Joseph F Orlando MMuscsklSportPhysio, BPhysio, Anne LJ Burke PhD, DipClinHyp, MPsych(Clin), BA(Hons), Matthew Beard MMuscsklSportPhysio, GrdCertOrtho, BPhysio, BSc(Hons), Michelle Guerin PhD, BPhysio, Saravana Kumar PhD, GradDipEd(DigitalLearning), MPhysio, BAppSc
{"title":"南澳大利亚州公立医院急诊科非特异性腰背痛患者的住院情况。","authors":"Joseph F Orlando MMuscsklSportPhysio, BPhysio, Anne LJ Burke PhD, DipClinHyp, MPsych(Clin), BA(Hons), Matthew Beard MMuscsklSportPhysio, GrdCertOrtho, BPhysio, BSc(Hons), Michelle Guerin PhD, BPhysio, Saravana Kumar PhD, GradDipEd(DigitalLearning), MPhysio, BAppSc","doi":"10.1111/1742-6723.14504","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>The present study sought to investigate predictors of hospitalisation in adults diagnosed with non-specific low back pain (LBP) and/or sciatica from an ED.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A 5-year, multicentre retrospective observational study was conducted across six public hospitals (metropolitan and regional) using data from electronic medical records. Patient presentations were identified using LBP diagnostic codes and key data extracted (patient demographics, clinical activity, discharge destination). Descriptive statistics and logistic regression were used to measure associations between identified variables and hospitalisation.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>There were 11 709 ED presentations across the study period. People aged ≥65 years (odds ratio [OR] 2.84, 95% confidence interval [CI] 2.61–3.10) and those who arrived at the ED via ambulance (age-adjusted OR 2.68, 95% CI 2.44–2.95) were more likely to be hospitalised. People were also more likely to be hospitalised when triaged as more urgent, when blood tests or advanced spinal imaging were ordered, and when i.v./subcutaneous opioids or oral benzodiazepines were administered. Hospitalisation rates for LBP were lower in regional hospitals, in people residing in lower socioeconomic areas and in Indigenous Australians.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Certain patient characteristics and ED clinical activity are associated with hospitalisations for LBP. Understanding these factors will better inform the design and delivery of appropriate high-quality care.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 1","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.14504","citationCount":"0","resultStr":"{\"title\":\"Hospitalisations for non-specific low back pain in people presenting to South Australian public hospital emergency departments\",\"authors\":\"Joseph F Orlando MMuscsklSportPhysio, BPhysio, Anne LJ Burke PhD, DipClinHyp, MPsych(Clin), BA(Hons), Matthew Beard MMuscsklSportPhysio, GrdCertOrtho, BPhysio, BSc(Hons), Michelle Guerin PhD, BPhysio, Saravana Kumar PhD, GradDipEd(DigitalLearning), MPhysio, BAppSc\",\"doi\":\"10.1111/1742-6723.14504\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>The present study sought to investigate predictors of hospitalisation in adults diagnosed with non-specific low back pain (LBP) and/or sciatica from an ED.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A 5-year, multicentre retrospective observational study was conducted across six public hospitals (metropolitan and regional) using data from electronic medical records. Patient presentations were identified using LBP diagnostic codes and key data extracted (patient demographics, clinical activity, discharge destination). Descriptive statistics and logistic regression were used to measure associations between identified variables and hospitalisation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>There were 11 709 ED presentations across the study period. People aged ≥65 years (odds ratio [OR] 2.84, 95% confidence interval [CI] 2.61–3.10) and those who arrived at the ED via ambulance (age-adjusted OR 2.68, 95% CI 2.44–2.95) were more likely to be hospitalised. People were also more likely to be hospitalised when triaged as more urgent, when blood tests or advanced spinal imaging were ordered, and when i.v./subcutaneous opioids or oral benzodiazepines were administered. Hospitalisation rates for LBP were lower in regional hospitals, in people residing in lower socioeconomic areas and in Indigenous Australians.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Certain patient characteristics and ED clinical activity are associated with hospitalisations for LBP. 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Hospitalisations for non-specific low back pain in people presenting to South Australian public hospital emergency departments
Objective
The present study sought to investigate predictors of hospitalisation in adults diagnosed with non-specific low back pain (LBP) and/or sciatica from an ED.
Methods
A 5-year, multicentre retrospective observational study was conducted across six public hospitals (metropolitan and regional) using data from electronic medical records. Patient presentations were identified using LBP diagnostic codes and key data extracted (patient demographics, clinical activity, discharge destination). Descriptive statistics and logistic regression were used to measure associations between identified variables and hospitalisation.
Results
There were 11 709 ED presentations across the study period. People aged ≥65 years (odds ratio [OR] 2.84, 95% confidence interval [CI] 2.61–3.10) and those who arrived at the ED via ambulance (age-adjusted OR 2.68, 95% CI 2.44–2.95) were more likely to be hospitalised. People were also more likely to be hospitalised when triaged as more urgent, when blood tests or advanced spinal imaging were ordered, and when i.v./subcutaneous opioids or oral benzodiazepines were administered. Hospitalisation rates for LBP were lower in regional hospitals, in people residing in lower socioeconomic areas and in Indigenous Australians.
Conclusion
Certain patient characteristics and ED clinical activity are associated with hospitalisations for LBP. Understanding these factors will better inform the design and delivery of appropriate high-quality care.
期刊介绍:
Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine.
Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.