Prevalence of nonmusculoskeletal versus musculoskeletal cases in a chiropractic student clinic

Objective We sought to identify the percentage of nonmusculoskeletal and musculoskeletal conditions treated by interns in the National University of Health Sciences (NUHS) Student Clinic compared to chiropractic and allopathic health care professionals. Methods The information gathered was taken from the charts of patients treated in the fall trimester, dated September 12, 2011 through December 9, 2011. The data collected included ICD-9 codes for the conditions treated, the number of patient visits, age, and gender, and was evaluated using Microsoft Excel. Results Over half of the 113 eligible patients were women with a mean patient age of 28 years, an average of three treated diagnoses, and a mean of seven treatments. Those treated only for musculoskeletal conditions totaled 52% of the patients; 48% of the patients were treated for nonmusculoskeletal conditions, or musculoskeletal plus nonmusculoskeletal conditions. Conclusion The NUHS Student Clinic interns are treating a greater percentage of nonmusculoskeletal conditions and a lesser percentage of musculoskeletal conditions than practicing chiropractic physicians. The student interns also treat a lesser percentage of nonmusculoskeletal and a greater percentage of musculoskeletal conditions than allopathic practitioners. This comparison would suggest that NUHS is nearing its institutional goal of training its student interns as primary care practitioners.

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Leczenie bólu u chorych po zabiegach operacyjnych w znieczuleniu ogólnym i przewodowym

Medycyna Rodzinna ◽

10.25121/mr.2018.21.1.22 ◽

2018 ◽

Vol 21 (1) ◽

Author(s):

Wioletta Mędrzycka-Dąbrowska ◽

Renata Piotrkowska ◽

Piotr Jarzynkowski ◽

Katarzyna Kwiecień-Jaguś ◽

Adrianna Pędziwiatr

Keyword(s):

Postoperative Pain ◽

Surgical Procedures ◽

Medical Documentation ◽

Time Interval ◽

Microsoft Excel ◽

Age And Gender ◽

Treatment Category ◽

And Gender ◽

Level Of Significance

Introduction. Postoperative pain induced by surgical tissue damage is the most common type of acute pain that we encounter in medical and nursing practice. Patients undergoing surgical procedures are exposed to postoperative pain, which determines their quality of life. Aim. The aim of the study was to determine the need for analgesics in patients after surgical procedures performed under general and ductal anesthesia. Material and methods. The study involved 100 patients operated on for oncological reasons. The study used the method of diagnostic survey and the method of analysis of medical documentation. The research tool was the author’s questionnaire. The statistical calculations were performed using the SPSS 20 statistical package and the Microsoft Excel 2010 spreadsheet. In all calculations, p < 0.05 was assumed as the level of significance. Results. The analysis of the studies showed differences between the duration of the surgery and the analgesics administered, such as: morphine χ2 = 6.047; p < 0.049, bupivacaine χ2 = 24.436; p = 0.000 and sufentanil χ2 = 21.571; p = 0.000. It has been shown that after surgical procedures lasting over 3 hours, the patients’ need for painkillers is greater than after treatments lasting in the time interval of 1-2 hours. The research proved that the patients’ demand for analgesics is the highest on the first and second day after surgery. Conclusions. The need for analgesics in patients after surgery is the smallest on the third day after surgery. The highest demand for analgesics administered in continuous infusion into the epidural space occurs in patients qualified for the IV treatment category. The duration of the surgery significantly determines the need for analgesics. Age and gender do not significantly affect the need for analgesics.

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