Preparticipation Evaluation

Carek, Stephen; Edenfield, Katherine M.; Carek, Peter J.

doi:10.1016/j.pop.2019.10.001

Cited by 3 publications

(3 citation statements)

References 91 publications

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“…[ 1 ] It is recommended as a prerequisite preceding athletic participation, and most professional sport clubs, universities, and schools mandate a medical clearance for athletes before sport participation. [ 1 , 2 ] The main purpose of the PPE is to detect any injury or medical conditions that predispose athletes to risk during participation, assess the general condition and level of fitness of the athlete, and give counsel about any health-related issues. [ 3 , 4 , 5 ]…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practice of preparticipation physical evaluation of Saudi primary care physicians in the Eastern Province of Saudi Arabia

Bahamdan,

Amghais,

Shafey

et al. 2024

Journal of Family and Community Medicine

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BACKGROUND: The preparticipation physical evaluation (PPE) monograph is a vital resource for medical providers aimed at ensuring the safety and well-being of athletes during sports participation by screening for injuries and disease risk factors. However, the concept of PPE is relatively new in Saudi Arabia, where primary care physicians (PCPs) often lack the proper training for it. This study’s aim was to assess PCPs’ knowledge and practice of PPE and identify associated factors. MATERIALS AND METHODS: A self-administrated web-based questionnaire was distributed to PCPs in the Eastern Province of Saudi Arabia. The questionnaire covered the various aspects of PPE knowledge (including general principles, components, contraindications of sports participation, concerning history and physical findings, electrocardiography interpretations, and ethical considerations) as well as PPE practice. Initial treatment of data included descriptive statistics.; Chi-square tes or Fisher's exact test as, as appropriate, were used to determine association of knowledge and practices with various independent variables. RESULTS: Of the 240 contacted PCPs, 192 responded yielding a response rate of 80%; 50.5% had no prior PPE training. About 43% of the PCPs had not encountered PPE during their examination, but the remainder performed monthly PPE. Notably, 82.8% demonstrated a poor level of knowledge regarding PPE and only 43% had a satisfactory level of practice. CONCLUSION: This study revealed that a significant proportion of PCPs displayed poor knowledge of PPE and <½ of our sample showed satisfactory practice levels. Recommendations to establish the local guidelines regarding PPE for PCPs to follow should be emphasized and PPE training integrated into both undergraduate and postgraduate family medicine curricula. These measures are crucial for the enhancement of the safety of athletes in Saudi Arabia.

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Section: Introductionmentioning

confidence: 99%

Knowledge and practice of preparticipation physical evaluation of Saudi primary care physicians in the Eastern Province of Saudi Arabia

Bahamdan,

Amghais,

Shafey

et al. 2024

Journal of Family and Community Medicine

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“…3 However, there is little scientific evidence for the effectiveness and screening value of PHEs among elite athletes, 4,5 and its preventative effect on adverse health events is debatable. 6 Debatable factors in this case are components of the evaluation, [7][8][9] validity of the tests, [10][11][12] the predictive value to detect risk factors for developing injuries or diseases, [13][14][15][16] and costs. 7 Previous studies showed a high prevalence of detected conditions with PHEs, 17 such as self-reported problems in athletes, 18 conditions that needed surveillance or treatment in a substantial part of the studied population, 19 and high numbers of past injuries and still symptomatic injuries.…”

Section: Introductionmentioning

confidence: 99%

High Number of Medical Conditions Detected in Elite Athlete Periodic Health Evaluations, But Only Mild Consequences

Vries

Wiggers

Goedegebuure

et al. 2022

Clinical Journal of Sport Medicine

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“… 8 Because of the considerable variation, it has been challenging to study the efficacy of PPEs in preventing injuries and sudden death. 9 – 15 A uniform process for PPEs at the national, state, and local level would facilitate further research and outcome measures.…”

Section: Introductionmentioning

confidence: 99%

Increasing Primary Care Follow-up after Preparticipation Physical Evaluations

Kennedy

Comer

Young

et al. 2020

Pediatric Quality &Amp; Safety

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Background: Preparticipation physical evaluations (PPEs) strive to prevent injuries and sudden death in athletes. Ideally, the medical home is the best setting for completion. However, many school systems request large PPE screenings for their student-athletes. This quality-improvement project aimed to increase primary care provider (PCP) follow-up for athletes “cleared with recommendation” (CR) or “disqualified” (DQ) during our mass PPEs. Methods: Our team evaluated prior PPE data for athlete clearance and PCP follow-up for CR or DQ athletes. The prominent gaps in our PPEs were resident education, PCP or medical home identification, and communication. Our team implemented interventions during the 2018 PPEs to increase both CR and DQ athlete follow-up at the medical home. Results: Retrospective baseline data revealed that physicians categorized 11% (67/582) of athletes at our PPEs as CR or DQ. Of these athletes, the PCP and specialist follow-up rate was 13% (9/67). Our process changed to enhance athlete follow-up, but the rate only increased slightly to 15% (18/120). Medical home identification improved. Successful interventions included resident education, medical home identification, and increased communication. Conclusions: Despite our interventions, this quality-improvement initiative was unsuccessful in reaching the aim. This project found small achievements in educational opportunities, improved documentation, medial home identification for student-athletes, and lead to local changes in our standard operating procedures. Although our aim was ambitious, 100% athlete follow-up with the PCP or medical home ensures athletic safety and decreases liability for all.

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Preparticipation Evaluation

Cited by 3 publications

References 91 publications

Knowledge and practice of preparticipation physical evaluation of Saudi primary care physicians in the Eastern Province of Saudi Arabia

Knowledge and practice of preparticipation physical evaluation of Saudi primary care physicians in the Eastern Province of Saudi Arabia

High Number of Medical Conditions Detected in Elite Athlete Periodic Health Evaluations, But Only Mild Consequences

Increasing Primary Care Follow-up after Preparticipation Physical Evaluations

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