning
athletes. The PPE was performed on campus at 85% of the universities, whereas 15%
of universities allowed the PPE to be completed by the athlete's choice of
physician before he or she arrived on campus. Eleven universities (4%) used the
recently updated American College of Sports Medicine 4th edition PPE. Sixteen
universities (6%) used the American College of Sports Medicine 3rd edition PPE.
The remaining 260 universities (90%) did not use either of these forms. Of the
257 Division I universities, only 21 universities (8%) met the AHA
recommendations by including all 12 cardiovascular screening items on their PPE
forms. CONCLUSION: The majority (92%) of NCAA Division I universities do not use
PPE forms that meet the AHA recommendations for cardiovascular screening;
therefore, they may not be effectively screening collegiate student-athletes for
cardiovascular abnormalities that could lead to sudden cardiac death.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS