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Table 4 Presence and frequency of the individual Red Flags among records screened (N = 498)

From: Adherence to spinal imaging guidelines and utilization of lumbar spine diagnostic imaging for low back pain at a Canadian Chiropractic College: a historical clinical cohort study

Red Flags

Yes

N [%]

No

N [%]

UnD

N [%]

NR

N [%]

NA

N [%]

Xray

N = 15

Age ≥ 50

218 [43.8]

280 [56.2]

0 [0]

0 [0]

0 [0.0]

13

Pain at rest

78 [15.7]

113 [22.7]

43 [8.6]

263 [53.0]

0 [0.0]

8

Considerable pain (NRS ≥ 8) with minor trauma

45 [9.0]

346 [69.5]

1 [0.2]

106 [21.3]

0 [0.0]

4

Diabetic

45 [9.0]

441 [88.6]

1 [0.2]

11 [2.2]

0 [0.0]

3

Acute or blunt trauma

25 [5.0]

417 [83.8]

1 [0.2]

55 [11.0]

0 [0.0]

1

Hx of cancer (< 15 years)

23 [4.6]

448 [90.0]

1 [0.2]

26 [5.2]

0 [0.0]

2

Immunosuppressed due to condition

22 [4.4]

452 [91.0]

8 [1.6]

16 [3.2]

0 [0.0]

1

Improvement with activity, worse with rest

18 [3.6]

112 [22.5]

282 [56.6]

86 [17.3]

0 [0.0]

4

Known osteopenia or osteoporosis

16 [3.2]

0 [0.0]

0 [0]

482 [96.8]

0 [0.0]

2

Steroid use (> 7.5 mg/d, > 3 mo.)

14 [2.8]

456 [91.6]

5 [1.0]

23 [4.6]

0 [0.0]

0

No resp to tx or worse symptoms > 4 weeks

10 [2.0]

259 [52.0]

0 [0.0]

2 [0.4]

227 [45.6]

3

Hx of spine surgery

10 [2.0]

430 [86.4]

16 [3.2]

42 [8.4]

0 [0.0]

0

Morning stiffness > 30 min

8 [1.6]

53 [10.6]

40 [8]

396 [79.7]

0 [0.0]

0

Embedded Foreign Object

3 [0.6]

2 [0.4]

0 [0.0]

494 [99.2]

0 [0.0]

0

IV drug abuse

3 [0.6]

228 [45.8]

3 [0.6]

264 [53.0]

0 [0.0]

0

Progressive neurological deficit > 4 weeks

3 [0.6]

264 [53.0]

1 [0.2]

3 [0.6]

227 [45.6]

1

Significant activity limit > 4 weeks

3 [0.6]

262 [52.6]

0 [0.0]

2 [0.4]

231 [46.4]

1

Awake 2nd half night due to pain

2 [0.4]

170 [34.1]

63 [12.7]

263 [52.8]

0 [0.0]

0

Fever (> 103°F/ > 38.3 °C) for 3 weeks

2 [0.4]

103 [20.7]

5 [1.0]

388 [77.9]

0 [0.0]

1

Progressive or painful spinal curvature

2 [0.4]

10 [2.0]

2 [0.4]

484 [97.2]

0 [0.0]

0

Unexplained weight loss (> 4.5 kg < 6 mo.)

1 [0.2]

88 [17.7]

2 [0.4]

407 [81.3]

0 [0.0]

1

  1. Hx, history; IV, intravenous; Resp, response; Tx, treatment; UnD, undetermined; NR, not reported; NA, not applicable