Briner W W, Farr C
Lutheran General Sports Medicine Center, Park Ridge, IL 60068, USA.
J Fam Pract. 1995 Apr;40(4):370-5.
Interscholastic and intercollegiate athletes commonly visit physician offices to have sports participation examinations (PPEs). Few data exist, however, to help determine the age range for which such examinations are reasonable. The purpose of this study was to determine the percentage of athletes with significant findings on sports PPEs among junior high school, high school, and college-age athletes.
Analyses were made of 937 consecutive PPEs that were performed by primary care physicians using a standardized form. Subjects were interscholastic athletes of junior high, high school, and college age. Significant findings were defined as those that resulted in any recommendation, ie, change in management, by the examining physician.
The incidence of significant findings was 3.4% for the junior high school athletes, 15.4% for high school athletes, and 33.9% for college athletes (P < .001). The overall percentage of athletes disqualified from participating in any sport, which was 1.7%, did not differ significantly across age levels.
In this sample, college and high school athletes were much more likely than junior high school athletes to have significant findings on sports. PPEs. These data cast uncertainty on the necessity of annual PPEs to screen athletes of junior high school age.
中学和大学运动员经常前往医生办公室进行运动参与检查（PPE）。然而，几乎没有数据可用于帮助确定进行此类检查的合理年龄范围。本研究的目的是确定初中、高中和大学年龄运动员中在运动PPE检查中有重大发现的运动员百分比。
对初级保健医生使用标准化表格进行的937例连续PPE检查进行分析。受试者为初中、高中和大学年龄的校际运动员。重大发现被定义为那些导致检查医生提出任何建议（即管理变更）的发现。
初中运动员的重大发现发生率为3.4%，高中运动员为15.4%，大学运动员为33.9%（P <.001）。被取消参加任何运动资格的运动员的总体百分比为1.7%，在各年龄组之间没有显著差异。
在本样本中，大学和高中运动员比初中运动员在运动PPE检查中出现重大发现的可能性要大得多。这些数据使得对初中年龄运动员进行年度PPE筛查的必要性产生了不确定性。
