Preparticipation Screening Practices in Different Health Institutions

Objective: Main purpose of preparticipation screening is to prevent sudden death of athletes. Although 14-item history and physical examination practice is suggested by all related international organisations, there is a divergency about implementation of ECG in preparticipation examination. Aim of this study is to investigate preparticipation screening practices in different health institutions. Materials and methods: A personal interview was applied to voluntary athletes who had preparticipation screening in last twelve months. Survey consisted of questions about the experience of athletes in preparticipation screening. Results: A total of 303 athletes included in the study. Most of the athletes admitted to family physician clinics (30.7%). A very high percentage of athletes (54.8%) had not been questioned about their personal or family health history. 40.3% of athletes had ECG tracing. History taking was the lowest in family medicine clinics (22.6%). Conclusion: Preparticipation screening was not standardized. History taking during preparticipation screening was very low. There is a need for a national preparticipation screening guideline.

Spora katılım öncesi değerlendirmede farklı sağlık kuruluşlarının tutumu

Amaç: Spora katılım öncesi değerlendirmenin (SKÖD) temel amacı sporcularda ani ölümü engellemektir. SKÖD'de 14 maddeden oluşan ayrıntılı tıbbi öykünün alınması ve fizik muayenenin yapılması konusunda uluslararası görüş birliği olmakla birlikte EKG tetkiki konusunda yaklaşım farkı bulunmaktadır. Gereç ve Yöntemler: Son 12 ay içerisinde sağlık birimlerinin herhangi birinde SKÖD'e alınan sporculardan gönüllü olanlar çalışmaya katıldı. Sporculara SKÖD deneyimleri ile ilgili sorulardan oluşan bir anket uygulandı. Bulgular: Çalışmaya 303 sporcu katıldı. SKÖD uygulanan sporcuların çoğu (%30,7) aile hekimliği sağlık birimlerine başvurmuştu. Sporcuların yarıdan fazlasına (%54,8) özgeçmiş ve aile öyküsü sorgulaması yapılmamıştı. Sporcuların yarıdan azına (%40,3) EKG tetkiki yapılmıştı. Aile hekimliği sağlık birimleri en az tıbbi öykü alan (22,6) birimlerdi. Sonuç: SKÖD uygulamaları standart değildir. SKÖD sırasında sporculardan ayrıntılı tıbbi öykü alma oranları çok düşüktür. SKÖD ile ilgili ulusal bir kılavuza ihtiyaç vardır.

Kaynakça

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