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Assessing the utility of yearly pre-season laboratory screening for athletes on a major professional sports team.

التفاصيل البيبلوغرافية
العنوان: Assessing the utility of yearly pre-season laboratory screening for athletes on a major professional sports team.
المؤلفون: Darche JP; Department of Family Medicine, University of Kansas Medical Center, USA., Murray MJ; Department of Family Medicine Research Division, University of Kansas Medical Center, USA. Electronic address: mmurray6@kumc.edu., Bridges KM; Department of Family Medicine Research Division, University of Kansas Medical Center, USA., Noland J; Department of Family Medicine, University of Kansas Medical Center, USA., Greiner KA; Department of Family Medicine, University of Kansas Medical Center, USA; Department of Family Medicine Research Division, University of Kansas Medical Center, USA.
المصدر: Journal of science and medicine in sport [J Sci Med Sport] 2019 Apr; Vol. 22 (4), pp. 484-487. Date of Electronic Publication: 2018 Nov 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Australia Country of Publication: Australia NLM ID: 9812598 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-1861 (Electronic) Linking ISSN: 18781861 NLM ISO Abbreviation: J Sci Med Sport Subsets: MEDLINE
أسماء مطبوعة: Publication: Victoria : Elsevier Australia
Original Publication: Belconnen : Sports Medicine Australia, [1998?-
مواضيع طبية MeSH: Clinical Laboratory Techniques/*trends , Diagnostic Tests, Routine/*trends , Mass Screening/*trends , Sports Medicine/*methods, Athletes ; Electrocardiography ; Humans ; Retrospective Studies
مستخلص: Objectives: Professional athletes undergo annual pre-season laboratory screening, although clinical evidence supporting the practice is limited and no uniform set of guidelines on pre-season laboratory screening exists. The aim of this study was to assess the clinical value of annual pre-season laboratory screening tests for a major professional sports team over multiple years.
Design: Retrospective chart review.
Methods: A retrospective analysis was performed of all laboratory results as well as screening ECGs for a single major professional sports team over a 9-year timeframe (2009-2017).
Results: The data show that 10.01% of initial screening test results were abnormal and 40.32% of abnormal tests resulted in additional testing. Overall, only 0.35% of initial tests resulted in a clinically significant outcome. Non-US born players showed a significantly higher average rate of abnormal tests/year compared to US-born players (p-value 0.006), but there was no difference in clinically significant outcomes. There was no relationship between athlete age and laboratory screening outcomes.
Conclusions: In our study population, yearly pre-season laboratory screening of professional athletes did not yield substantial clinically significant outcomes and would not be warranted under normal clinical standards. Future best practice guidelines should combine research concerning effects of family medical history, race, gender, country of origin, and type of sport on athlete health when creating recommendations for which pre-season laboratory screenings may be pertinent even with evidence of little utility.
(Copyright © 2018 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Best practice guidelines; Immunization; Preparticipation physicals; Sickle cell trait; Sudden cardiac death
تواريخ الأحداث: Date Created: 20181117 Date Completed: 20191009 Latest Revision: 20191010
رمز التحديث: 20240628
DOI: 10.1016/j.jsams.2018.10.011
PMID: 30442547
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-1861
DOI:10.1016/j.jsams.2018.10.011