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1.
Med Sci Sports Exerc ; 50(5S): 351-352, May 2018.
Artigo em Inglês | MedCarib | ID: biblio-1007837

RESUMO

Background: Medical utilisation and contacts at amateur/international sporting events is an accepted phenomenon, as evidenced by mandatory medical coverage requirements for major events. There is little data however, on the volume and type of contacts expected outside of elite sport. This may lead to inefficient resource allocation and pose challenges to organisers in planning and delivery of medical services. In addition, data on contacts may assist in targeted preventative strategies. Objectives: We aimed to measure resource utilisation at the largest international aquatic sporting event in the hemisphere. We also aimed to measure epidemiological data including the type, location, sporting discipline and outcomes of medical contacts during the event. Methods: This was a prospective observational study conducted under the auspices of the organising committee of the XXX Confederation Centroamericana y del Caribe de Natacion (CCCAN) championships held in Trinidad & Tobago. Anonymised data was collected from event medical contact records, screening and voluntarily reported contacts by team medical staff (for individuals who did not visit event medical staff). We excluded contacts by spectators. Data was collected over a 12 day competition period. Descriptive analysis was undertaken using Microsoft Excel. Injury incidence rate (IR; number of injuries per 1000 athlete-days) and injury incidence proportion (IP; injuries per 100 athletes) were calculated. Results: There was a total of 5037 athlete/official days. There were 110 medical contacts for the event, with 80 occurring in athletes (72.7%). A significant number of non-sport related contacts was observed (60% of total) with a high number of complaints related to exhaustion and inadequate hydration. This was independent of country of origin. Acute gastroenteritis, ear and sinus infections were within expected frequencies. No EMS usage was necessary, and hospital transfers were for diagnostics in all cases. Open water swimming was associated with the most contacts, followed by water polo and swimming. Two-thirds of hospital transfers were for water polo associated injury. There were a total of 54 sport related contacts in 3956 athlete days (IR 13.65 injuries per 1000 athlete-days with an injury incidence proportion, IP; of 6.5 per 100 athletes). Conclusions: Planning for aquatic events must take into consideration non-sport as well as competition related complaints. This study gives important information on medical utilisation for future event planning.


Assuntos
Humanos , Masculino , Feminino , Medicina Esportiva , Trinidad e Tobago , Esportes Aquáticos , Região do Caribe
2.
In. Faculty of Medical Sciences. Faculty Research Day, Book of Abstracts. St. Augustine, The University of the West Indies, November 9, 2017. .
Não convencional em Inglês | MedCarib | ID: biblio-1007496

RESUMO

Background: Open water swimming is one of the fastest growing mass participation sports worldwide. Analysis of triathlon deaths and cardiac arrests have shown that 75% of these occur in the swimming leg. Less than half had autopsy evidence of cardiac disease, and swimming ability or medical conditions do not appear responsible. Mandatory pre-competition clinical screening has been traditionally promoted in open water swimming to identify athletes at risk of illness or death during competition. The variable nature of this screening however, may not be useful in identifying at risk individuals. Objectives: We aimed to determine whether the presence of pre-existing medical conditions or abnormalities discovered on clinical screening [blood pressure (BP), heart rate (HR), auscultation of heart and lungs and apical palpation] predicted either failure to complete the race or the need for medical contact. Methods: We collected screening and competition data from participants in the two largest regional Open Water competitions in 2017 ­ including international (CCCAN) and mixed ability (ASATT Maracas) athletes. Anonymised data on event medical contacts, failure to finish and screening were analysed, with descriptive results and risk ratios calculated using MedCalc statistical software. Age adjusted values for BP and HR outside the 90th centile was considered abnormal. Results: Overall, 410 athletes participated for which data was available for 400 (mean age 17.9 years, range 7-79; 58% male). There were 30 medical contacts, of which 22 were unable to complete the race. There was no significant sex difference in those unable to complete. The majority of contacts was for the 10k race (60%) with the 5k (23%) the next most common. The most common reason for non-completion was exhaustion. Three scratched due to illness on competition day. 21 athletes were asthmatic, and 2 had cardiac murmurs, however all completed their respective races and none required any medical contact. Asthma (RR 0.3, p=0.39), abnormal physiological measurements (RR 1.32, p=0.84) and other medical conditions (RR 0.94, p=0.96) did not appear predictive. Current illness was the only significant predictor of failure to complete or medical contact. (RR 6.67; 95% CI 2.36 -18.84), however a larger sample may be necessary to show significance. Conclusions: There is much variability in pre-competition screening for Open Water swimming, as with other sports. Intuitively, only current illness predicts failure to complete/medical contact, although it is unclear whether this can be used as a surrogate for athletes at risk of more serious sequelae. Pre-existing medical conditions such as asthma do not appear to be contributory to non-completion, nor does moderately abnormal physiological measurements. Given that cardiac arrythmias or structural abnormalities are implicated in some deaths during open water swimming, adding resting electrocardiography and possible echocardiography to pre-participation medical examination may be reasonable, however the effectiveness of this strategy is disputed. There appears to be little benefit in clinical screening immediately prior to competition, with a more thorough, structured pre-training examination likely to be superior.


Assuntos
Humanos , Masculino , Feminino , Cobertura de Condição Pré-Existente , Medicina Esportiva , Natação , Trinidad e Tobago
3.
4.
BAMP bulletin ; (124): 7, Sept.-Oct. 1990.
Artigo em Inglês | MedCarib | ID: med-4889
5.
In. Fraser, Henry S; Hoyos, Michael D. Problems in adolescent medicine in the Caribbean. St. Michael, University of the West Indies (Cave Hill). Faculty of Medical Sciences, 1983. p.91-3.
Monografia em Inglês | MedCarib | ID: med-9711
6.
In. Fraser, Henry S; Hoyos, Michael D. Problems in adolescent medicine in the Caribbean. St. Michael, University of the West Indies (Cave Hill). Faculty of Medical Sciences, 1983. p.69-74.
Monografia em Inglês | MedCarib | ID: med-9715
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