Abstract 17028: Screening Collegiate Athletes: The Reliability of the Preparticipation Survey. The Dartmouth College Athletic Screening Registry
Introduction: Screening for risk of sudden cardiac death in highly conditioned athletes is a requirement for all students prior to participation in an NCAA sanctioned sport. However, despite the American Heart Association’s recommendations on screening in competitive athletes, this process remains non-standardized with providers of various backgrounds screening the athletes. We assessed differences in screening between athlete’s primary care provider and a cardiologist directed sports medicine team.
Methods: All students prior to entering their first year of NCAA sport participation received the 14 item pre-enrollment survey with 10 history questions and 4 physical exam findings, endorsed by the AHA, to be completed by an outside provider. An enrollment survey was repeated by members of a cardiologist directed sports medicine team at the college health center with the addition of an ECG. We report on concordance and discordance between data reported on the 2 surveys.
Results: A total of 227 students were screened prior to the start of the 2015-2016 athletic season with an average age of 18 years. There were 66 positive answers to history questions obtained by the sports medicine team with negative responses provided by the primary care provider (Table). This included 13 positive responses to syncope/presyncope. The reverse was true for only 5 questions. Physical exam findings followed a similar pattern. Four abnormal ECGs were found on screening. Of the 4 abnormal ECGs, 3 were associated with a positive response by the sports medicine team and a negative response by the primary care provider.
Conclusions: An appointment for a pre-competition history and physical with providers trained and focused on athletic screening provides a very different perspective on the athlete’s risk of sudden cardiac death than information obtained from primary care providers and should become the standard of care.
Author Disclosures: T.A. Beaver: None. C.R. Russo: None. T.A. Purcell: None. D.J. Malenka: Consultant/Advisory Board; Modest; Anthem.
- © 2016 by American Heart Association, Inc.