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Tytuł pozycji:

Psychosocial predictors of persistent low back pain in patients presenting to the emergency department.

Tytuł:
Psychosocial predictors of persistent low back pain in patients presenting to the emergency department.
Autorzy:
Basiński K; Department of Quality of Life Research, Faculty of Health Sciences, Medical University of Gdańsk, Poland. Electronic address: .
Zdun-Ryżewska A; Department of Quality of Life Research, Faculty of Health Sciences, Medical University of Gdańsk, Poland.
Majkowicz M; Department of Health Science, Pomeranian University in Slupsk, Poland.
Źródło:
The American journal of emergency medicine [Am J Emerg Med] 2022 Jan; Vol. 51, pp. 85-91. Date of Electronic Publication: 2021 Oct 18.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 1983- : Philadelphia, PA : W B Saunders
Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]-
MeSH Terms:
Adaptation, Psychological*
Health Status*
Low Back Pain/*psychology
Adult ; Emergency Service, Hospital ; Female ; Humans ; Logistic Models ; Low Back Pain/diagnosis ; Low Back Pain/etiology ; Male ; Middle Aged ; Pain Measurement ; Prognosis ; Prospective Studies ; Sick Leave/statistics & numerical data ; Surveys and Questionnaires ; Time Factors
Contributed Indexing:
Keywords: Low back pain; Persistent pain; Prospective cohort study; Self-rated health
Entry Date(s):
Date Created: 20211025 Date Completed: 20211229 Latest Revision: 20211229
Update Code:
20240105
DOI:
10.1016/j.ajem.2021.10.018
PMID:
34695641
Czasopismo naukowe
Objectives: Chronic low back pain is an important public health problem, generating high financial and social costs. While most clinical guidelines stress the importance of managing low back pain in primary care, in practice a disproportionate amount of patients with low back pain present to emergency departments. Patients presenting to emergency departments may form a specific group with different factors leading to chronicity. This prospective cohort study aimed to determine the sociodemographic and psychological predictors of persistent low back pain and the length of sick leave due to pain in patients with acute symptoms visiting an emergency department.
Methods: Patients with a first episode of non-specific acute low back pain in at least three months were qualified for this study. The participants filled a battery of questionnaires, including measures of pain, pain-related disability, depression, anxiety and pain coping strategies. A structured telephone interview was performed after three months with questions regarding pain and the length of sick leave.
Results: 110 patients participated in the study. 97 patients completed the follow-up, with 70.1% suffering from pain after three months. Lower self-rated health predicted pain after three months. Longer length of sick leave was predicted by lower self-rated health, distraction as a coping strategy and decreased behavioral activity.
Conclusion: Because of its simplicity, a measurement of self-rated health may be included in future clinical practice for assessing the risk of persistent pain.
Competing Interests: Declaration of Competing Interest The authors report no conflicts of interest.
(Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.)

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