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

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Chronic musculoskeletal pain predicted hospitalisation due to serious medical conditions in a 10 year follow up study. / Lindgren, Hans; Bergman, Stefan.

I: BMC Musculoskeletal Disorders, Vol. 11, 18.06.2010, s. 127.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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T1 - Chronic musculoskeletal pain predicted hospitalisation due to serious medical conditions in a 10 year follow up study

AU - Lindgren, Hans

AU - Bergman, Stefan

PY - 2010/6/18

Y1 - 2010/6/18

N2 - 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.

AB - 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.

KW - Adult

KW - Aged

KW - Antineoplastic Combined Chemotherapy Protocols

KW - Cerebrovascular Disorders

KW - Chronic Disease

KW - Cohort Studies

KW - Communicable Diseases

KW - Comorbidity

KW - Female

KW - Follow-Up Studies

KW - Hospitalization

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Middle Aged

KW - Musculoskeletal Diseases

KW - Myocardial Ischemia

KW - Pain, Intractable

KW - Predictive Value of Tests

KW - Young Adult

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1186/1471-2474-11-127

DO - 10.1186/1471-2474-11-127

M3 - Article

VL - 11

SP - 127

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

SN - 1471-2474

ER -