Visits for Back Pain in ED

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Agency for Healthcare Research and Quality (AHRQ): Prevention Quality Indicators in Emergency Department Settings
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Descriptive

Defining Attributes

Definition

Patients with two or more Emergency Department (ED) visits for back pain in one calendar year, for individuals ages 18 and older, per 100,000 population.

Numerator

Number of patients ages 18 and older residing in a community with two or more ED visits (within state) with a first-listed diagnosis of back pain or back disorders, including spinal stenosis, back pain, lumbago, sciatica, neuritis or radiculitis, disorders of the sacrum, spondylosis, intervertebral disc disorders, and spinal degeneration ( BACKPAIN* ) in a fixed 12-month period of a calendar year.

Denominator

Population ages 18 and above in the metropolitan area or county. Visits in the numerator are assigned to the denominator based on the metropolitan area or county of the patient residence, not the metropolitan area or county of the hospital where the discharge occurred.

Exclusions

Exclude visits: • With missing patient sequencing information • With any listed ICD-10-CM diagnosis code for urinary tract infection (BPEXCLUDEUTI) or fever (BPEXCLUDEFEVER) • With missing gender (SEX=missing), age (AGE=missing), first-listed diagnosis (DX1=missing), or county (PSTCO=missing) • With any listed ICD-10-CM diagnosis code for cancer (APPENDIX A: BPEXCLUDECANCER) • With any listed ICD-10-CM diagnosis for trauma (APPENDIX B: TRAUMAF) • With any listed ICD-10-CM diagnosis code for cauda equina syndrome, spinal epidural abscess, or cord compression (BPEXCLUDECES*) • With any listed ICD-10-CM diagnosis code for Cholelithiasis or Cholecystitis (BPEXCLUDEGALLSTONE *) • With any listed ICD-10-CM diagnosis code for Hydronephrosis with renal and ureteral calculous obstruction or calculus of kidney and ureter (BPEXCLUDEKIDNEYSTONE *)

Use of Risk Adjustment
Yes
Risk Adjustments

By age and sex.

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025