{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:26:26Z","timestamp":1753878386564,"version":"3.41.2"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Rationale<\/jats:title><jats:p>In healthcare systems without gatekeeper access to Emergency Departments (ED), the number of people presenting for low back pain (LBP) is increasing substantially. Low back pain presentations at the Emergency Department are rarely caused by serious underlying pathology, and management often deviates from practice guidelines. Older adults (\u2265\u200965 years) constitute approximately 30% of all ED LBP presentations. Little is known about differences in presentation characteristics and ED management between older adults from aged care homes and those living in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>This study aimed to identify differences in presentation and management between people presenting at the ED for LBP from aged care homes versus those residing in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective observational study of routinely collected healthcare data and chart audits of older adults from aged care homes (<jats:italic>N<\/jats:italic>\u2009=\u200964) and age and sex\u2010matched community\u2010dwelling older adults (<jats:italic>N<\/jats:italic>\u2009=\u200964) presenting to ED for LBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients from aged care homes presented with more comorbidities (4 vs. 2), analgesic medication (84% vs. 70%) and polypharmacy (86% vs. 41%) and were more commonly admitted for ongoing analgesia or further diagnostic tests. Community\u2010dwelling older adults were more frequently admitted for Allied Health input. ED administration of opiates was high for both groups (81% aged care; 91% community\u2010dwelling). High rates of lumbar spine medical imaging (61% aged care; 50% community\u2010dwelling) resulted in few acute radiographic findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older patients presenting to ED for LBP receive similar management regardless of their residential status. Hospital management of both groups does not align with current published recommendations namely in respect to imaging and pain medication.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70088","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T11:58:21Z","timestamp":1744372701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low Back Pain Presentation and Management at the Emergency Department: Differences Between Older Adults Residing in the Community and Aged Care Homes"],"prefix":"10.1111","volume":"31","author":[{"given":"Rod","family":"Ellem","sequence":"first","affiliation":[{"name":"Gold Coast Hospital and Health Service, Queensland Health, Gold Coast Southport Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quinn","family":"Burling","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Social Work, Griffith University Brisbane and Gold Coast Queensland Australia"},{"name":"Queensland Health, Sunshine Coast Hospital and Health Service Birtinya Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3958-4408","authenticated-orcid":false,"given":"Michel W.","family":"Coppieters","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Social Work, Griffith University Brisbane and Gold Coast Queensland Australia"},{"name":"Amsterdam Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Todd","sequence":"additional","affiliation":[{"name":"Bond Business School, Bond University Robina Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4811-0260","authenticated-orcid":false,"given":"Rowan","family":"Pickering","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Faculty of Health Science, Bond University Robina Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2023.04.003"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.10.002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-023-00789-8"},{"volume-title":"Emergency Department Care 2017\u201318: Australian Hospital Statistics","year":"2018","author":"Australian Institute of Health and Welfare","key":"e_1_2_9_5_1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13240"},{"key":"e_1_2_9_7_1","unstructured":"Division UNDoEaSA\u2010P. \u201cRevision of World Population Prospects \u201d United Division UN editor (2022) https:\/\/population.un.org\/wpp\/."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.989"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"379","article-title":"Course of Back Complaints in Older Adults: A Systematic Literature Review","volume":"48","author":"Scheele J.","year":"2012","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.01.012"},{"key":"e_1_2_9_11_1","unstructured":"Royal Commission Into Aged Care Quality and Safety. \u201cHospitalisations in Australian Aged Care: 2014\/15\u20132018\/19.\u201dCommonwealth of Australia(2021):30 https:\/\/apo.org.au\/node\/310714."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12411"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq016"},{"key":"e_1_2_9_14_1","unstructured":"Australian Bureau of Statistics. \u201cAustralian Bureau of Statistics\u2014Regional Population 2021 Canberra Australia: Australian Government; 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