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Chronic musculoskeletal pain predicted hospitalisation due to serious medical conditions in a 10 year follow up study

Lindgren, Hans LU and Bergman, Stefan (2010) In BMC musculoskeletal disorders 11. p.127-127
Abstract

BACKGROUND: The aim was to examine if self reported chronic regional pain (CRP) and chronic widespread pain (CWP) predicted inpatient care due to serious medical conditions such as cerebrovascular diseases, ischemic heart diseases, neoplasms and infectious diseases in a general population cohort over a ten year follow-up period.

METHODS: A ten-year follow up of a cohort from the general adult population in two health care districts with mixed urban and rural population in the south of Sweden, that in 1995 participated in a survey on health and musculoskeletal pain experience. Information on hospitalisation for each subject was taken from the regional health care register. Multiple logistic regression analyses were used to study... (More)

BACKGROUND: The aim was to examine if self reported chronic regional pain (CRP) and chronic widespread pain (CWP) predicted inpatient care due to serious medical conditions such as cerebrovascular diseases, ischemic heart diseases, neoplasms and infectious diseases in a general population cohort over a ten year follow-up period.

METHODS: A ten-year follow up of a cohort from the general adult population in two health care districts with mixed urban and rural population in the south of Sweden, that in 1995 participated in a survey on health and musculoskeletal pain experience. Information on hospitalisation for each subject was taken from the regional health care register. Multiple logistic regression analyses were used to study the associations between chronic musculoskeletal pain and different medical conditions as causes of hospitalisation.

RESULTS: A report of CRP (OR = 1.6; p < 0.001) or CWP ( OR = 2.1; p < 0.001) predicted at least one episode of inpatient care over a ten year period, with an increased risk in almost all diagnostic subgroups, including cerebrovascular diseases, ischemic heart diseases, and infectious diseases. There was however no increased risk of hospitalisation due to neoplasms.

CONCLUSIONS: The presence of especially CWP was associated with hospital inpatient care due to several serious medical disorders. This may imply a general vulnerability to different medical conditions that has to be addressed in the assessment and management of subjects with chronic musculoskeletal pain.

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author
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publication status
published
subject
keywords
Adult, Aged, Antineoplastic Combined Chemotherapy Protocols, Cerebrovascular Disorders, Chronic Disease, Cohort Studies, Communicable Diseases, Comorbidity, Female, Follow-Up Studies, Hospitalization, Humans, Longitudinal Studies, Male, Middle Aged, Musculoskeletal Diseases, Myocardial Ischemia, Pain, Intractable, Predictive Value of Tests, Young Adult, Journal Article, Research Support, Non-U.S. Gov't
in
BMC musculoskeletal disorders
volume
11
pages
127 - 127
publisher
BioMed Central
external identifiers
  • scopus:77953634582
ISSN
1471-2474
DOI
10.1186/1471-2474-11-127
language
English
LU publication?
no
id
916b33e0-e61d-4675-9cf9-620cb5b989ba
date added to LUP
2017-04-20 17:09:17
date last changed
2018-05-29 09:50:01
@article{916b33e0-e61d-4675-9cf9-620cb5b989ba,
  abstract     = {<p>BACKGROUND: The aim was to examine if self reported chronic regional pain (CRP) and chronic widespread pain (CWP) predicted inpatient care due to serious medical conditions such as cerebrovascular diseases, ischemic heart diseases, neoplasms and infectious diseases in a general population cohort over a ten year follow-up period.</p><p>METHODS: A ten-year follow up of a cohort from the general adult population in two health care districts with mixed urban and rural population in the south of Sweden, that in 1995 participated in a survey on health and musculoskeletal pain experience. Information on hospitalisation for each subject was taken from the regional health care register. Multiple logistic regression analyses were used to study the associations between chronic musculoskeletal pain and different medical conditions as causes of hospitalisation.</p><p>RESULTS: A report of CRP (OR = 1.6; p &lt; 0.001) or CWP ( OR = 2.1; p &lt; 0.001) predicted at least one episode of inpatient care over a ten year period, with an increased risk in almost all diagnostic subgroups, including cerebrovascular diseases, ischemic heart diseases, and infectious diseases. There was however no increased risk of hospitalisation due to neoplasms.</p><p>CONCLUSIONS: The presence of especially CWP was associated with hospital inpatient care due to several serious medical disorders. This may imply a general vulnerability to different medical conditions that has to be addressed in the assessment and management of subjects with chronic musculoskeletal pain.</p>},
  author       = {Lindgren, Hans and Bergman, Stefan},
  issn         = {1471-2474},
  keyword      = {Adult,Aged,Antineoplastic Combined Chemotherapy Protocols,Cerebrovascular Disorders,Chronic Disease,Cohort Studies,Communicable Diseases,Comorbidity,Female,Follow-Up Studies,Hospitalization,Humans,Longitudinal Studies,Male,Middle Aged,Musculoskeletal Diseases,Myocardial Ischemia,Pain, Intractable,Predictive Value of Tests,Young Adult,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  month        = {06},
  pages        = {127--127},
  publisher    = {BioMed Central},
  series       = {BMC musculoskeletal disorders},
  title        = {Chronic musculoskeletal pain predicted hospitalisation due to serious medical conditions in a 10 year follow up study},
  url          = {http://dx.doi.org/10.1186/1471-2474-11-127},
  volume       = {11},
  year         = {2010},
}