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March 2, 2010Annals of Internal MedicineOpen Access

Addition of ECG to preparticipation screening yields a cost-effectiveness ratio of $42 900 per life-year saved (95% CI, $21 200 to $71 300 per life-year saved) compared with cardiovascular-focused history and physical examination alone.

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Why the study?

Does 12-lead electrocardiography (ECG) plus cardiovascular-focused history and physical examination improve incremental health care cost per life-year gained in competitive athletes in high school and college aged 14 to 22 years?

Population

Competitive athletes in high school and college aged 14 to 22 years

Comparison

12-lead electrocardiography plus… vs Cardiovascular-focused history and physical…

Design

Other

Follow-up

Lifetime

Authors

MWMatthew T. Wheeler

Discussion

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Member takes

Overview

May support ECG addition to athlete screening; leaves open prospective outcome confirmation before practice change.

Structured PICO

Does 12-lead electrocardiography (ECG) plus cardiovascular-focused history and physical examination improve incremental health care cost per life-year gained in competitive athletes in high school and college aged 14 to 22 years?

P
Population
Competitive athletes in high school and college aged 14 to 22 years
I
Intervention
12-lead electrocardiography (ECG) plus cardiovascular-focused history and physical examination
C
Comparator
Cardiovascular-focused history and physical examination alone, or no screening
O
Outcome
Incremental health care cost per life-year gained

Adding a 12-lead ECG to standard history and physical examination for preparticipation screening in young athletes is a cost-effective strategy for preventing sudden cardiac death.

Limitations

  • Effectiveness data are derived from 1 major European study
  • Patterns of causes of sudden death may vary among countries

Cite This Study

Matthew T. Wheeler (2010) studied this question.

synapsesocial.com/papers/6a7cbb5daf9963c37728a293https://doi.org/10.7326/0003-4819-152-5-201003020-00005
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