Matches in SemOpenAlex for { <https://semopenalex.org/work/W4206790613> ?p ?o ?g. }
Showing items 1 to 70 of
70
with 100 items per page.
- W4206790613 abstract "Introduction: The death of young athletes is devastating to families and communities. Despite routine pre-participation screening, 80–100/yr die or suffer cardiac arrest, with 65% occurring in high school athletes. AHA/ACC recommendations for pre-participation screening do not include routine electrocardiogram (ECG), in contrast to some international guidelines. Methods: We designed a pilot study to test feasibility of a larger trial, scaled to 1% of the estimated 800,000 participants required to power for detection of sudden death/arrest. Athletes and band members enrolled in eight high schools in two Texas school districts were randomized in block fashion to standard screening alone versus the addition of ECG. ECGs were interpreted using CardeaScreen software, over-read by an independent expert. Students with abnormal ECGs received cardiology evaluation at no cost. Text messages assessing for cardiac events or hospitalizations were sent to both groups biannually. Results: Of the ~8,000 eligible students, the intervention group enrolled 847 students who received ECG (21%); the non-intervention group enrolled 655 students (16%). CardeaScreen identified 20 of 847 ECGs as abnormal (2.4%) and the expert identified 19 as abnormal (2.2%) Six of 20 ECGs (30%) identified as abnormal by CardeaScreen were over-read as normal, and 5 of 827 ECGs (0.6%) identified as normal by CardeaScreen were over-read as abnormal (PPV 70%, NPV 99.4%). Twenty-five follow up visits were attempted, 22 were completed (88%), and specialist referrals were sent for 6 (29%). New diagnoses included Wolf-Parkinson-White syndrome, coronary anomaly, and depressed LV function. Follow up with SMS surveys yielded 737 responses at 6 months and 441 responses at 16 months. No sudden cardiac death or arrest was reported. Conclusion: Randomized ECG testing and follow-up of high school students is feasible, though with low enrollment and relatively low yield. Automated ECG interpretation is viable but leads to significant false + results. Low participation in enrollment and follow up present challenges to a large-scale ECG screening study powered for clinical events. Possible solutions include an “opt-out” enrollment strategy and use of alternate follow up methods such as social media." @default.
- W4206790613 created "2022-01-25" @default.
- W4206790613 creator A5008035764 @default.
- W4206790613 creator A5012810896 @default.
- W4206790613 creator A5022787593 @default.
- W4206790613 creator A5031195893 @default.
- W4206790613 creator A5034909515 @default.
- W4206790613 creator A5037121463 @default.
- W4206790613 creator A5041919553 @default.
- W4206790613 creator A5047604897 @default.
- W4206790613 creator A5047742063 @default.
- W4206790613 creator A5048791014 @default.
- W4206790613 creator A5061856321 @default.
- W4206790613 creator A5006890981 @default.
- W4206790613 date "2018-11-06" @default.
- W4206790613 modified "2023-09-29" @default.
- W4206790613 title "Abstract 17082: ECG Screening in North Texas High School Students: A Randomized, Pilot Feasibility Study" @default.
- W4206790613 doi "https://doi.org/10.1161/circ.138.suppl_1.17082" @default.
- W4206790613 hasPublicationYear "2018" @default.
- W4206790613 type Work @default.
- W4206790613 citedByCount "0" @default.
- W4206790613 crossrefType "journal-article" @default.
- W4206790613 hasAuthorship W4206790613A5006890981 @default.
- W4206790613 hasAuthorship W4206790613A5008035764 @default.
- W4206790613 hasAuthorship W4206790613A5012810896 @default.
- W4206790613 hasAuthorship W4206790613A5022787593 @default.
- W4206790613 hasAuthorship W4206790613A5031195893 @default.
- W4206790613 hasAuthorship W4206790613A5034909515 @default.
- W4206790613 hasAuthorship W4206790613A5037121463 @default.
- W4206790613 hasAuthorship W4206790613A5041919553 @default.
- W4206790613 hasAuthorship W4206790613A5047604897 @default.
- W4206790613 hasAuthorship W4206790613A5047742063 @default.
- W4206790613 hasAuthorship W4206790613A5048791014 @default.
- W4206790613 hasAuthorship W4206790613A5061856321 @default.
- W4206790613 hasConcept C126322002 @default.
- W4206790613 hasConcept C168563851 @default.
- W4206790613 hasConcept C1862650 @default.
- W4206790613 hasConcept C187212893 @default.
- W4206790613 hasConcept C194828623 @default.
- W4206790613 hasConcept C2775935837 @default.
- W4206790613 hasConcept C2778550298 @default.
- W4206790613 hasConcept C2781054738 @default.
- W4206790613 hasConcept C71924100 @default.
- W4206790613 hasConceptScore W4206790613C126322002 @default.
- W4206790613 hasConceptScore W4206790613C168563851 @default.
- W4206790613 hasConceptScore W4206790613C1862650 @default.
- W4206790613 hasConceptScore W4206790613C187212893 @default.
- W4206790613 hasConceptScore W4206790613C194828623 @default.
- W4206790613 hasConceptScore W4206790613C2775935837 @default.
- W4206790613 hasConceptScore W4206790613C2778550298 @default.
- W4206790613 hasConceptScore W4206790613C2781054738 @default.
- W4206790613 hasConceptScore W4206790613C71924100 @default.
- W4206790613 hasIssue "Suppl_1" @default.
- W4206790613 hasLocation W42067906131 @default.
- W4206790613 hasOpenAccess W4206790613 @default.
- W4206790613 hasPrimaryLocation W42067906131 @default.
- W4206790613 hasRelatedWork W178302232 @default.
- W4206790613 hasRelatedWork W1895031273 @default.
- W4206790613 hasRelatedWork W2018794923 @default.
- W4206790613 hasRelatedWork W2086478368 @default.
- W4206790613 hasRelatedWork W234228964 @default.
- W4206790613 hasRelatedWork W2588559544 @default.
- W4206790613 hasRelatedWork W2678799217 @default.
- W4206790613 hasRelatedWork W2771816402 @default.
- W4206790613 hasRelatedWork W2961273032 @default.
- W4206790613 hasRelatedWork W326653703 @default.
- W4206790613 hasVolume "138" @default.
- W4206790613 isParatext "false" @default.
- W4206790613 isRetracted "false" @default.
- W4206790613 workType "article" @default.