TY - JOUR
T1 - Advancing the preparticipation physical evaluation
T2 - An ACSM and FIMS joint consensus statement
AU - Roberts, William O.
AU - Löllgen, Herbert
AU - Matheson, Gordon O.
AU - Royalty, Anne B.
AU - Meeuwisse, Willem H.
AU - Levine, Benjamin
AU - Hutchinson, Mark R.
AU - Coleman, Nailah
AU - Benjamin, Holly J.
AU - Spataro, Antonio
AU - Debruyne, André
AU - Bachl, Norbert
AU - Pigozzi, Fabio
N1 - Publisher Copyright:
Copyright © 2014 American College of Sports Medicine and Fédération Internationale du Médicine du Sport. All rights reserved.
PY - 2014
Y1 - 2014
N2 - While the preparticipation physical evaluation (PPE) is widely accepted, its usage and content are not standardized. Implementation is affected by cost, access, level of participation, participant age/sex, and local/regional/national mandate. Preparticipation physical evaluation screening costs are generally borne by the athlete, family, or club. Screening involves generally agreed-upon questions based on expert opinion and tested over decades of use. No large-scale prospective controlled tracking programs have examined PPE outcomes. While the panel did not reach consensus on electrocardiogram (ECG) screening as a routine part of PPE, all agreed that a history and physical exam focusing on cardiac risk is essential, and an ECG should be used where risk is increased. The many areas of consensus should help the American College of Sports Medicine and Fédération Internationale du Médicine du Sport in developing a universally accepted PPE. An electronic PPE, using human-centered design, would be comprehensive, would provide a database given that PPE is mandatory in many locations, would simplify PPE administration, would allow remote access to clinical data, and would provide the much-needed data for prospective studies in this area.
AB - While the preparticipation physical evaluation (PPE) is widely accepted, its usage and content are not standardized. Implementation is affected by cost, access, level of participation, participant age/sex, and local/regional/national mandate. Preparticipation physical evaluation screening costs are generally borne by the athlete, family, or club. Screening involves generally agreed-upon questions based on expert opinion and tested over decades of use. No large-scale prospective controlled tracking programs have examined PPE outcomes. While the panel did not reach consensus on electrocardiogram (ECG) screening as a routine part of PPE, all agreed that a history and physical exam focusing on cardiac risk is essential, and an ECG should be used where risk is increased. The many areas of consensus should help the American College of Sports Medicine and Fédération Internationale du Médicine du Sport in developing a universally accepted PPE. An electronic PPE, using human-centered design, would be comprehensive, would provide a database given that PPE is mandatory in many locations, would simplify PPE administration, would allow remote access to clinical data, and would provide the much-needed data for prospective studies in this area.
KW - Electronic PPE
KW - PPE costs
KW - PPE research
KW - Screening strategies
UR - http://www.scopus.com/inward/record.url?scp=84927670492&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84927670492&partnerID=8YFLogxK
U2 - 10.1097/JSM.0000000000000168
DO - 10.1097/JSM.0000000000000168
M3 - Article
C2 - 25347259
AN - SCOPUS:84927670492
SN - 1050-642X
VL - 24
SP - 442
EP - 447
JO - Clinical Journal of Sport Medicine
JF - Clinical Journal of Sport Medicine
IS - 6
ER -