Diagnostic yield and cost analysis of electrocardiographic screening in Swiss paediatric athletes.

Details

Serval ID
serval:BIB_515009627632
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Diagnostic yield and cost analysis of electrocardiographic screening in Swiss paediatric athletes.
Journal
Journal of science and medicine in sport
Author(s)
Albiński M., Saubade M., Menafoglio A., Meyer P., Capelli B., Perrin T., Trachsel L., Hagemeyer D., Casagrande D., Wilhelm M., Benaim C., Pirrello T., Albrecht S., Schmied C., Mivelaz Y., Tercier S., Baggish A., Gabus V.
ISSN
1878-1861 (Electronic)
ISSN-L
1878-1861
Publication state
Published
Issued date
04/2022
Peer-reviewed
Oui
Volume
25
Number
4
Pages
281-286
Language
english
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Abstract
Athletes performing sports on high level are at increased risk for sudden cardiac death. This includes paediatric athletes, even though data on screening strategies in this age group remain scarce. This study aimed to assess electrocardiogram interpretation criteria in paediatric athletes and to evaluate the cost of screening.
National, multicentre, retrospective, observational study on 891 athletes of paediatric age (<18 years) evaluated by history, physical examination and 12-lead electrocardiogram. The primary outcome measure was abnormal electrocardiogram findings according to the International Recommendations for Electrographic Interpretation in Athletes. The secondary outcome measure was cost of screening.
19 athletes (2.1%) presented abnormal electrocardiogram findings requiring further investigations, mainly abnormal T-wave inversion. These 19 athletes were predominantly males, performing endurance sports with a mean volume of 10 weekly hours for a mean duration of 6 years of training. Further investigations did not identify any relevant pathology. All athletes were cleared for competition with regular follow-up. Total costs of the screening were 108,860 USD (122 USD per athlete).
Our study using the International Recommendations for Electrographic Interpretation in Athletes identified a low count of abnormal findings in paediatric athletes, yet raising substantially the cost of screening. Hence, the utility of electrocardiogram-inclusive screening of paediatric athletes remains to be elucidated by longitudinal data.
Keywords
Adolescent, Athletes, Child, Costs and Cost Analysis, Death, Sudden, Cardiac/prevention & control, Electrocardiography, Heart Diseases/diagnosis, Humans, Male, Retrospective Studies, Switzerland, Screening, Sudden cardiac death
Pubmed
Open Access
Yes
Create date
09/02/2022 18:59
Last modification date
08/04/2022 6:36
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