Depression and Functional Outcomes in Patients Presenting to the Emergency Department With Low Back Pain

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Joshua RingStephanie A Eucker

Abstract

Low back pain (LBP) is a common reason for patients to present to Emergency Departments (EDs). Our objective was to describe the associations between depressive symptoms, pain severity, and functional impairment up to 3 months after initial ED presentation for LBP. We performed a secondary analysis on an observational cohort of adult patients from a high-volume, urban Emergency Department. Initial depressive symptoms (Patient Health Questionnaire-9) and disability (Roland Morris Disability Questionnaire) were collected in-person at the time of initial ED visit and by telephone at 1 week and 3 month follow-ups. Pain intensity (Numeric Rating Scale) was collected at 1 week and 3 month follow-ups. Our primary goal was to determine the associations between initial depressive symptoms and pain intensity and disability scores at 3 months. We also investigated the associations of initial and 3-month change in depressive symptoms with change in disability score from initial presentation to 3 months, and change in pain score from 1 week to 3 months. Of 674 patients initially enrolled, 362 patients had complete depressive symptom, pain and disability data and were included in the final analysis. Those with higher levels of intake depress...Continue Reading

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