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

Albiński, Maciej K.; Saubade, Mathieu; Menafoglio, Andrea; Meyer, Philippe; Capelli, Bruno; Perrin, Tilman; Trachsel, Lukas Daniel; Hagemeyer, Daniel; Casagrande, Damien; Wilhelm, Matthias; Bénaïm, Charles; Pirrello, Tony; Albrecht, Silvia; Schmied, Christian Marc; Mivelaz, Yvan; Tércier, Stéphane; Baggish, Aaron L.; Gabus, Vincent (2022). Diagnostic yield and cost analysis of electrocardiographic screening in Swiss paediatric athletes Journal of Science and Medicine in Sport, 25(4), pp. 281-286. Elsevier 10.1016/j.jsams.2021.11.039

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Objectives: 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. Methods: 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. Results: 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). Conclusions: 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.

Item Type:

Journal Article (Original Article)

Division/Institute:

Swiss Federal Institute of Sports Magglingen SFISM > EHSM - Leistungssport > Sportmedizin

Name:

Albiński, Maciej K.;
Saubade, Mathieu;
Menafoglio, Andrea;
Meyer, Philippe;
Capelli, Bruno;
Perrin, Tilman;
Trachsel, Lukas Daniel;
Hagemeyer, Daniel;
Casagrande, Damien;
Wilhelm, Matthias;
Bénaïm, Charles;
Pirrello, Tony;
Albrecht, Silvia;
Schmied, Christian Marc;
Mivelaz, Yvan;
Tércier, Stéphane;
Baggish, Aaron L. and
Gabus, Vincent

Subjects:

R Medicine > RC Internal medicine > RC1200 Sports Medicine

ISSN:

1440-2440 (Print) 1878-1861 (Online)

Publisher:

Elsevier

Language:

English

Submitter:

Admin import user

Date Deposited:

18 May 2022 08:49

Last Modified:

18 May 2022 08:49

Publisher DOI:

10.1016/j.jsams.2021.11.039

PubMed ID:

34895837

Uncontrolled Keywords:

Athletes Child Electrocardiography Screening Sudden cardiac death

ARBOR DOI:

10.24451/arbor.16840

URI:

https://arbor.bfh.ch/id/eprint/16840

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