Low Back Pain in Out-door Patient at the Department of Neurology at Gabriel Touré Teaching Hospital in Bamako: Longitudinal, Descriptive and Prospective Study about 120 Patients

Abstract

Objective: to report the epidemiological and clinical aspects, the therapeutic itinerary and impact of back pain on the quality of life of patients in the neurology department of CHU Gabriel Toure Mali. Patients and methods: this is a longitudinal study, conducted over 1 year. All patients seen in the department of Neurology, Gabriel Toure teaching hospital of Bamako with low back pain. Results: hospital frequency of low back pain was 9.94% with female predominance 58.3% vs. 41.7% for men, mean age 49.5 years, with a range from 20 to 79 years. The pattern of evolution of the disease was acute in 19.2% and chronic in 80.8%. In fact 45% of our patients come in first intention to a General Practitioners, the average duration of follow-up at the level of GP was 215 days. 56.8% of patients had stop working and the average duration was 12 days, the estimated annual financial cost was 223,551.79 Francs XOF e.g. 341.3 Euro. A significant impact of back pain on quality of life, leisure, anxiety and depression was noted in most of the patients using the DALLAS self questionnaire. Conclusion: Low back pain remains a frequent reason for consultation in neurology. Typical low back pain is the most frequent form. Management is multidisciplinary.