Walter, Nike and Rupp, Markus and Baertl, Susanne and Hinterberger, Thilo and Alt, Volker (2022) Prevalence of psychological comorbidities in bone infection. JOURNAL OF PSYCHOSOMATIC RESEARCH, 157: 110806. ISSN 0022-3999, 1879-1360
Full text not available from this repository. (Request a copy)Abstract
Objective: Bone infections represent a major complication in orthopedic and trauma surgery. Concomitant psychological disorders can significantly influence treatment outcomes. However, these are often overlooked. Therefore, we aimed to determine the nationwide epidemiology of fracture-related infection (FRI) and osteomyelitis in combination with psychological comorbidities. Methods: A dataset provided by the Federal Statistical Office (Destatis) consisting of annual, Germany-wide ICD10 diagnosis codes from 2009 to 2019 was analysed. Incidences of the codes "T84.6, infection and inflammatory reaction due to internal fixation device" and "M86.-, osteomyelitis" were quantified. Proportions of secondary diagnoses of the chapter F of the ICD-10 were determined. Results: Incidences were 19.1/100,000 inhabitants for osteomyelitis and 10.5/100,000 inhabitants for FRI. Patients with psychological comorbidities constituted 14.6% of osteomyelitis cases and 26.5% of FRI cases, respectively. Between 2009 through 2019, the proportion of patients with a concomitant "F" diagnoses of the ICD-10 increased by 27.3% for osteomyelitis and by 24.1% for FRI. Most prevalent secondary diagnoses were organic, including symptomatic, mental disorders (F0), affective disorder (F3) and mental and behavioral disorders due to psychoactive substance use (F1), whereby the latter decreased over the years. Conclusion: The implementation of prevention strategies, interdisciplinary approaches and psychological support in orthopaedics and trauma surgery is warranted.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TOTAL JOINT ARTHROPLASTY; MENTAL-HEALTH; DEPRESSION; FRACTURES; IMPACT; Psychological comorbidities; Bone infection; Epidemiology; Psychological support |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Abteilung für Psychosomatische Medizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 Nov 2023 09:33 |
| Last Modified: | 07 Nov 2023 09:33 |
| URI: | https://pred.uni-regensburg.de/id/eprint/56656 |
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