从急性到慢性腰部疼痛的过渡在一个社区基的队列中
medRxiv : the preprint server for health sciences
|April 2, 2024
概括
了解从急性到慢性腰部疼痛 (LBP) 的过渡至关重要. 诸如种族,疼痛频率,强度和查工具等因素可以预测LBP慢性,为社区干预提供信息.
科学领域:
- 流行病学 流行病学
- 肌肉骨健康 肌肉骨健康
- 公共卫生 公共卫生
背景情况:
- 在社区环境中,从急性到慢性腰部疼痛 (LBP) 的过渡仍然不太清楚.
- 确定LBP慢性性的预测因素对于有效的早期干预至关重要.
研究的目的:
- 调查心理,社会和人口因素,预测从急性LBP过渡到慢性LBP.
- 检查3个月过渡和6个月延续的预测因素.
主要方法:
- 从社区招募了131名患有急性腰痛的参与者.
- 评估了基线因素,包括人口统计数据,疼痛特征,STarT 逆向查工具,OSPRO-YF,PROMIS 一般健康和PROMIS 身体健康.
- 在3个月和6个月的结果中跟踪参与者.
主要成果:
- 32.2%的患者在3个月后转变为慢性腰痛;其中80.7%的患者在6个月后继续下去.
- 黑人或非洲裔美国人参与者以及那些每天疼痛和强度更高的人更有可能过渡/继续.
- 开始回归和OSPRO-YF得分预测过渡;更高的PROMIS得分表明风险较低.
结论:
- 包括种族,疼痛严重程度和特定查工具在内的基线因素预测了社区环境中的LBP慢性.
- 这些发现突出了慢性LBP发展的关键风险因素,为有针对性的预防策略提供了信息.
- 需要对更大群体进行进一步的研究,以确认这些预测因素并阐明潜在的机制.
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