Implementing a Standardized Cardiac Protocol for the Adolescent Preparticipation Sports Examination

Area of Science:

• Cardiology
• Sports Medicine
• Public Health

Background:

• American Heart Association guidelines recommend preparticipation screening for cardiovascular abnormalities in adolescent athletes.
• Standardized protocols are crucial for identifying potential cardiac risks before sports participation.

Purpose of the Study:

• To implement and evaluate a standardized protocol for cardiovascular screening during athletic physical examinations.
• The goal was to increase the identification rate of cardiovascular abnormalities in adolescent athletes.

Main Methods:

• A rapid-cycle improvement model with four Plan-Do-Study-Act cycles was employed in two urgent care clinics.
• A cardiovascular-specific screening checklist was utilized, alongside parent engagement and team activities.
• Outcomes were assessed through chart audits and surveys.

Main Results:

• The intervention resulted in 62% of athletes being screened for cardiovascular abnormalities.
• A significant 29% of screened athletes were identified as having a cardiovascular risk.
• Patient and team satisfaction increased by 3% and 62.5%, respectively.

Conclusions:

• A standardized cardiovascular screening checklist is effective and sustainable for identifying risks in adolescent athletes.
• The protocol can be successfully implemented and duplicated in various clinical settings.
• This initiative enhances the identification of critical cardiovascular conditions in young athletes.