Profile of Patients With Acute Low Back Pain Who Sought Emergency Departments
| Autor: | Angela Augusto Inácio, Lucíola da Cunha Menezes Costa, Flávia Cordeiro Medeiros, Fernando Benvenuto, Andressa Santos Palomo, Leonardo Oliveira Pena Costa, Adriane Aver Vanin, Diego Galace de Freitas, Thayane Araújo Matos da Cunha, Thiago Yukio Fukuda, Renan Kendy Ananias Oshima, Indiara Soares Oliveira |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study MEDLINE 03 medical and health sciences 0302 clinical medicine Work status Surveys and Questionnaires Humans Medicine Disabled Persons Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Acute low back pain Depression (differential diagnoses) Pain Measurement 030222 orthopedics business.industry Effective management Evidence-based medicine Middle Aged Prognosis Acute Pain Cross-Sectional Studies Physical therapy Female Neurology (clinical) Emergency Service Hospital business Low Back Pain Brazil 030217 neurology & neurosurgery |
| Zdroj: | Spine. 45:E296-E303 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000003253 |
| Popis: | Study design A cross-sectional study. Objective The aim of this study is to describe the profile of patients with acute low back pain (LBP) who sought emergency departments (EDs) in Brazilian public hospitals. We also described the profile of these patients according to the STarT Back Screening Tool (SBST). Summary of background data LBP is the most common musculoskeletal condition worldwide and is one of the main complaints in EDs. There is a lack of evidence describing the profile of these patients from low- to middle-income countries. Methods This is a cross-sectional study involving patients with a new episode of nonspecific acute LBP that was conducted between August 2014 and August 2016. Variables related to clinical, psychological, sociodemographic and work status characteristics were investigated through structured, in-person oral questionnaire. Results A total of 600 patients were included in the study. The majority of the patients were women (58%), with a median of eight points on pain intensity (measured on an 11-point scale) and 17 points on disability (measured on a 24-item questionnaire). With regards to the SBST evaluation, 295 (49.2%) patients were classified as being at high risk of developing an unfavorable prognosis with a median pain intensity of nine points on pain intensity, 20 points on disability, and seven points on depression (measured on an 11-point scale). Despite this, the majority of the patients (74%) continued working normally without interference from LBP. Conclusion Identifying the profile of patients seeking care in EDs can help to define effective management for LBP in low- and middle-income countries. Patients with nonspecific acute LBP who seek EDs in Brazil present high levels of pain intensity and disability. Most patients were classified as having a high risk of developing an unfavorable prognosis. Level of evidence 2. |
| Databáze: | OpenAIRE |
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