Asplund Chad A, Asif Irfan M
*Division of Student Affairs, Georgia Regents University, Augusta, Georgia; and †Department of Family Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee.
Clin J Sport Med. 2014 Jul;24(4):275-9. doi: 10.1097/JSM.0000000000000067.
Determine the cardiovascular screening practices of college team physicians.
Cross-sectional survey.
Electronic mail with a link to a 9-item survey.
American Medical Society for Sports Medicine college team physicians.
Screening practices survey administered to college team physicians.
Cardiovascular preparticipation screening practices including noninvasive cardiac screening (NICS) such as electrocardiogram (ECG) or echocardiogram.
Two hundred twenty-four of 613 AMSSM members identifying themselves as college team physicians (36.5%) responded: National Collegiate Athletic Association Division I: 146, Division II: 41, Division III: 27, National Association of Intercollegiate Athletics: 8, and Junior College: 2. The majority (78%) of schools conducted the American Heart Association (AHA) 12-element history and physical examination. Division I institutions were more likely to add an ECG and/or echocardiogram (30%) to their preparticipation examination (PPE) compared with lower divisions (P < 0.0001). Those Division I schools using NICS were more likely to do so for all athletes (P < 0.001) or revenue generating sports (P < 0.001), whereas other institutions did so only for high-risk subgroups (P < 0.01). Lower division schools would consider adding ECG if it cost less (P = 0.01) or if there were more local expertise in athlete-specific interpretation standards (P = 0.04).
Many National Collegiate Athletic Association Athletes Division I programs already use NICS to screen athletes, whereas a significant portion of lower division schools add ECG for athletes deemed high risk. Increased use of these modalities suggests limitations of traditional PPE screening methods.
This is the first study to assess cardiac screening practices across all collegiate divisions and broadens our understanding of cardiac screening in high-level athletes.
确定大学运动队队医的心血管筛查实践。
横断面调查。
通过电子邮件发送包含9项调查问卷链接的方式。
美国运动医学学会的大学运动队队医。
向大学运动队队医进行筛查实践调查。
心血管运动前筛查实践，包括非侵入性心脏筛查（NICS），如心电图（ECG）或超声心动图。
613名自称是大学运动队队医的美国运动医学学会成员中有224人（36.5%）做出回应：美国大学体育总会第一分区：146人，第二分区：41人，第三分区：27人，全国大专体育协会：8人，大专院校：2人。大多数（78%）学校进行了美国心脏协会（AHA）的12项病史和体格检查。与低级别分区相比，第一分区机构更有可能在其运动前检查（PPE）中增加心电图和/或超声心动图（30%）（P<0.0001）。那些使用NICS的第一分区学校更有可能对所有运动员（P<0.001）或创收运动项目（P<0.001）进行该检查，而其他机构仅对高风险亚组进行该检查（P<0.01）。低级别分区学校如果心电图成本更低（P=0.01）或在运动员特定解读标准方面有更多当地专业知识（P=0.04），会考虑增加心电图检查。
许多美国大学体育总会第一分区项目已经使用NICS对运动员进行筛查，而相当一部分低级别分区学校会为被认为高风险的运动员增加心电图检查。这些检查方式使用的增加表明传统PPE筛查方法存在局限性。
这是第一项评估所有大学分区心脏筛查实践的研究，拓宽了我们对高水平运动员心脏筛查的理解。
