筛查腰痛患者恶性肿瘤和骨折的危险信号。
Red flags to screen for malignancy and fracture in patients with low back pain.
机构信息
George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Faculty of Science, Macquarie University, Sydney, Australia.
George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia.
出版信息
Br J Sports Med. 2014 Oct;48(20):1518. doi: 10.1136/bjsports-2014-f7095rep.
STUDY QUESTION
What are the best red flags to indicate the possibility of fracture or malignancy in patients presenting with low back pain in primary, secondary, or tertiary care?
SUMMARY ANSWER
Older age, prolonged corticosteroid use, severe trauma, and presence of a contusion or abrasion increase the likelihood of spinal fracture (likelihood was higher with multiple red flags); a history of malignancy increases the likelihood of spinal malignancy.
研究问题
在初级、二级或三级保健中，出现腰痛的患者，哪些是预示骨折或恶性肿瘤可能性的最佳危险信号？
总结答案
年龄较大、长期使用皮质类固醇、严重创伤以及存在挫伤或擦伤会增加脊柱骨折的可能性（多个危险信号存在时可能性更高）；恶性肿瘤史会增加脊柱恶性肿瘤的可能性。
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