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

Research output: Contribution to journalArticle

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 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.

Details

Authors
External organisations
  • Spenshult Hospital
  • Helsingborg Hospital
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Rheumatology and Autoimmunity

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
Original languageEnglish
Pages (from-to)127
JournalBMC Musculoskeletal Disorders
Volume11
Publication statusPublished - 2010 Jun 18
Publication categoryResearch
Peer-reviewedYes
Externally publishedYes