意大利竞技运动员的参与前查:从大型数据库中分析现实实践
Germano Gaggioli1, Michele Brignole1,2, Davide Poggi1
1Department of Cardiology and Sport Medicine, CDS Multispecialistic Clinics, via Balleydier 7, 16149, Genoa, Italy.
European journal of preventive cardiology
|July 29, 2025
概括
竞技运动员的参与前查 (PPS) 显示,随着年龄的增长,异常发现越来越多,特别是在大师赛中. 体育医生在解释心电图方面表现出差异,影响了资源使用.
科学领域:
- 运动医学 运动医学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 参与前查 (PPS) 对于识别竞技运动员的健康风险至关重要.
- 年龄是影响运动员健康结果的重要因素.
- 了解PPS中的资源利用对于医疗保健效率至关重要.
研究的目的:
- 评估PPS在不同年龄组的结果和资源利用情况:年轻 (≤18岁),成年 (19-34岁) 和大师 (≥35岁) 竞争运动员.
- 为了确定与年龄相关的异常发现和心脏诊断的患病率.
- 分析查调查的成本效益.
主要方法:
- 在26个体育医学中心从2018年至2024年间对111,062个PPS记录进行了回顾性分析.
- 包括来自青年,成人和大师类别的运动员.
- 对查结果,所需调查和相关成本的分析.
主要成果:
- 92.4%的运动员在初始查后被清除;7.6%需要进一步调查.
- 异常发现和心脏诊断的患病率随年龄增加 (0.06%的年轻人,0.12%的成年人,1.19%的主人).
- 每个PPS的平均成本因年龄组而异 (年轻人60欧元,成年人62欧元,士107欧元).
结论:
- 随着年龄的增长,PPS中的异常发现逐渐增加,特别是在运动大师中.
- 体育医生在解释心电图方面存在显著的差异,影响查途径.
- 年龄特定的风险分层和标准化解释协议可以优化PPS.
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