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00005768-200305001-0175000005768_2003_35_s316_gagliardi_underserved_5miscellaneous< 18_0_5_0 >Medicine & Science in Sports & Exercise©2003The American College of Sports MedicineVolume 35(5) Supplement 1May 2003p S316THE PREVALENCE OF SIGNIFICANT MEDICAL CONDITIONS FOUND DURING THE PPE IN A MEDICALLY UNDERSERVED AREA[G-15K FREE COMMUNICATION/POSTER ATHLETE MEDICAL EVALUATION AND CARE]Gagliardi, A1; Gomez, J11University of Texas Health Science Center, San Antonio, Texas(Sponsor: Albert C. Hergenroeder, FACSM)PURPOSEThe specific goal of this study was to investigate the prevalence of significant medical conditions found during the PPE of athletes living in a medically underserved area of San Antonio.METHODSThe study consisted of a cross-sectional retrospective chart review of 2002 pre season PPE forms of middle and high school athletes.RESULTSOf the sample of 1423 athletes, 1336(94%) were of Hispanic ethnicity, 716(50.3%) were males, and 707(49.7%) were females. As a result of the initial PPE, 1080(75.9%) were cleared for participation, 342 (24.0%) required further evaluation, and 1(.07%) was disqualified. Of those requiring further evaluation, 206(60.2%) were ultimately cleared, 4 (11.6%) were disqualified, and 131(38.3%) remain unresolved. Significant medical conditions were reported in 691(48.6%) of students. The most frequent historical finding was a positive family history for cardiac death before age 50, 51 cases (3.6%), followed by a history of asthma, 44 cases (3.1%), and history of injury, 40 cases (2.8%). The most frequent physical exam finding was problems with dentition 147(10.3%), followed by obesity, 143(10.0%), and acanthosis nigricans, 128(9.0%). Of those requiring further evaluation, 185(54.1%) were referred for additional cardiac evaluation, 44(12.8%) were referred for additional orthopedic evaluation, and 36(10.5%) were referred for additional pulmonary evaluation.CONCLUSIONWhen compared to previous investigations, this study demonstrated comparable clearance and disqualification rates, but the rate of reported medical findings is significantly higher, as was the rate of findings which warranted further evaluation. Three months following the initial evaluation, the status of a significant number of students requiring further medical evaluation remained unresolved. We conclude that there is a great need for general medical care for Hispanic student athletes in San Antonio. Supported by The UTHSCSA Department of Pediatrics, IRB approval E-012–192.THE PREVALENCE OF SIGNIFICANT MEDICAL CONDITIONS FOUND DURING THE PPE IN A MEDICALLY UNDERSERVED AREAGagliardi, A; Gomez, JG-15K Free Communication/Poster Athlete Medical Evaluation and Care535