Jordaan, Esmé R.Sewry, NicolaSchwellnus, MP2021-01-072021-01-072020Jordaan, E. R. et al. (2020). Pre-race screening and stratification predicts adverse events—A 4-year study in 29585 ultra-marathon entrants, SAFER X. Scandinavian Journal of Medicine and Science in Sports ,30(7), 1205-12111600-083810.1111/sms.13659http://hdl.handle.net/10566/5595Pre-race screening and risk stratification in recreational endurance runners may predict adverse events (AEs) during a race. Aim: To determine if pre-race screening and risk stratification predict AEs during a race. Methods: A total of 29 585 participants (Male 71.1%, average age = 42.1 years; Female 28.9%, average age = 40.2 years) at the Two Oceans ultra-marathon races (56 km) completed a pre-race medical screening questionnaire and were risk stratified into four pre-specified groups [very high risk (VHR; existing cardiovascular disease–CVD:3.2%), high risk (HR; risk factors for CVD:10.5%), intermediate risk (IR; existing other chronic disease, medication use or injury:53.3%), and low risk (LR:33.0%)]. Race starters, finishers, and medical encounters (ME) were recorded. Did-not-start (DNS) rate (per 1000 entrants that did-not-start), did-not-finish (DNF) rate (per 1000 starters that did-not-finish), AE rate [per 1000 starters that either DNF or had an ME], and ME rate (per 1000 starters with an ME) were compared across risk categories. Results: Adverse events were significantly higher (per 1000 starters; 95%CI) in the VHR (68.9; 52.4-89.9:P =.0407) compared with the LR (51.3; 46.5-56.7).enEpidemiologyMedical screeningPre-race screeningRisk stratificationRunningPre-race screening and stratification predicts adverse events—A 4-year study in 29585 ultra-marathon entrants, SAFER XArticle