在基于社区的队列中,从急性到慢性腰痛的过渡
Colleen A Burke1, Rebecca Fillipo1, Steven Z George2
1Department of Orthopedic Surgery, Duke University School of Medicine, Durham, NC, USA; Department of Population Health Sciences, Duke University, Durham, NC, USA.
The journal of pain
|October 13, 2024
概括
许多急性腰痛 (LBP) 病例在社区中转变为慢性腰痛. 频繁和强烈的LBP发作,以及STarT反向查工具上的更高风险分数,预测了这种过渡.
科学领域:
- 流行病学 流行病学
- 肌肉骨健康 肌肉骨健康
- 疼痛管理 疼痛管理
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.
- 急性LBP是一种普遍的疾病,有可能发展为慢性问题,造成社区健康负担很大.
研究的目的:
- 评估在社区环境中招募急性LBP参与者的可行性.
- 估计从急性LBP转变为慢性LBP的转变率及其在6个月的持续时间.
- 确定与慢性LBP过渡和延续相关的特征.
主要方法:
- 一项基于社区的研究招募了131名患有急性LBP的参与者 (定义为持续时间<4周和30天的LBP无期).
- 评估了招聘的可行性,并在3个月和6个月后跟踪结果.
- 统计分析,包括风险比率 (RR) 和置信区间 (CI),用于探索过渡和延续的预测因素.
主要成果:
- 在社区招募急性LBP患者是可行的.
- 从急性LBP转变为慢性LBP的转变率在3个月后为32.2%.
- 患有更频繁和更强烈的急性LBP的参与者,以及更高的STarT反向查工具得分,更有可能过渡到并继续患有慢性LBP.
结论:
- 在社区中,急性LBP经常转变为慢性LBP,突出显示出严重的公共卫生问题.
- 基于社区的研究是可行的,以调查LBP过渡.
- 早期识别高风险个体对于管理慢性LBP负担至关重要.
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