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Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study
BACKGROUND: The COVID-19 pandemic necessitated the reorganization of health services to cater to the needs of individuals affected by the virus. OBJECTIVE: This study aimed to examine the association between musculoskeletal pain during and after SARS-CoV-2 infection and the utilization of health ser...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463908/ https://www.ncbi.nlm.nih.gov/pubmed/37644443 http://dx.doi.org/10.1186/s12891-023-06794-z |
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author | de Oliveira Soares Junior, Abelardo dos Santos Afonso, Max Vieira, Yohana Pereira Rocha, Juliana Quadros Santos Dumith, Samuel Neves, Rosália Garcia da Silva, Carine Nascimento Duro, Suele Manjourany Silva de Oliveira Saes, Mirelle |
author_facet | de Oliveira Soares Junior, Abelardo dos Santos Afonso, Max Vieira, Yohana Pereira Rocha, Juliana Quadros Santos Dumith, Samuel Neves, Rosália Garcia da Silva, Carine Nascimento Duro, Suele Manjourany Silva de Oliveira Saes, Mirelle |
author_sort | de Oliveira Soares Junior, Abelardo |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic necessitated the reorganization of health services to cater to the needs of individuals affected by the virus. OBJECTIVE: This study aimed to examine the association between musculoskeletal pain during and after SARS-CoV-2 infection and the utilization of health services among adults in southern Brazil. METHODS: A cross-sectional study was conducted with individuals aged 18 years and older, who were diagnosed with COVID-19 between December 2020 and March 2021. Questionnaires were electronically collected using tablets through the REDCap platform via phone calls. The health service utilization outcomes assessed included Primary Health Care, general practitioners, private emergency care, and specialized services. The exposure variable was the presence of musculoskeletal pain during and after SARS-CoV-2 infection in different regions, such as cervical, upper limbs, thoracic, lumbar, and lower limbs. Poisson regression analysis was employed to assess the relationship between health service utilization during and after SARS-CoV-2 infection and musculoskeletal pain during and after the infection with SARS-CoV-2 among adults in southern Brazil. Data were analyzed using the Stata 16.1 statistical package. RESULTS: A total of 2,919 individuals were interviewed. Overall, individuals with musculoskeletal pain were found to utilize health services approximately 15 percentage points higher when compared to those without musculoskeletal pain. In adjusted analysis, individuals who reported musculoskeletal pain during and after SARS-CoV-2 infection were up to twice as likely to use health services. Among them, the emergency care unit was the most frequently used service, particularly in those with pain in the lower limbs (RP=2.19, 95% CI 1.66-2.87) and thoracic region (RP=2.04, 95% CI 1.47-2.84). Notably, the highest magnitudes of association were observed with emergency care units, specialist doctors, and specialized services, especially neurologists, who were two to three times more likely to be sought, followed by pulmonologists. CONCLUSION: Health service utilization was significantly associated with musculoskeletal pain during and after SARS-CoV-2 infection. All regions, except for the cervical region, showed a correlation with the use of Primary Health Care. The thoracic region featured an association with pulmonologists and emergency room utilization. Additionally, health services like emergency care units, specialist doctors, and specialized services, including cardiologists and neurologists, were commonly utilized across all regions in southern Brazil. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-023-06794-z. |
format | Online Article Text |
id | pubmed-10463908 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-104639082023-08-30 Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study de Oliveira Soares Junior, Abelardo dos Santos Afonso, Max Vieira, Yohana Pereira Rocha, Juliana Quadros Santos Dumith, Samuel Neves, Rosália Garcia da Silva, Carine Nascimento Duro, Suele Manjourany Silva de Oliveira Saes, Mirelle BMC Musculoskelet Disord Research BACKGROUND: The COVID-19 pandemic necessitated the reorganization of health services to cater to the needs of individuals affected by the virus. OBJECTIVE: This study aimed to examine the association between musculoskeletal pain during and after SARS-CoV-2 infection and the utilization of health services among adults in southern Brazil. METHODS: A cross-sectional study was conducted with individuals aged 18 years and older, who were diagnosed with COVID-19 between December 2020 and March 2021. Questionnaires were electronically collected using tablets through the REDCap platform via phone calls. The health service utilization outcomes assessed included Primary Health Care, general practitioners, private emergency care, and specialized services. The exposure variable was the presence of musculoskeletal pain during and after SARS-CoV-2 infection in different regions, such as cervical, upper limbs, thoracic, lumbar, and lower limbs. Poisson regression analysis was employed to assess the relationship between health service utilization during and after SARS-CoV-2 infection and musculoskeletal pain during and after the infection with SARS-CoV-2 among adults in southern Brazil. Data were analyzed using the Stata 16.1 statistical package. RESULTS: A total of 2,919 individuals were interviewed. Overall, individuals with musculoskeletal pain were found to utilize health services approximately 15 percentage points higher when compared to those without musculoskeletal pain. In adjusted analysis, individuals who reported musculoskeletal pain during and after SARS-CoV-2 infection were up to twice as likely to use health services. Among them, the emergency care unit was the most frequently used service, particularly in those with pain in the lower limbs (RP=2.19, 95% CI 1.66-2.87) and thoracic region (RP=2.04, 95% CI 1.47-2.84). Notably, the highest magnitudes of association were observed with emergency care units, specialist doctors, and specialized services, especially neurologists, who were two to three times more likely to be sought, followed by pulmonologists. CONCLUSION: Health service utilization was significantly associated with musculoskeletal pain during and after SARS-CoV-2 infection. All regions, except for the cervical region, showed a correlation with the use of Primary Health Care. The thoracic region featured an association with pulmonologists and emergency room utilization. Additionally, health services like emergency care units, specialist doctors, and specialized services, including cardiologists and neurologists, were commonly utilized across all regions in southern Brazil. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-023-06794-z. BioMed Central 2023-08-29 /pmc/articles/PMC10463908/ /pubmed/37644443 http://dx.doi.org/10.1186/s12891-023-06794-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research de Oliveira Soares Junior, Abelardo dos Santos Afonso, Max Vieira, Yohana Pereira Rocha, Juliana Quadros Santos Dumith, Samuel Neves, Rosália Garcia da Silva, Carine Nascimento Duro, Suele Manjourany Silva de Oliveira Saes, Mirelle Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study |
title | Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study |
title_full | Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study |
title_fullStr | Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study |
title_full_unstemmed | Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study |
title_short | Musculoskeletal pain during and after SARS-CoV-2 infection and healthcare utilization: a cross-sectional study |
title_sort | musculoskeletal pain during and after sars-cov-2 infection and healthcare utilization: a cross-sectional study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10463908/ https://www.ncbi.nlm.nih.gov/pubmed/37644443 http://dx.doi.org/10.1186/s12891-023-06794-z |
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