{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T02:35:52Z","timestamp":1772505352052,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T00:00:00Z","timestamp":1553126400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hospital admissions for patients with back pain are increasing. Despite their significant contribution to the healthcare burden, they remain largely unstudied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the management and clinical outcomes of patients with acute back pain admitted to hospital under general medicine units when compared to a rheumatology unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 36\u2010month retrospective, observational study on patients presenting to the emergency department with back pain who were subsequently admitted to one of three general medicine units (GM) or a rheumatology unit (RU). Differences in patient demographics, management and clinical outcomes were assessed using Chi\u2010squared tests for categorical variables and Kruskall\u2013Wallis tests for continuous variables. Multivariate associations of two primary outcomes, length of stay (LOS) and complications were examined using generalised estimating equations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 712 admissions from 594 patients across the four inpatient units were used for this study. Common discharge diagnoses were musculoskeletal\/non\u2010specific back pain (41%), disc\u2010related illness (22%), vertebral fracture (14%) and sciatica (14%). Non\u2010English speaking background (NESB), age \u2265 80 years, disc\u2010related disease, vertebral fracture and sciatica were statistically significantly associated with both increased LOS and complications. The presence of comorbidities was associated with more complications. GM admission was associated with a longer LOS and more complications than RU admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multiple factors associated with an increased LOS and complications were identified, including older patients and patients of NESB. Given the observed variations in back pain management between general and specialty units, strategies to standardise care should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.14075","type":"journal-article","created":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T05:38:56Z","timestamp":1533793136000},"page":"316-322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Outcomes of patients admitted to hospital medical units with back pain"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6670-9838","authenticated-orcid":false,"given":"Leo","family":"Kyi","sequence":"first","affiliation":[{"name":"Department of Rheumatology Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rangi","family":"Kandane\u2010Rathnayake","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences at Monash Health Monash University Faculty of Medicine, Nursing and Health Sciences  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Morand","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Monash Health  Melbourne Victoria Australia"},{"name":"School of Clinical Sciences at Monash Health Monash University Faculty of Medicine, Nursing and Health Sciences  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynden J.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Monash Health  Melbourne Victoria Australia"},{"name":"School of Clinical Sciences at Monash Health Monash University Faculty of Medicine, Nursing and Health Sciences  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204428"},{"key":"e_1_2_6_3_1","unstructured":"Australian Institute of Health and Welfare.Impacts of Chronic Back Problems. Canberra: The Institute; 2016 [cited 2017 Oct 16]. Available from URL:https:\/\/www.aihw.gov.au\/reports\/arthritis-other-musculoskeletal-conditions\/impacts-of-chronic-back-problems\/contents\/table-of-contents"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199310000-00003"},{"key":"e_1_2_6_5_1","unstructured":"Australian Institute of Health and Welfare.Rate of Hospitalisation for Back Problems by Sex 2005\u201306 to 2014\u201315. Canberra: The Institute;2017[cited 2017 Jan 16]. Available from URL:http:\/\/www.aihw.gov.au\/back-problems\/treatment-by-hospitals\/"},{"key":"e_1_2_6_6_1","unstructured":"Australian Institute of Health and Welfare.National Hospital Morbidity Database. 2015 [cited 2017 Jan 16]. Available from URL:http:\/\/www.aihw.gov.au\/chronic-diseases\/data\/-arthritis"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2011.09.002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.01.008"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2017.02.012"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0910881"},{"key":"e_1_2_6_11_1","unstructured":"Monash Health Fast Facts. 2015\u20132016. [cited 2018 Aug 16]. Available from URL:http:\/\/www.monashhealth.org\/page\/fast_facts"},{"key":"e_1_2_6_12_1","unstructured":"Australian Institute of Health and Welfare.MyHospitals. Canberra: The Institute; 2015\u20132016; [cited 2018 Aug 16]. Available from URL:http:\/\/www.myhospitals.gov.au\/"},{"key":"e_1_2_6_13_1","unstructured":"RiskMan\u00a9. 2016 [cited 2017 Oct 16]. Available from URL:http:\/\/www.riskman.net.au\/"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-7-200710020-00006"},{"key":"e_1_2_6_15_1","volume-title":"Evidence\u2010Based Management of Acute Musculoskeletal Pain","author":"Australian Acute Musculoskeletal Pain Guidelines Group","year":"2003"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx081"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2012.01.010"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-12-201212180-00564"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.14075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.14075","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T01:11:36Z","timestamp":1694394696000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.14075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/imj.14075"],"URL":"https:\/\/doi.org\/10.1111\/imj.14075","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]},"assertion":[{"value":"2018-01-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}