Trends in the Evaluation and Management of Back Pain in Emergency Departments, United States, 2007–2016
| Autor: | John Gates Merriman, Todd Jaffe, Peter M Mullins, Scott G. Weiner, Maryann Mazer-Amirshahi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Demographics Computed tomography Medical care 03 medical and health sciences 0302 clinical medicine Internal medicine Back pain medicine Humans 030212 general & internal medicine Retrospective Studies medicine.diagnostic_test business.industry 030208 emergency & critical care medicine General Medicine United States Confidence interval Anesthesiology and Pain Medicine Opioid Back Pain Health Care Surveys Ambulatory Neurology (clinical) Tramadol medicine.symptom Emergency Service Hospital Tomography X-Ray Computed business medicine.drug |
| Zdroj: | Pain Medicine. 22:67-74 |
| ISSN: | 1526-4637 1526-2375 |
| DOI: | 10.1093/pm/pnaa385 |
| Popis: | Objective Back pain is one of the most common pain syndromes in the United States, but there has been limited recent description of the role of emergency departments (EDs) in caring for patients with back pain. We investigated trends in the evaluation and management of back pain in U.S. EDs from 2007 to 2016. Methods We performed a retrospective analysis of the National Hospital Ambulatory Medical Care Survey, a nationally representative annual survey of ED visits, which includes data on patient-, hospital-, and visit-level characteristics. We evaluated trends among adult ED visits for back pain, including demographics, resource utilization, and disposition. Trends were assessed through the use of survey-weighted analyses. Results Visit rates as a proportion of overall ED visits were stable from 2007 to 2016 (9.1% [95% confidence interval (CI): 8.5–9.6] vs. 9.3% [95% CI: 8.6–10.0]; P = 0.44). Admission rates declined from 6.4% (95% CI: 5.1–8.0) to 5.0% (95% CI: 3.5–6.9; P Conclusions Opioid utilization during ED visits for back pain decreased from 2007 to 2016, whereas tramadol use more than doubled. Care intensity increased significantly despite declining admission rates. Further research into optimal strategies for back pain management in the ED is needed. |
| Databáze: | OpenAIRE |
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