Risk Stratification for Athletes and Adventurers in High-Altitude Environments: Recommendations for Preparticipation Evaluation
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- 作者：Aaron D. Campbell ; MD ; MHS<sup>asup><sup> ; sup><sup>aaroncampbell100@gmail.com" class="auth_mail" title="E-mail the corresponding authorsup> ; Scott E. McIntosh ; MD ; MPH<sup>bsup> ; Andy Nyberg ; MD<sup>bsup> ; Amy P. Powell ; MD<sup>csup> ; Robert B. Schoene ; MD<sup>dsup> ; Peter Hackett ; MD<sup>esup>
- 关键词：preparticipation evaluation ; altitude ; chronic disease AND altitude ; wilderness sports ; wilderness athlete
- 刊名：Wilderness & Environmental Medicine
- 出版年：2015
- 出版时间：December 2015
- 年：2015
- 卷：26
- 期：4_supp_S
- 页码：30-39
- 全文大小：178 K
文摘
High-altitude athletes and adventurers face a number of environmental and medical risks. Clinicians often advise participants or guiding agencies before or during these experiences. Preparticipation evaluation (PPE) has the potential to reduce risk of high-altitude illnesses in athletes and adventurers. Specific conditions susceptible to high-altitude exacerbation also important to evaluate include cardiovascular and lung diseases. Recommendations by which to counsel individuals before participation in altitude sports and adventures are few and of limited focus. We reviewed the literature, collected expert opinion, and augmented principles of a traditional sport PPE to accommodate the high-altitude wilderness athlete/adventurer. We present our findings with specific recommendations on risk stratification during a PPE for the high-altitude athlete/adventurer.