Heat illness symptom index (HISI): a novel instrument for the assessment of heat illness in athletes

Southern Medical Journal
Eric Emmanuel CorisRichard G Roetzheim

Abstract

Heatstroke is the third leading cause of death in athletics, and an important cause of morbidity and mortality in exercising athletes. There is no current method, however, for identifying milder forms of heat illness. In this pilot study, we sought to develop and provide initial validation for a Heat Illness Symptom Index scale (HISI) that would facilitate research in the assessment of milder forms of heat illness in athletes. The study was designed as a multimodal prospective observational study of Division I football players during twice daily practices in southern Florida. We developed a 13-item scale that assessed symptoms that are suspected to occur during milder forms of heat illness. The resultant scale was assessed for reliability using Cronbach's alpha, and was assessed for construct validity by correlating scale scores with factors that are known to be related to heat illness. HISI scores, as well as data on perceived exertion, player position, and pre and post practice weights were collected from 95 athletes participating in late summer football practices. A total of 557 athlete sessions were analyzed. The mean score on the heat illness symptom scale was 12.1 (SD 13.8) and the median value was 8.0. Cronbach's alpha c...Continue Reading

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May 31, 2012·International Archives of Occupational and Environmental Health·A P HuntI B Stewart
Apr 26, 2006·Southern Medical Journal·Randy Wexler
May 13, 2009·Southern Medical Journal·Eric E CorisMichele Pescasio
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