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January 2021 -
Volume 20, Issue 1


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From the Editor

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Awareness and Knowledge about Childhood Autism among Family Medicine Residents in Al Madinah Region in Saudi Arabia, 2020
[pdf]
[Abstract]

Ahmad Mohammed Masarit,Maher Alhafithi, Haytham Alsanna,
Sokinh Almaghaslah
DOI: 10.5742/MEWFM.2022.95201

Exploring the Treatment Types and Challenges in Patients with Chronic Obstructive Pulmonary Disease: A Qualitative Study
[pdf]
[Abstract]

Mian Ali Kamran Baba, Shaheer Ellahi Khan, Fatima Hasnain, Rabab Sakina, Afsheen Talat, Afifa Binte Irfan
DOI: 10.5742/MEWFM.2022.95202

Prevalence and associated factors of burnout among nurses in a general hospital in Yanbu, Saudi Arabia
[pdf]
[Abstract]

Maher Alhafithi, Sami A Al-Dubai, Saleh S Alalwani,
Ahmad M Masarit
DOI: 10.5742/MEWFM.2022.95204

Prevalence of overt and subclinical hypothyroidism during pregnancy in antenatal care - cross-sectional study, Jeddah, Saudi Arabia
[pdf]
[Abstract]

Lubna M. Zahrani, Mada I. Abdulhaq, Taghreed M. Shams, Fayssal M. Farahat
DOI: 10.5742/MEWFM.2022.95206

Prevalence of iron supplementation among pregnant woman in Taif, Saudi Arabia: a cross sectional study
[pdf]
[Abstract]

Amena Ali, Setah J. Aladwani, Awatef M. Alotibi, Ibtihal M. Althumali, Marwah O. Alafghani, Mona S. Alzahrani
10.5742/MEWFM.2022.95209

Why patients go to private health care facilities? Perspectives from Qassim, Saudi Arabia
[pdf]
[Abstract]

Amel A Sulaiman, Unaib Rabbani,, Sultan Alshaya, Marwan Alyahya, Saleh A Al-Gabbany, Chandra S Kalevaru, Saulat Jahan, Raed A Aljubeilan, Ahmed A AlMeman, Bader A AlAhajji
DOI: 10.5742/MEWFM.2022.95212

Population and Community studies

Documentation of paediatric observations in an urgent care setting; a Quality Improvement Project
[pdf]
[Abstract]

Rahma Yusuf Ali
DOI: 10.5742/MEWFM.2022.95210

Public Awareness, and Perception towards Chronic Kidney Disease and its Risk Factors in Southern Region, Saudi Arabia
[pdf]
[Abstract]

Mona Mohammed Alshahrani, Haifa' Hisham A. Alwabel, Hassan Dhafer Hassan Alabisi, Mohammed Abdullah Alshehri, Abdulaziz Mari Alqahtani, Anas Ali Asiri, Manar saeed Alqahtani
DOI: 10.5742/MEWFM.2022.95211

Quality of life for Cardiovascular Patients in Saudi Arabia
[pdf]
[Abstract]

Mohammed M.Mougrabi, Nouran K.Althumali, Raghad S.AL-juaid, Thekra M.Alsalmi, Ohoud D.Alotaibi, Waad S.Alzahrani, Najla J.Alkhaldi
DOI: 10.5742/MEWFM.2022.95214

Stress and a sedentary lifestyle are associated with irritable bowel syndrome in medical students from Saudi Arabia
[pdf]
[Abstract]

Amna Fadl Bashir Fadl, Asrar Mohammed Al-Towerqi, Arwa Abdullah Alharbi,
Danah kamal kabrah, Amwaj Abdulmohsen Almalki, Bashayer Nawar Algethami, Amal Mohammed Albogami
DOI: 10.5742/MEWFM.2022.95216

Physicians' Perceptions and Attitudes toward Use of Electronic Medical Record Systems in Riyadh
[pdf]
[Abstract]

Yasser H. Al Otaib,vMoteb M. AlSaedi
DOI: 10.5742/MEWFM.2022.95218

Job Related Burnout among Emergency Physicians and Nurses
in Dammam City, Saudi Arabia

[pdf]
[Abstract]

Abdulaziz F. Alshahrani, Abdullah M. Alhotheyfa, Salman Z. Alkhiraisy,
Hassan A. Abugad, Bander F. Alshahrani
DOI: 10.5742/MEWFM.2022.95219

Sleep Patterns and Academic Performance among Medicine and Pharm D students in Almaarefa University 2018-2019
[pdf]
[Abstract]

Mashel A. Alzunidi, Jawaher A. Alowayyid, Rabab A.Benhadi, Habiba H. Farouk, Malak H. Alshammari, Asmaa S.Sultan, Rana A.Almojil, Alanoud A.Alshathri, Noor N.Alsalman, Shahad S. Alshaya, Mona M. Alfadeel
DOI: 10.5742/MEWFM.2022.95223

Reviews

Nutrition and puberty
[pdf]
[Abstract]

Dima Naddeh, Alaa Salah AG AlSharei
DOI: 10.5742/MEWFM.2022.95221

Alzheimer's Dementia - A Narrative Review
[pdf]
[Abstract]

Nasir Alzbeidi, Hem Phaterpekar, Hamed Al-Sinawi
DOI: 10.5742/MEWFM.2022.95221

Clinical Research and Audits

Clinical Audit Report on Adherence to Imaging Guidelines for Patients with Acute Low Back Pain in Airport Health Centre
[pdf]
[Abstract]

Hanan Al-shamery, Wesam Abouamer, Neelufur Sulaiman
DOI: 10.5742/MEWFM.2022.95229

Case Report

A case of Erythroderma following Terbinafine therapy
[pdf]
[Abstract]

Rahma Yusuf Ali, Fatima Ali
DOI: 10.5742/MEWFM.2022.95230

Rare presentation of lower limb weakness, a case report
[pdf]
[Abstract]

Hamzeh Yousef khmour, Salma el Nour, Mansour Elmahdi
DOI: 10.5742/MEWFM.2022.95231

Original Clinical Research

Type 2 Diabetes Mellitus Control during COVID 19 Pandemic in Qatar 2020: A Retrospective Data Analysis
[pdf]
[Abstract]

Hamzeh Yousef Khmour, Yosaf Al-Rabeei, Nashwan Zainal Deen, Salma Elnour, Khaled Al-Karbi, Mostafa Hamdy Rashed, Muneera Al-Muhannadi, Mansour El-Mahdi, Hanan Al Shamari, Mustfa Abdelhamied abugesiesa, Ahmed Mahmoud Amer, Prem Chandra, Mohamed H. Mahmoud
DOI: 10.5742/MEWFM.2022.95233

Prevalence of Generalized Anxiety Disorder among Medical Residents in Hamad Medical Corporation in 2020
[pdf]
[Abstract]

Mohamed Hnish, Nashwan Zainal Deen, Salma Snoussi, Hind Mohamad, Mohamed Abdalla, Issameldin Abdelbagi
DOI: 10.5742/MEWFM.2022.95234

Contrast-Induced Nephropathy among adults after administration of intravenous material in the Emergency department at King Abdul-Aziz university hospital
[pdf]
[Abstract]

Abdullah Bakhsh, Samiyah Alsaedi, Afaf Alsaiari, Esraa Alzahrani, Latifah Kutbi, Bothainah Abed A Alsahafi, Ghoson ghonem alharbi, Mostafa Abdelsalam
DOI: 10.5742/MEWFM.2022.95235

Insulin Resistance Related to Metabolic Syndrome
[pdf]
[Abstract]

Hanan Taha AlShamery, Neelufur Sulaiman Sait
DOI: 10.5742/MEWFM.2022.95237

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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January 2022 - Volume 20, Issue 1

Clinical Audit Report on Adherence to Imaging Guidelines for Patients with Acute Low Back Pain in Airport Health Centre

Corresponding author:
Dr. Hanan Taha AlShamery
Specialist Family Medicine, Operations - HC Airport
Email: halshamery@phcc.gov.qa

Received: November 2021; Accepted: December 2021; Published: January 1, 2022. Citation: Hanan Al-shamery et al. Clinical Audit Report on Adherence to Imaging Guidelines for Patients with Acute Low Back Pain in Airport Health Centre. World Family Medicine. 2022; 20(1): 166-169
DOI: 10.5742/MEWFM.2022.95229

Abstract


It is estimated that up to 84 percent of adults have low back pain at some time in their lives [1,2]. The vast majority of patients seen in primary care (>85 percent) will have nonspecific low back pain, meaning that the patient has back pain in the absence of a specific underlying condition that can be reliably identified [3-4]. For most of these individuals, episodes of back pain are self-limited. Patients who continue to have back pain beyond the acute period (four weeks) have subacute back pain (lasting between 4 and 12 weeks), and some may go on to develop chronic back pain (lasting >12 weeks) [5].

Patients who don’t improve on pharmacotherapy should be reassessed and must not be given imaging within 6 weeks from the onset of symptoms. However, acute low back pain will go on to develop chronic low back pain if not addressed.

It is observed from practice that most of the physicians did follow the guidelines while treating the patients with acute low back pain, although, sometimes they advised imaging within 6 weeks of symptoms.

The Audit was conducted through a retrospective review of health records of a randomly selected 66 patients with acute low back pain, seen at the Airport Health Center during the months from 1st January 2021 till 31st March 2021. Audit criteria is derived from PHCC Clinical Practice Guideline for the Management of Low Back Pain in Adults.

Audit findings of the total sample of 66 patients showed 95% compliance with the recommended practice on imaging requirement for patients with acute Low Back Pain and didn’t do imaging at the first visit.

Conclusion: Audit concluded with the recommendation on achieving 100% level of compliance in practice and to sustain the practice.

Key words: clinical audit, low back pain, imaging







 


 

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