Differential diagnosis in children with musculoskeletal pain in Emergency Department
Objective: The study was aimed to analyze the diagnostic approach to a child with a non-traumatic musculoskeletal pain registered in the pediatric Hospital Emergency Department (HED). Since the pandemic COVID-19 affects patient health and the healthcare system, we also evaluated the impact of pande...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Kazimierz Wielki University
2022-10-01
|
| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/40512 |
| _version_ | 1811328167575552000 |
|---|---|
| author | Małgorzata Drozd Adrianna Gorecka Bartłomiej Zaremba Violetta Opoka-Winiarska |
| author_facet | Małgorzata Drozd Adrianna Gorecka Bartłomiej Zaremba Violetta Opoka-Winiarska |
| author_sort | Małgorzata Drozd |
| collection | DOAJ |
| description |
Objective: The study was aimed to analyze the diagnostic approach to a child with a non-traumatic musculoskeletal pain registered in the pediatric Hospital Emergency Department (HED). Since the pandemic COVID-19 affects patient health and the healthcare system, we also evaluated the impact of pandemic on type of musculoskeletal symptoms.
Study design: A retrospective cross-sectional study was conducted by statistical analysis of data of patients with non-traumatic musculoskeletal pain registered in HED between January 2018 and December 2020. Data of patients referred and not referred to hospital ward and admitted to HED before and during COVID-19 pandemic have been compared.
Results: Majority of patients presented acute, non-trauma related, single-site pain, usually localized in the hip, the knee and the spine. 21,49% of patients were referred to a hospital ward, usually rheumatological, neurological or orthopedic. Final diagnoses in almost ¾ patients belong to the group of musculoskeletal system and connective tissue disorders. During the pandemic significantly less patients with musculoskeletal pain reported to our HED. The duration of symptoms before admission was not significantly longer than in previous years, but the problem in children and the impact of the pandemic on the musculoskeletal system in children is complex.
Conclusions: Our study provides detailed information on patterns of pediatric musculoskeletal consultations in HED. A positive history of trauma preceding musculoskeletal pain in a child may only be accidentally related to the final cause. Musculoskeletal pain can be also a symptom of a lot of various systemic conditions, not only diseases of the musculoskeletal system. The still ongoing COVID-19 pandemic may require changes in the organization of the HED. We believe that the presented results can help in organizing and planning care in pediatric HEDs, develop diagnostic algorithms and training for HED staff.
|
| first_indexed | 2024-04-13T15:21:33Z |
| format | Article |
| id | doaj.art-ce687b7d301d40afa925cedc81d09fe1 |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-13T15:21:33Z |
| publishDate | 2022-10-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-ce687b7d301d40afa925cedc81d09fe12022-12-22T02:41:40ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062022-10-01121110.12775/JEHS.2022.12.11.019Differential diagnosis in children with musculoskeletal pain in Emergency DepartmentMałgorzata Drozd0Adrianna Gorecka1Bartłomiej Zaremba2Violetta Opoka-Winiarska3Independent Public Clinical Hospital No. 4 in Lublin, Jaczewskiego 8, 20-954 LublinIndependent Public Clinical Hospital No. 4 in Lublin, Jaczewskiego 8, 20-954 LublinStudents's Scientific Sociaty at the Department of Paediatric Pulmonology and Rheumatology, Medical University of Lublin, Gębali 6, 20-093, Lublin, PolandDepartment of Paediatric Pulmonology and Rheumatology, Medical University of Lublin, Gębali 6, 20-093, Lublin Objective: The study was aimed to analyze the diagnostic approach to a child with a non-traumatic musculoskeletal pain registered in the pediatric Hospital Emergency Department (HED). Since the pandemic COVID-19 affects patient health and the healthcare system, we also evaluated the impact of pandemic on type of musculoskeletal symptoms. Study design: A retrospective cross-sectional study was conducted by statistical analysis of data of patients with non-traumatic musculoskeletal pain registered in HED between January 2018 and December 2020. Data of patients referred and not referred to hospital ward and admitted to HED before and during COVID-19 pandemic have been compared. Results: Majority of patients presented acute, non-trauma related, single-site pain, usually localized in the hip, the knee and the spine. 21,49% of patients were referred to a hospital ward, usually rheumatological, neurological or orthopedic. Final diagnoses in almost ¾ patients belong to the group of musculoskeletal system and connective tissue disorders. During the pandemic significantly less patients with musculoskeletal pain reported to our HED. The duration of symptoms before admission was not significantly longer than in previous years, but the problem in children and the impact of the pandemic on the musculoskeletal system in children is complex. Conclusions: Our study provides detailed information on patterns of pediatric musculoskeletal consultations in HED. A positive history of trauma preceding musculoskeletal pain in a child may only be accidentally related to the final cause. Musculoskeletal pain can be also a symptom of a lot of various systemic conditions, not only diseases of the musculoskeletal system. The still ongoing COVID-19 pandemic may require changes in the organization of the HED. We believe that the presented results can help in organizing and planning care in pediatric HEDs, develop diagnostic algorithms and training for HED staff. https://apcz.umk.pl/JEHS/article/view/40512musculoskeletal painchildhoodemergency departmentCOVID-19 |
| spellingShingle | Małgorzata Drozd Adrianna Gorecka Bartłomiej Zaremba Violetta Opoka-Winiarska Differential diagnosis in children with musculoskeletal pain in Emergency Department Journal of Education, Health and Sport musculoskeletal pain childhood emergency department COVID-19 |
| title | Differential diagnosis in children with musculoskeletal pain in Emergency Department |
| title_full | Differential diagnosis in children with musculoskeletal pain in Emergency Department |
| title_fullStr | Differential diagnosis in children with musculoskeletal pain in Emergency Department |
| title_full_unstemmed | Differential diagnosis in children with musculoskeletal pain in Emergency Department |
| title_short | Differential diagnosis in children with musculoskeletal pain in Emergency Department |
| title_sort | differential diagnosis in children with musculoskeletal pain in emergency department |
| topic | musculoskeletal pain childhood emergency department COVID-19 |
| url | https://apcz.umk.pl/JEHS/article/view/40512 |
| work_keys_str_mv | AT małgorzatadrozd differentialdiagnosisinchildrenwithmusculoskeletalpaininemergencydepartment AT adriannagorecka differentialdiagnosisinchildrenwithmusculoskeletalpaininemergencydepartment AT bartłomiejzaremba differentialdiagnosisinchildrenwithmusculoskeletalpaininemergencydepartment AT violettaopokawiniarska differentialdiagnosisinchildrenwithmusculoskeletalpaininemergencydepartment |