Perlman Meryl, Williams Wadsworth A, Ross Lainie Friedman
1 University of Chicago, Chicago, IL, USA.
Clin Pediatr (Phila). 2019 May;58(5):547-554. doi: 10.1177/0009922819832021. Epub 2019 Feb 21.
The preparticipation sports examination (PPE) is required for US high school athletes. We queried members of the Illinois Chapter of the American Academy of Pediatrics (ICAAP) about what they actually include in a PPE, allotted PPE time, and counseling about full contact sports participation. Of 2300 ICAAP members contacted electronically, 228 (10%) responded, yielding 205 usable surveys. When performing a PPE, 34 (25%) always complete all of 6 selected AAP-recommended PPE components and 102 (74%) always get a concussion history. In contrast, 29 (21%) always complete all of the 6 selected AAP PPE components and 70 (49%) always get a concussion history as part of well-child checkup. Main interferences with clinician proficiency are lack of time and training cited by 49% and 37%, respectively. Pediatricians were evenly divided about whether or not to counsel against full contact sports, but were more likely to do so after the athlete sustained a first concussion.
美国高中运动员需要进行运动前体格检查（PPE）。我们向美国儿科学会伊利诺伊分会（ICAAP）的成员询问了他们在PPE中实际包含的内容、分配的PPE时间以及关于完全接触性运动参与的咨询情况。在通过电子方式联系的2300名ICAAP成员中，228人（10%）做出了回应，得到了205份可用的调查问卷。在进行PPE时，34人（25%）总是完成所有6项选定的美国儿科学会推荐的PPE组成部分，102人（74%）总是了解脑震荡病史。相比之下，在儿童健康检查中，29人（21%）总是完成所有6项选定的美国儿科学会PPE组成部分，70人（49%）总是了解脑震荡病史。临床医生熟练程度的主要干扰因素分别是49%的人提到时间不足和37%的人提到缺乏培训。儿科医生对于是否建议运动员不要参加完全接触性运动意见不一，但在运动员首次发生脑震荡后更有可能这样做。
