From 2016 to 2022, opioid prescribing for low back pain in EDs has declined, but radiograph use has remained high, especially among older adults.
Edited by Sneha GuptaFrom 2016 to 2022, 5.3% of all US emergency department visits were for low back pain , with opioid prescribing declining and radiograph use remaining high.Researchers conducted a cross-sectional study using data from the National Hospital Ambulatory Medical Care Survey between 2016 and 2022.
They analyzed 6522 ED visits for low back pain . From 2016 to 2022, an estimated 52.8 million weighted ED visits for low back pain occurred in the United States, accounting for 5.3% of the 991.7 million weighted total ED visits during that period.The mean pain score for ED visits was 7.2 out of 10. Opioid administration decreased from 35.0% in 2016 to 24.5% in 2022, and prescriptions declined from 32.5% to 13.5%.
Radiographs were obtained in 39.4% of visits, and CT and MRI were used in 5.4% and 3.2% of visits, respectively.IN PRACTICE: "From 2016 to 2022, an estimated 1 in 20 US ED visits were for a back pain-related reason, with a declining prevalence of opioid prescribing and a relatively stable prevalence of plain radiography use over the study period," the authors wrote.The study was led by Anuva Fellner, MPH, Northwestern University Feinberg School of Medicine, Chicago.
Opioids Pain Back Pain Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly Radiography Artificial Intelligence Deep Learning AI NPL Machine Learning ML Natural Language Processing Artificial Neural Networks Computed Tomography CT Ct Scan Grant Hospitals
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