Incidence and trends of low back pain hospitalisation during military service – An analysis of 387,070 Finnish young males
2009

Low Back Pain Hospitalization in Finnish Military Conscripts

Sample size: 387070 publication 10 minutes Evidence: high

Author Information

Author(s): Mattila Ville M, Sillanpää Petri, Visuri Tuomo, Pihlajamäki Harri

Primary Institution: Centre for Military Medicine, Lahti and Helsinki, Finland

Hypothesis

The study investigates the incidence and trends of low back pain hospitalisation among Finnish military conscripts.

Conclusion

Low back pain hospitalisation causes significant morbidity during military service, despite conscripts being initially healthy.

Supporting Evidence

  • 7,240 LBP hospitalisations were identified among 5,061 male conscripts.
  • The event-based incidence of LBP hospitalisation was 27.0 per 1,000 person-years.
  • 71% of cases were due to unspecified LBP.
  • Hospitalisation due to lumbar disc disorders declined from 1993 onwards.
  • 1.3% of conscripts were hospitalised for LBP during military service.

Takeaway

This study looked at how many young men in the military got sick with back pain while serving. Even though they were healthy when they started, many ended up in the hospital because of back pain.

Methodology

The study included all male conscripts from 1990 to 2002, analyzing hospitalisation data from the National Hospital Discharge Register.

Potential Biases

The study may have a bias due to the exclusion of female conscripts and reliance on hospitalisation data.

Limitations

The study could not identify less severe LBP episodes due to lack of outpatient records and changes in hospitalisation policies may have influenced results.

Participant Demographics

The average age of conscripts was 20 years, with a BMI of 23.2 kg/m2.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 25.7–28.2

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2474-10-10

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