CLINICAL ANALYSIS OF PATIENTS WITH LOW BACK PAIN IN THE EMERGENCY DEPARTMENT

Detalhes bibliográficos
Autor(a) principal: RODRIGUES,RUY DA SILVA
Data de Publicação: 2020
Outros Autores: SIQUEIRA,EDUARDO BASTOS DE, BRITO,LEANDRO GOMES, FAGUNDES,RUDY LENK, RIBEIRO,CAIO TANNUS VIANNA
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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spelling 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
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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
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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)
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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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