INFLUENCING FOLLOW-UP RATES AFTER CARDIAC SCREENINGS IN STUDENT-ATHLETES: A 15-YEAR RETROSPECTIVE STUDY

Le résumé fourni par la source

ASCVD/CVD in Special Populations Cardiac screening in young athletes may detect abnormalities to prevent sudden cardiac death. A critical aspect is ensuring follow-up after screening. This study aimed to identify factors influencing follow-up rates after abnormal screening in a student heart check program (SHC). We performed a retrospective analysis of cardiac screening from a SHC program from 2007 to 2021. A subset of these followed up at Corewell Health. We analyzed follow-up information from participants' EMR at our institution and investigated factors associated with follow-up rates up to 5 years. Among 15,761 screenings (mean age 15.5 years), 1% (N=142) of students were told to stop playing (SP) and follow up, while 10% (N=1654) were told to continue playing (CP) with follow-up. Of those in the SP group, 30% (N=43) followed up at our institution, compared to 11% (N=180) of those in the CP group. Students in the SP group had significantly more follow-up visits at 1 year (p=0.013), 2 years (p=0.008), and 5 years (p=0.009) (Table 1). The most common findings after follow-up for the SP group were WPW (N=6), valvular insufficiency (N=5), and LVH (N=4). The most common findings after follow-up for the CP group were complete or incomplete RBBB (N=16), valvular regurgitation (N=24), LVH (N=9), premature ventricular contractions (N=8), and long QT interval (N=8). There were no mortalities noted in this cohort. Students advised to stop sports had significantly higher follow-up rates than those advised to continue playing. This trend was noted to continue long-term (5 years).

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.