CLINICAL-EPIDEMIOLOGICAL ANALYSIS OF PATIENTS WITH CERVICALGIA AND THE IMPACT OF NUCLEAR RESONANCE.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253303e287835

Muryllo Henrique Ferreira de Brito, Karllos Adryano Priscinotte Rodrigues Lima, Pedro Pereira Barbosa, Newton Antônio Tristão

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引用次数: 0

Abstract

Objective: To analyze the clinical and epidemiological profile of patients with neck pain, assessing risk factors, comorbidities, and the need for therapeutic interventions, as well as the impact of magnetic resonance imaging (MRI) on case management.

Methods: This is a cross-sectional study involving 435 patients treated at the Emergency Department of the Instituto Ortopédico de Goiânia (IOG) between July and December 2023. Sociodemographic, clinical, and risk factor variables were analyzed based on data collected from electronic medical records. Statistical analysis included association tests with a significance level of 5% (p<0.05).

Results: A high prevalence of sedentary lifestyle (94.59%) and prolonged work exposure (78.38%) was observed. Most patients required medication (94.59%), while 63.96% underwent additional clinical interventions. Statistically significant associations were identified between sex, occupational factors, and lesions detected by MRI. The average time to diagnosis was 4.2 months.

Conclusion: Neck pain is strongly associated with modifiable risk factors such as sedentary behavior and occupational overload, highlighting the importance of preventive strategies and individualized therapeutic approaches. MRI played a key role in diagnosis and treatment planning. Level of Evidence III; Study of Non-Consecutive Patients; No Uniformly Applied "Gold" Reference Standard .

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颈痛患者的临床流行病学分析及核磁共振的影响。

目的：分析颈痛患者的临床和流行病学特征，评估其危险因素、合并症、治疗干预的必要性，以及磁共振成像（MRI）对病例管理的影响。方法：这是一项横断面研究，涉及2023年7月至12月期间在IOG研究所（Instituto ortopacimdico de goinia）急诊科接受治疗的435例患者。基于从电子病历中收集的数据，分析了社会人口学、临床和风险因素变量。统计分析采用显著性水平为5%的关联检验(结果：久坐生活方式高发（94.59%），长时间工作暴露（78.38%）。大多数患者需要药物治疗（94.59%），63.96%的患者接受了额外的临床干预。性别、职业因素和MRI发现的病变之间存在统计学上显著的关联。平均诊断时间为4.2个月。结论：颈部疼痛与久坐行为和职业负荷等可改变的危险因素密切相关，强调了预防策略和个性化治疗方法的重要性。MRI在诊断和治疗计划中发挥了关键作用。证据等级III；非连续患者研究；没有统一应用的“黄金”参考标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.