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Advancing the preparticipation physical evaluation: an ACSM and FIMS joint consensus statement.
William O Roberts1, Herbert Löllgen, Gordon O Matheson
1*Department of Family Medicine and Community Health, Phalen Village Family Medicine Clinic, University of Minnesota, St Paul, Minnesota; †Hon.Pres.German Fed.Sports Medicine, Bermesgasse, Remscheid, Germany; ‡Department of Orthopaedic Surgery, Stanford School of Medicine, Stanford, California; §Department of Economics, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana; ¶Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada; ‖Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas; **University of Illinois at Chicago, Chicago, Illinois; ††The Goldberg Center for Community Pediatric Health, Children's National Medical Center, Washington, District of Columbia; ‡‡University of Chicago, Chicago, Illinois; §§Institute of Sports Medicine and Science, Rome, Italy; ¶¶FIMS, EFSMA, Kiewitstraat, Hasselt, Belgium; ‖‖Department of Sports and Physiological Performance, Centre for Sports Science and University Sports, of the University of Vienna, Vienna, Austria; and ***University of Rome "Foro Italico," Piazza Lauro de Bosis, Roma.
The preparticipation physical evaluation (PPE) lacks standardization, impacting its implementation. An electronic PPE system could improve data collection and streamline the process for athletes and healthcare providers.
Area of Science:
- Sports Medicine
- Preventive Cardiology
- Health Informatics
Background:
- Preparticipation physical evaluation (PPE) is widely accepted but lacks standardized usage and content.
- Implementation varies based on cost, access, participant factors, and mandates.
- Current screening relies on expert opinion, with no large-scale prospective data on outcomes.
Framework:
- Consensus exists on the essential role of history and physical exams for cardiac risk assessment.
- Electrocardiogram (ECG) screening is not routinely recommended but advised for increased-risk individuals.
- Areas of agreement can guide the development of a universally accepted PPE protocol.
Implementation:
- Costs are typically borne by athletes, families, or clubs.
- Electronic PPE systems, using human-centered design, offer potential for standardization and data collection.
- Mandatory PPE in many regions highlights the need for efficient, accessible systems.
Implications:
- An electronic PPE can create a comprehensive database for mandatory evaluations.
- It simplifies administration and allows remote access to clinical data.
- This system can generate crucial data for future prospective studies on PPE effectiveness.