Epidémiologie Et Prise En Charge Des Lombalgies Aux Urgences
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Résultats: Fréquence 1.3 % des entrées, âge moyen 41 ans, 84 % des patients consultent spontanément. La température est prise dans 88.7 % des cas et 4 fois > 38 C (2.2 %). Le motif principal de consultation est la douleur(45%), un accident de travail (43%). 42 % des patients décrivent des antécédents de lombalgie. Un traitement aux urgences est administré seulement pour 107 patients (52%) et dans 41% des cas il s'agit de l'association AINS + antalgique de classe I, la voie parentérale est utilisée dans 55 % des cas. Aucune complication n'a été retrouvée. L'orientation: 18 patients (9%) ont été hospitalisés la moitié directement en rhumatologie, moyenne d'age 54 ans. Retour à domicile pour 91.1 % des patients avec dans 95.1% des cas une ordonnance comprenant dans 44% des cas trois molécules: AINS + antalgique + myorelaxant. Des IPP sont prescrits dans un quart des cas. Dans 38.9 % des cas un arrèt de travail est prescrit pour une durée moyenne de 5.8 jours. Conclusion: La lombalgie est une pathologie commune, fréquente, récidivante, exceptionnellement compliquée, ne justifiant pas d'un recours initial des services d'urgences.
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