Rifat S F, Ruffin M T, Gorenflo D W
Rochester Knee and Sports Medicine, P.C., Rochester Hills, Michigan 48309, USA.
J Fam Pract. 1995 Jul;41(1):42-50.
This study was undertaken to demonstrate the relative frequency of disqualifying criteria in a complete history and physical sports examination.
A review was conducted of 2574 preparticipation physical evaluations (PPEs) performed on 11- to 18-year-old student athletes to determine which factors are associated with denial of unrestricted sports participation.
Eighty-five percent of the student athletes passed the screening. Of those who did not, the denial decision was based on the medical history alone in 58% of cases (P < .05). A logistic regression analysis identified seven items associated with denial: dizziness with exercise, history of asthma, body mass index, systolic blood pressure, visual acuity, heart murmur, and musculoskeletal examination.
Although physicians often take a complete history and perform physical examinations, relatively few variables appear related to denial of eligibility for participation in organized sports. The history is one of the most important aspects of the PPE. A directed PPE may be more efficient, thereby allowing more time to address other important issues.
本研究旨在阐明完整的病史和体育体格检查中不符合参赛标准的相对频率。
对11至18岁学生运动员进行的2574次参赛前体格检查（PPE）进行回顾，以确定哪些因素与拒绝无限制参加体育活动相关。
85%的学生运动员通过了筛查。在未通过筛查的运动员中，58%的拒绝参赛决定仅基于病史（P <.05）。逻辑回归分析确定了与拒绝参赛相关的七个项目：运动时头晕、哮喘病史、体重指数、收缩压、视力、心脏杂音和肌肉骨骼检查。
尽管医生经常进行完整的病史询问和体格检查，但似乎只有相对较少的变量与拒绝参加有组织体育活动的资格相关。病史是PPE最重要的方面之一。有针对性的PPE可能更有效，从而有更多时间处理其他重要问题。
