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Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain

Significant costs and utilisation of healthcare resources are associated with hospitalisations for non-specific low back pain despite clinical guidelines recommending community-based care. The aim of this systematic review was to investigate the predictors of hospitalisation for low back pain. A pro...

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Autores principales: Orlando, Joseph F., Beard, Matthew, Guerin, Michelle, Kumar, Saravana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564130/
https://www.ncbi.nlm.nih.gov/pubmed/37816006
http://dx.doi.org/10.1371/journal.pone.0292648
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author Orlando, Joseph F.
Beard, Matthew
Guerin, Michelle
Kumar, Saravana
author_facet Orlando, Joseph F.
Beard, Matthew
Guerin, Michelle
Kumar, Saravana
author_sort Orlando, Joseph F.
collection PubMed
description Significant costs and utilisation of healthcare resources are associated with hospitalisations for non-specific low back pain despite clinical guidelines recommending community-based care. The aim of this systematic review was to investigate the predictors of hospitalisation for low back pain. A protocol was registered with PROSPERO international prospective register of systematic reviews (#CRD42021281827) and conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Database search of Ovid Medline, Emcare, Embase, PsycINFO, Cochrane Library, PEDro and OTSeeker was conducted. Studies were included if they examined a predictor of hospitalisation for non-specific low back pain with or without referred leg pain. Data was extracted and descriptively synthesised. Risk of bias of included studies was assessed using the Critical Appraisal Skills Programme Checklists. There were 23 studies published over 29 articles which identified 52 predictor variables of hospitalisation for low back pain. The risk of hospitalisation was grouped into themes: personal, health and lifestyle, psychology, socioeconomic, occupational, clinical, and health systems and processes. There was moderate level evidence that arrival to an emergency department via ambulance with low back pain, and older age increase the risk of hospitalisations for low back pain. There was low level evidence that high pain intensity, past history of low back pain, opioid use, and occupation type increase the risk of hospitalisation for low back pain. Further research into psychological and social factors is warranted given the paucity of available studies. Hospital avoidance strategies, improved patient screening and resource utilisation in emergency departments are considerations for practice.
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spelling pubmed-105641302023-10-11 Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain Orlando, Joseph F. Beard, Matthew Guerin, Michelle Kumar, Saravana PLoS One Research Article Significant costs and utilisation of healthcare resources are associated with hospitalisations for non-specific low back pain despite clinical guidelines recommending community-based care. The aim of this systematic review was to investigate the predictors of hospitalisation for low back pain. A protocol was registered with PROSPERO international prospective register of systematic reviews (#CRD42021281827) and conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Database search of Ovid Medline, Emcare, Embase, PsycINFO, Cochrane Library, PEDro and OTSeeker was conducted. Studies were included if they examined a predictor of hospitalisation for non-specific low back pain with or without referred leg pain. Data was extracted and descriptively synthesised. Risk of bias of included studies was assessed using the Critical Appraisal Skills Programme Checklists. There were 23 studies published over 29 articles which identified 52 predictor variables of hospitalisation for low back pain. The risk of hospitalisation was grouped into themes: personal, health and lifestyle, psychology, socioeconomic, occupational, clinical, and health systems and processes. There was moderate level evidence that arrival to an emergency department via ambulance with low back pain, and older age increase the risk of hospitalisations for low back pain. There was low level evidence that high pain intensity, past history of low back pain, opioid use, and occupation type increase the risk of hospitalisation for low back pain. Further research into psychological and social factors is warranted given the paucity of available studies. Hospital avoidance strategies, improved patient screening and resource utilisation in emergency departments are considerations for practice. Public Library of Science 2023-10-10 /pmc/articles/PMC10564130/ /pubmed/37816006 http://dx.doi.org/10.1371/journal.pone.0292648 Text en © 2023 Orlando et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Orlando, Joseph F.
Beard, Matthew
Guerin, Michelle
Kumar, Saravana
Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
title Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
title_full Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
title_fullStr Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
title_full_unstemmed Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
title_short Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
title_sort systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10564130/
https://www.ncbi.nlm.nih.gov/pubmed/37816006
http://dx.doi.org/10.1371/journal.pone.0292648
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