Báo cáo hóa học: " Analysis of 22,655 presentations with back pain to Perth emergency departments over five years"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí hóa hoc quốc tế đề tài : Analysis of 22,655 presentations with back pain to Perth emergency departments over five years | Lovegrove et al. International Journal of Emergency Medicine 2011 4 59 http content 4 1 59 o International Journal of Emergency Medicine a SpringerOpen Journal ORIGINAL RESEARCH Open Access Analysis of 22 655 presentations with back pain to Perth emergency departments over five years Michael T Lovegrove1 2 George A Jelinek2 3 Nicholas P Gibson2 and Ian G Jacobs2 3 Abstract Background Back pain is a significant cause of disability in the community but the impact on Emergency Departments EDs has not been formally studied. Patients with back pain often require significant time and resources in the ED. Aims To examine the characteristics of patients presenting with back pain to the ED including final diagnosis demographics of those attending and temporal distribution of presentations. Methods Emergency presentations in the metropolitan area of Perth Western Australia for 2000-2004 were searched using a linked database covering all the major hospitals Emergency Care Hospitalisation and Outcome Study database . All presentations with the triage code for back pain were extracted and analysed. Results A total of 22 655 presentations with back pain were identified representing of total presentations. Simple muscular or non-specific back pain accounted for only of presentations with other causes such as renal colic and pyelonephritis accounting for the majority. The young 15 years old and elderly 75 years old were more likely to have non-muscular causes for their back pain. Muscular back pain presentations occurred mostly between 0800 and 1600 with high proportions presenting on the weekends. Patients with simple muscular back pain spent a mean of h in the ED representing a significant outlay of resources. Conclusion Back pain has a significant impact on EDs and staff should be alert for another pathology presenting as back pain. There is a need for multidisciplinary back pain teams to be available 7 days a week but only during the day. .

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