Prevalencia de la afección musculoesquelética no traumática como motivo de consulta y su impacto asistencial en un servicio de urgencias

Astete, Carlos Guillén; Kaumi, L.; Sorados, R.M. Tejada; Quiñones, Carmen; Serrati, J.F. Borja

doi:10.1016/j.semerg.2015.02.003

Cited by 14 publications

(7 citation statements)

References 11 publications

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“…Fifteen studies collected data retrospectively. Sixteen studies collected data from standard emergency settings, one study was conducted in an orthopaedic emergency department [15], one study was conducted in medical presidiums following an earthquake [26], and one study collected data from emergency ambulance calls [33]. Reported prevalence estimates of low back pain in the emergency setting ranged from 0.9% to 17%.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Edwards

Hayden

Asbridge

et al. 2017

BMC Musculoskelet Disord

143

102

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BackgroundLow back pain may be having a significant impact on emergency departments around the world. Research suggests low back pain is one of the leading causes of emergency department visits. However, in the peer-reviewed literature, there has been limited focus on the prevalence and management of back pain in the emergency department setting. The aim of the systematic review was to synthesize evidence about the prevalence of low back pain in emergency settings and explore the impact of study characteristics including type of emergency setting and how the study defined low back pain.MethodsStudies were identified from PubMed and EMBASE, grey literature search, and other sources. We selected studies that presented prevalence data for adults presenting to an emergency setting with low back pain. Critical appraisal was conducted using a modified tool developed to assess prevalence studies. Meta-analyses and a meta-regression explored the influence of study-level characteristics on prevalence.ResultsWe screened 1187 citations and included 21 studies, reported between 2000 and 2016 presenting prevalence data from 12 countries. The pooled prevalence estimate from studies of standard emergency settings was 4.39% (95% CI: 3.67-5.18). Prevalence estimates of the included studies ranged from 0.9% to 17.1% and varied with study definition of low back pain and the type of emergency setting. The overall quality of the evidence was judged to be moderate as there was limited generalizability and high heterogeneity in the results.ConclusionThis is the first systematic review to examine the prevalence of low back pain in emergency settings. Our results indicate that low back pain is consistently a top presenting complaint and that the prevalence of low back pain varies with definition of low back pain and emergency setting. Clinicians and policy decisions makers should be aware of the potential impact of low back pain in their emergency settings.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1511-7) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Edwards

Hayden

Asbridge

et al. 2017

BMC Musculoskelet Disord

143

102

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“…La frecuentación en los servicios de urgencia por pacientes que consultan por patología musculoesquelética se concentra fundamentalmente en procesos relacionados con el raquis [2]. El recidivismo en este tipo de patología implica una mayor demanda asistencial y consumo de recursos [4].…”

Section: Discussionunclassified

“…En términos generales el recidivismo detectado de forma global fue 18.02% al mes. Estudios previos sitúan esta proporción por encima de la estimada para el grueso de motivos de consulta por dolor mecánico no relacionado con traumatimos [2].…”

Section: Discussionunclassified

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Tasa de recidivismo en urgencias por dorsalgia y lumbalgia en función del tratamiento administrado tras una primera valoración

Astete

Serrano²,

Carmona³

et al. 2016

acta reuma

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“…Recent observational studies have shown that the most frequently assessed complaint in EDs is nontraumatic musculoskeletal pain, reaching a prevalence of around 15%. [ 5 – 8 ] Those conditions also generates the highest ratio of recidivism. [ 5 ] These studies have also shown that, within nontraumatic musculoskeletal disorders, axial lumbar pain (low back pain) stands out as the most common chief complaint in EDs in all the age groups evaluated.…”

Section: Introductionmentioning

confidence: 99%

Tapentadol versus tramadol in the management of low back pain in the emergency department

Astete

Cardona-Carballo²,

Casa-Resino³

2017

Medicine

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Nontraumatic musculoskeletal disorders are the main reason for presentation to the emergency department (ED), with rachialgia (back pain) being the most common reason to request medical assessment among them. This also generates the highest demand for reassessments due to poor pain control or onset of adverse reactions to the treatment prescribed in the initial assessment.A retrospective observational study based on usual clinical practice was conducted in patients attending the ED due to low back pain during a period of 24 months. The primary objective was to determine the demand for reassessments in the ED by these patients in the following 30 days, according to the type of therapeutic approach used in the initial assessment.A total of 732 patients who requested medical assessment due to back pain in the ED of our hospital were analyzed, 91 of whom were treated with tapentadol whereas 641 received another treatment. In the first month after the initial assessment, reassessments were less common in the tapentadol group; this difference was significant from days 8 to 15 (P = 0.001, odds ratio [OR] 0.252 with 95% confidence interval [CI] 0.100–0.635) and days 15 to 30 (P < 10−4, OR 0.277 with 95% CI 0.136–0.563). Patients who received tapentadol also had a better clinical evolution of pain compared to those who did not receive it (P < 10−4) and to those who received tramadol (P < 10−4).In this study in patients with back pain, tapentadol shows clear advantages over the other analgesics analyzed, in terms of pain control and less need for reassessments.

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Prevalencia de la afección musculoesquelética no traumática como motivo de consulta y su impacto asistencial en un servicio de urgencias

Cited by 14 publications

References 11 publications

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Prevalence of low back pain in emergency settings: a systematic review and meta-analysis

Tasa de recidivismo en urgencias por dorsalgia y lumbalgia en función del tratamiento administrado tras una primera valoración

Tapentadol versus tramadol in the management of low back pain in the emergency department

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