School of Nursing, College of Health and Medicine, University of Tasmania, Launceston, TAS, Australia.
Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Int J Rheum Dis. 2020 Jun;23(6):763-771. doi: 10.1111/1756-185X.13832. Epub 2020 Apr 1.
The aim of this paper is to analyze hospital admission and associated factors following presentation to healthcare facilities for low back pain (LBP) in Ethiopia.
A population-based cross-sectional study was conducted between June and November 2018 in South-west Shewa zone of Oromia regional state. Data were collected by face-to-face interviews of adults (≥18 years) with self-reported LBP using a newly developed and validated instrument. All the statistical analyses of (n = 543) individuals with a 1-year history of presentation to healthcare facilities for LBP were performed using R version 3.5.1. The log-binomial regression model was fitted and prevalence ratios with 95% confidence intervals (CIs) were calculated to identify factors associated with hospitalization and the significance level was considered at the P value of ≤ .05.
The proportion of hospital admissions following presentation to healthcare facilities for LBP was 14.4%, 95% CI 11.4-17.3, with an average length of stay (LOS) 7.4 days, 95% CI 6.4-8.8. The admission rate was 18.5%, 95% CI 13.4-23.3 in females and 11.4%, 95% CI 8.0-15.1 in males. Multiple factors, such as gender, age, living conditions, residential environment, alcohol consumption status, intensity of pain, and presence of additional spinal pain, were found to be independently associated with hospitalization for LBP.
The burden on the individuals and the Ethiopian healthcare system as a result of LBP is evident by the rate of hospital admissions. Further evidence on LBP case referral procedures is needed to allow health policy makers to develop appropriate management strategies capable of dealing with the increasing epidemiology of LBP.
本文旨在分析埃塞俄比亚因腰痛（LBP）就诊于医疗机构后的住院情况及其相关因素。
本研究为 2018 年 6 月至 11 月在奥罗米亚州西南 Shewa 地区进行的一项基于人群的横断面研究。通过使用新开发和验证的工具，对自述有 LBP 的成年人（≥18 岁）进行面对面访谈来收集数据。使用 R 版本 3.5.1 对所有在过去 1 年因 LBP 就诊于医疗机构的（n=543）个体的统计分析。采用对数二项式回归模型，计算比值比（95%置信区间），以确定与住院相关的因素，且 P 值≤0.05 时认为差异有统计学意义。
因 LBP 就诊于医疗机构后的住院比例为 14.4%（95%CI：11.4-17.3），平均住院时间（LOS）为 7.4 天（95%CI：6.4-8.8）。女性的住院率为 18.5%（95%CI：13.4-23.3），男性为 11.4%（95%CI：8.0-15.1）。性别、年龄、生活条件、居住环境、饮酒状况、疼痛强度以及是否存在其他脊柱疼痛等多种因素与 LBP 住院相关。
LBP 导致的住院率表明，个体和埃塞俄比亚医疗保健系统的负担很重。需要进一步的 LBP 病例转介程序的证据，以便卫生政策制定者能够制定适当的管理策略，以应对日益增加的 LBP 流行病学。
