伴随性疾病对背部疼痛的老年人的结果的影响:BACE-D队列研究
Yanyan Fu1, Alessandro Chiarotto1, Wendy Enthoven2
1Department of General Practice, Erasmus University Medical Center, Rotterdam, the Netherlands.
Annals of physical and rehabilitation medicine
|June 5, 2023
概括
年长的成年人有更多的并发症,特别是肌肉骨问题,经历更严重的背痛和减少的身体功能. 这突显了多种健康状况对老年人背部疼痛结果的重大影响.
科学领域:
- 老年学是指老年学的学科.
- 类风湿病学 类风湿病学
- 流行病学 流行病学
背景情况:
- 伴随性疾病在经历背痛的老年人中很普遍.
- 对于伴随性疾病对这群人群背部疼痛结果的影响的理解有限.
研究的目的:
- 调查流行并发症的数量和类型对短期 (3个月) 和长期 (12个月) 背痛结果的影响.
- 分析肌肉骨并发症对老年人疼痛强度和身体功能的具体影响.
主要方法:
- 分析了来自荷兰研究队伍 (BACE-D) 的数据,其中包括55岁以上的参与者.
- 使用修改后的自行管理的并发症问卷 (SCQ) 评估并发症计数.
- 使用线性回归模型测量疼痛强度 (数值评分表 - NRS) 和与背部相关的身体功能 (罗兰-莫里斯残疾问卷 - RMDQ),控制潜在的混因素.
主要成果:
- 增加的并发症数量与3个月和12个月的更高的疼痛强度和更差的身体功能正相关.
- 在前五名中,肌肉骨并发症被确定为最常见的.
- 与没有肌肉骨并发症的参与者相比,肌肉骨并发症的参与者报告了明显更高的疼痛强度和更差的身体功能.
结论:
- 伴随性疾病的较高负担与老年人背部疼痛的较差结果显著相关.
- 肌肉骨并发症是导致这一群体疼痛加重和功能限制的关键因素.
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