Why the study?
Does electrocardiogram (ECG) screening during athletic preparticipation physical examinations effectively and cost-efficiently identify cardiac abnormalities capable of causing sudden cardiac death in public high school athletes?
Population
Public high school athletes (modeled population, assumed 18.4% African American).
Design
Other
Authors
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False-positive ECGs drive nearly all screening costs in high school athletes; leaves open whether refined criteria improve efficiency.
Does electrocardiogram (ECG) screening during athletic preparticipation physical examinations effectively and cost-efficiently identify cardiac abnormalities capable of causing sudden cardiac death in public high school athletes?
Mass ECG screening in public high school athletes is a costly strategy with low positive predictive value, driven primarily by the high cost of evaluating false-positive results.
O’Connor et al. (2010) studied this question.
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