Lumbosacral Support Usage among Low Back Pain Patients at Nakhonpathom Hospital: A 5-year Retrospective Study

Abstract

This retrospective descriptive study aimed to examine the utilization of lumbosacral supports classified by ICD-10 codes, pathologies, and anatomical sites. The sample consisted of 3,348 low back pain outpatients at the Prosthetics and Orthotics Clinic, Nakhonpathom Hospital, selected through total population sampling based on inclusion criteria from the electronic database. The research instrument was a validated 3-part recording form: demographic data, ICD-10 codes, and clinical pathology with anatomical sites. Data were collected between October 1, 2018, and September 30, 2023, via HA.OS software. Statistical analyses used were frequency, percentage, mean, and standard deviation.

The results revealed that the majority were female (69.24%) and aged 60 years and older (49.34%), with a mean age of 56.90 years. The highest usage was under musculoskeletal diseases (M00-M99) (95.04%), specifically within the dorsopathies cluster (M40-M54) (89.58%), with spondylosis (M47) being the highest (25.78%), predominantly presenting as other spondylosis of the lumbar region (M47.86) (20.26%). The recommendations are to utilize these data for developing clinical practice guidelines and proactively planning lumbosacral support (code 8307) stock management for the aging society.