Pain One Week After an Emergency Department Visit for Acute Low Back Pain Is Associated With Poor Three-month Outcomes

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Benjamin W FriedmanE John Gallagher

Abstract

Low back pain (LBP) is responsible for more than 2.5 million visits to U.S. emergency departments (EDs) annually. Nearly 30% of patients who present to an ED with acute LBP report functional impairment or pain 3 months later. These patients are at risk of chronic LBP, a highly debilitating condition. In this study, we assessed whether three variables assessable shortly after symptom onset could independently predict poor 3-month outcomes among LBP patients who present to an ED. This was a planned analysis of data from two randomized comparative effectiveness studies of patients with acute, nontraumatic, nonradicular LBP. Patients were enrolled during an ED visit, contacted by telephone 1 week after the ED visit, and then followed up by telephone 3 months later. The coprimary 3-month outcomes were LBP-related functional impairment and persistent moderate or severe LBP. Two of the three hypothesized predictor variables were assessed during the index visit: 1) the STarT Back Screening Tool score, a nine-item, multidimensional tool validated and widely used in the outpatient setting, and 2) the patient's own anticipated duration of LBP. The third hypothesized predictor was presence of pain assessed by phone 1 week after the ED visi...Continue Reading

References

Jun 27, 2007·Psychological Bulletin·Robert J GatchelDennis C Turk
Jul 11, 2008·BMJ : British Medical Journal·Nicholas HenschkeJames H McAuley
May 29, 2012·The American Journal of Emergency Medicine·Benjamin W FriedmanE John Gallagher
Aug 19, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Richard A DeyoDebra K Weiner
Oct 27, 2015·JAMA : the Journal of the American Medical Association·Benjamin W FriedmanE John Gallagher
Nov 3, 2015·The Spine Journal : Official Journal of the North American Spine Society·Marina B PinheiroPaulo H Ferreira
Nov 20, 2016·The American Journal of Emergency Medicine·Benjamin W FriedmanE John Gallagher
Feb 12, 2017·Annals of Emergency Medicine·Benjamin W FriedmanE John Gallagher

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Citations

Nov 26, 2019·The Cochrane Database of Systematic Reviews·Jill A HaydenRachel Ogilvie
Dec 8, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Benjamin W FriedmanE John Gallagher
Mar 11, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joshua RingStephanie A Eucker

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