Imaging use for uncomplicated low back pain by emergency physicians according to the Smarter Medicine recommendations

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Accès restreint UNIL
Etat: Public
Version: Après imprimatur
Licence: Non spécifiée
ID Serval
serval:BIB_618E60485399
Type
Mémoire
Sous-type
(Mémoire de) maîtrise (master)
Collection
Publications
Institution
Titre
Imaging use for uncomplicated low back pain by emergency physicians according to the Smarter Medicine recommendations
Auteur⸱e⸱s
RUSCIO K.
Directeur⸱rice⸱s
DAMI F.
Détails de l'institution
Université de Lausanne, Faculté de biologie et médecine
Statut éditorial
Acceptée
Date de publication
2021
Langue
anglais
Nombre de pages
10
Résumé
Background
Low back pain (LBP) is one of the most common causes for emergency department’s (ED) consultation. Usually, LBP is non-specific and associations such as Choosing Wisely Canada (CWC) Emergency Medicine group or Smarter Medicine Switzerland recommend avoidance of lumbosacral imaging for patients with non-traumatic LBP in the absence of red flags. The objective of this study was to determine the adherence to this recommendation in the emergency department of Lausanne University Hospital, Switzerland. The second objective was to determine the factors that may influence the decision to order imaging.
Methods
We conducted a retrospective observational study over a 1-year period between January 1st and December 31st 2019. All data were collected from patients who presented themselves to the emergency department of Lausanne University Hospital with non-complicated LBP. Patients with red flags and/or who were admitted to the hospital were excluded from the analysis.
Results
Among a total of 756 eligible patients, 372 were included. Imaging was ordered in 64 (17.20%) of them, including 55 lumbar X-ray, 5 CT-scan and 4 MRI. None of these imaging lead to diagnostic a cause of LBP. Age was the only variable positively associated with imaging (p = .001). There was no statistical difference in the other variables analyzed between these two groups.
Conclusions
In overall, Choosing Wisely recommendation seems to be respected by the emergency physicians of Lausanne University Hospital although there is a trend toward performing more imaging for older patients.
Mots-clé
low back pain, choosing wisely, emergency medicine, imaging, low-risk low back pain
Création de la notice
12/09/2022 10:51
Dernière modification de la notice
27/09/2023 5:59
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