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Table 3 Pharmacological and non-pharmacological care provided for back pain

From: Paramedic management of back pain: a scoping review

 

Pharmacological care

 

Author

Country

Data collection time frame

Proportion of sample with back pain

N (%)

Type of back pain

Proportion of patients with back pain receiving medications or non-pharmacological treatments

Capsey et al [44]

UK

Aug 2016 – Jul 2017

3315 (100%)

Lower back pain

- Nitrous oxide (24.3%)

- Morphine (13.0%)

- Paracetamol (8.5%)

- Ibuprofen (2.4%)

- Other analgesics (1.7%)

Alonso et al [42, 43]

Spain

Jan 2012 – Apr 2016

237 (10.5%)

Lumbar radiculopathy

- Diazepam (64.9%)

- NSAIDs (53.6%)

- Metamizole (33.3%)

- Opioids (11.4%)

- Paracetamol (5.5%)

Infinger et al [26]

USA

Mar 2011—May 2011

154 (13.7%)

Falls-related back pain

- Opioid – Fentanyl (2%)

Eastwood et al [25]

Australia

Sep 2009 – Jun 2012

2,309 (9.7%)

Back pain (no definition provided)

- Received analgesia (76.2%)

Gill et al [28]

UK

Jan 2006 – Dec 2008

536 (100%)

All patients diagnosed with thoracolumbar fracture

- Opioid—Morphine (66%)

Sporer et al [27]

USA

Jan 2004 – Dec 2006

539 (0.8%)

Non-traumatic and/or non-recent back pain and back pain – patient not alert

Received analgesia:

- Non-traumatic back pain (12%)

- Non-recent back pain (8%)

- Back pain- not alert (7%)

Sporer et al [33]

USA

Jan – Dec 2009

235 (0.6%)

Non-traumatic and/or non-recent back pain

- Received medication (22.6%)

Michael et al [32]

USA

Jan 2004 – Jul 2004

98 (6.1%)

Non-traumatic and/or non-recent back pain

- Opioids – Morphine (12%)

Donen et al [36]

Canada

NR

28 (11.7%)

NR

- Nitrous oxide (100%)

 

Non-pharmacological care

 

Eastwood et al [24]

Australia

Sep 2009 – Jun 2012

5,639 (12.7%)

NR

- Referred to alternate health service provider (16.1%)

- Given self-care advice (10.6%)

Alonso et al [42, 43]

Spain

Jan 2012 – Apr 2016

237 (10.5%)

Lumbar radiculopathy

- Telecontact (80.5%)

- Counselling (64.1%)

- Interventions to stabilise emotions (27%)

- Behaviour modification (24.9%)

- Weight management (20.7%)

Eastwood et al [2]

Australia

Sep 2009 – Jun 2012

12,643 (11.8%)

Back symptoms

- Referred to alternate health service providers (13.5%)

- Received care plan (0.5%)

  1. Key: NSAIDs Non-steroidal anti-inflammatory drugs