| アブストラクト | This prospective, community-based, active surveillance study aimed to report the incidence of moderate, severe, and serious adverse events (AEs) after chiropractic (n = 100) / physiotherapist (n = 50) visit in offices throughout North America between October-2015 and December-2017. Three content-validated questionnaires were used to collect AE information: two completed by the patient (pre-treatment [T0] and 2-7 days post-treatment [T2]) and one completed by the provider immediately post-treatment [T1]. Any new or worsened symptom was considered an AE and further classified as mild, moderate, severe or serious. From the 42 participating providers (31 chiropractors; 11 physiotherapists), 3819 patient visits had complete T0 and T1 assessments. The patients were on average 50+/-18 years of age and 62.5% females. Neck/back pain was the most common presenting condition (70.0%) with 24.3% of patients reporting no condition/preventative care. From the patients visits with a complete T2 assessment (n = 2136 patient visits, 55.9%), 21.3% reported an AE, of which: 7.9% were mild, 6.2% moderate, 3.7% severe, 1.5% serious, and 2.0% had missing severity rating. The most common symptoms reported with moderate or higher severity were discomfort/pain, stiffness, difficulty walking and headache. This study provides valuable information for patients and providers regarding incidence and severity of AEs following patient visits in multiple community-based professions. These findings can be used to inform patients of what AEs may occur and future research opportunities can focus on mitigating common AEs. |
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| 投稿者 | Pohlman, Katherine A; Funabashi, Martha; O'Beirne, Maeve; Cassidy, J David; Hill, Michael D; Hurwitz, Eric L; Kawchuk, Gregory; Mior, Silvano; Ibrahim, Quazi; Thiel, Haymo; Westaway, Michael; Yager, Jerome; Vohra, Sunita |
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| 組織名 | Research Center, Parker University, Dallas, Texas, United States of America.;Division of Research and Innovation, Canadian Memorial Chiropractic College,;Toronto, Ontario, Canada.;Department of Chiropractic, Universite du Quebec a Trois-Rivieres,;Trois-Rivieres, Montreal, Canada.;Family Medicine, University of Calgary, Calgary, Alberta, Canada.;Division of Epidemiology, Dalla Lana School of Public Health, University of;Toronto, Toronto, Ontario, Canada.;Department of Clinical Neurosciences, Department of Community Health Sciences,;Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.;Office of Public Health Studies, Thompson School of Social Work & Public Health,;University of Hawaii at Manoa Honolulu, Hawaii, United States of America.;Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.;Department of Research and Innovation, Institute of Disability and Rehabilitation;Research, Ontario Tech University Toronto, Ontario, Canada.;Department of Health Research Methods, Evidence, and Impact, McMaster University;(Hamilton, Ontario, Canada).;Health Sciences University, Bournemouth, United Kingdom.;Department of Rehabilitation Sciences, McMaster University, Hamilton, Ontario,;Canada.;Department of Paediatrics, Pediatric Neurosciences, University of Alberta,;Edmonton, Alberta, Canada.;Department of Pediatrics and Psychiatry, Faculty of Medicine & Dentistry,;University of Alberta, Edmonton, Alberta, Canada. |
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