相关实验视频

Updated: Jul 10, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

腰部疼痛:紧急护理的利用与急诊室相比

Meera M Dhodapkar¹, Maxwell Modrak, Scott J Halperin

¹Yale Department of Orthopaedics and Rehabilitation, New Haven, CT.

|November 20, 2023

概括

大多数腰部疼痛 (LBP) 患者会去急诊室 (ED),但有时会使用急诊中心. 保险类型和地理区域显著影响LBP患者寻求护理的地方.

科学领域:

医疗保健服务研究医疗服务研究
整形外科整形外科整形外科
紧急医疗紧急医疗

背景情况:

腰部疼痛 (LBP) 是一种普遍的疾病,导致大量的急诊室 (ED) 访问.
虽然EDS对于创伤或术后病例是必要的,但紧急护理中心可能适合其他LBP呈现.

研究的目的:

调查影响患者在急诊室 (ED) 和腰部疼痛急诊中心 (LBP) 之间的选择因素.
确定对LBP的医疗保健利用的关键人口和临床预测因素.

主要方法:

一项回顾性研究分析了使用PearlDiver M151数据库在2019年被诊断患有LBP的65岁以下的成年患者.
包括在LBP诊断之日出现在ED或紧急护理的患者,但特定的先前条件或医疗保险除外.
多变量分析评估了与紧急护理与ED利用相关的因素,包括年龄,性别,并发症,地区和保险.

主要成果:

绝大多数LBP患者 (96.9%) 访问EDs与紧急护理 (3.1%) 相比.
有利于紧急护理的关键因素包括特定的地理区域 (东北,南方,西部),商业保险,年轻年龄和较低的并发病率得分.
在紧急护理患者中,高级成像的使用率明显较低,而在ED和紧急护理环境中,手术干预率相似.

结论:

大多数最初的孤立腰痛 (LBP) 诊断发生在急诊室 (ED),而不是急诊中心.
保险状况和地理位置成为选择LBP紧急护理而不是ED的主要决定因素.
尽管高级成像使用的差异,ED和紧急护理设置显示LBP患者的手术干预率相似.

更多相关视频

Operational and Intervention Effects of Targeted Tuina in Lumbar Intervertebral Disc Degeneration Model Rabbits

Operational and Intervention Effects of Targeted Tuina in Lumbar Intervertebral Disc Degeneration Model Rabbits

Published on: July 21, 2023

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Published on: June 26, 2018

相关概念视频

Secondary Healthcare System

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...