CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000400266 |
Resumo: | ABSTRACT Objective To describe the daily practice in an emergency service and to provide relevant data for future studies about the treatment of low back pain from the perspective of emergency medicine. Methods Analysis of hospital records and review of medical records. Results 2,434 patients were attended between January 1 and December 31, 2017 with the complaint of low back pain. Radiographs of the spine were performed in 15.7% of patients and computerized tomography scans in 7.6%. Eighty-five patients required hospitalization, with a mean hospital stay of 8.3 days. The rate of use was 52.7% for tricyclic or antiepileptic drugs and 12% for strong opioids among hospitalized patients. Conclusions A high prevalence of low back complaints was observed in the emergency care service (4.6% of total emergency room visits during the year), with low hospitalization potential. The rates of hospitalization and tomographic examinations were higher than those observed in similar studies, with a lower proportion of radiograph and strong opioid use as compared with the same studies. The paucity of national and international data for more in-depth comparisons makes clear the need for further studies and development of new recommendations specifically targeting this subset of patients. Level of evidence IV; Prognostic studies. |
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CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENTLow Back PainEmergency MedicineDrug TherapyABSTRACT Objective To describe the daily practice in an emergency service and to provide relevant data for future studies about the treatment of low back pain from the perspective of emergency medicine. Methods Analysis of hospital records and review of medical records. Results 2,434 patients were attended between January 1 and December 31, 2017 with the complaint of low back pain. Radiographs of the spine were performed in 15.7% of patients and computerized tomography scans in 7.6%. Eighty-five patients required hospitalization, with a mean hospital stay of 8.3 days. The rate of use was 52.7% for tricyclic or antiepileptic drugs and 12% for strong opioids among hospitalized patients. Conclusions A high prevalence of low back complaints was observed in the emergency care service (4.6% of total emergency room visits during the year), with low hospitalization potential. The rates of hospitalization and tomographic examinations were higher than those observed in similar studies, with a lower proportion of radiograph and strong opioid use as compared with the same studies. The paucity of national and international data for more in-depth comparisons makes clear the need for further studies and development of new recommendations specifically targeting this subset of patients. Level of evidence IV; Prognostic studies.Sociedade Brasileira de Coluna2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000400266Coluna/Columna v.19 n.4 2020reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120201904225108info:eu-repo/semantics/openAccessRODRIGUES,RUY DA SILVASIQUEIRA,EDUARDO BASTOS DEBRITO,LEANDRO GOMESFAGUNDES,RUDY LENKRIBEIRO,CAIO TANNUS VIANNAeng2020-10-08T00:00:00Zoai:scielo:S1808-18512020000400266Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2020-10-08T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
title |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
spellingShingle |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT RODRIGUES,RUY DA SILVA Low Back Pain Emergency Medicine Drug Therapy |
title_short |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
title_full |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
title_fullStr |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
title_full_unstemmed |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
title_sort |
CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT |
author |
RODRIGUES,RUY DA SILVA |
author_facet |
RODRIGUES,RUY DA SILVA SIQUEIRA,EDUARDO BASTOS DE BRITO,LEANDRO GOMES FAGUNDES,RUDY LENK RIBEIRO,CAIO TANNUS VIANNA |
author_role |
author |
author2 |
SIQUEIRA,EDUARDO BASTOS DE BRITO,LEANDRO GOMES FAGUNDES,RUDY LENK RIBEIRO,CAIO TANNUS VIANNA |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
RODRIGUES,RUY DA SILVA SIQUEIRA,EDUARDO BASTOS DE BRITO,LEANDRO GOMES FAGUNDES,RUDY LENK RIBEIRO,CAIO TANNUS VIANNA |
dc.subject.por.fl_str_mv |
Low Back Pain Emergency Medicine Drug Therapy |
topic |
Low Back Pain Emergency Medicine Drug Therapy |
description |
ABSTRACT Objective To describe the daily practice in an emergency service and to provide relevant data for future studies about the treatment of low back pain from the perspective of emergency medicine. Methods Analysis of hospital records and review of medical records. Results 2,434 patients were attended between January 1 and December 31, 2017 with the complaint of low back pain. Radiographs of the spine were performed in 15.7% of patients and computerized tomography scans in 7.6%. Eighty-five patients required hospitalization, with a mean hospital stay of 8.3 days. The rate of use was 52.7% for tricyclic or antiepileptic drugs and 12% for strong opioids among hospitalized patients. Conclusions A high prevalence of low back complaints was observed in the emergency care service (4.6% of total emergency room visits during the year), with low hospitalization potential. The rates of hospitalization and tomographic examinations were higher than those observed in similar studies, with a lower proportion of radiograph and strong opioid use as compared with the same studies. The paucity of national and international data for more in-depth comparisons makes clear the need for further studies and development of new recommendations specifically targeting this subset of patients. Level of evidence IV; Prognostic studies. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000400266 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000400266 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120201904225108 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.19 n.4 2020 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126616424677376 |