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Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
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Improving Concussion Data
August 18, 2017
The Michigan High School Athletic Association’s 750 member high schools reported nearly 500 fewer concussions for the 2016-17 school year than the year before – 11 percent fewer.
That’s good news, but it’s not a trend we can bank on. It’s too soon to do that. There are too many variables that might explain or contribute to the decline from 4,452 to 3,958 concussions.
Related Story | 2016-17 Summary Report
But of this we are certain: Schools are taking head injuries seriously. It is not a lack of concern or a lack of care in reporting that has led to the 11 percent decline.
It’s more likely the second year’s data is just better than the first year. The process was better understood. The numbers are more accurate.
Our data will become most reliable and useful when we have several years to compare and analyze. Only then will we really know where the trouble spots remain; and only then can those areas be most effectively addressed.