Malnutrition in spondylodiscitis: an overlooked risk factor
Abstract Objective Spondylodiscitis presents a significant diagnostic and treatment challenge to healthcare providers, with various risk factors and treatment outcomes having been identified. Malnutrition, a multifactorial condition defined by imbalance or deficiency of nutrients, is a known risk fa...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-024-05431-2 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544428377866240 |
|---|---|
| author | Julius Gerstmeyer Clifford Pierre Thomas A. Schildhauer Amir Abdul-Jabbar Rod J. Oskouian Jens R. Chapman |
| author_facet | Julius Gerstmeyer Clifford Pierre Thomas A. Schildhauer Amir Abdul-Jabbar Rod J. Oskouian Jens R. Chapman |
| author_sort | Julius Gerstmeyer |
| collection | DOAJ |
| description | Abstract Objective Spondylodiscitis presents a significant diagnostic and treatment challenge to healthcare providers, with various risk factors and treatment outcomes having been identified. Malnutrition, a multifactorial condition defined by imbalance or deficiency of nutrients, is a known risk factor for various adverse events such as postoperative infection and readmissions in spine surgery. However, its impact in SD has not yet been explored. The study aims to assess the prevalence of malnutrition and hypoalbuminemia in SD patients and their impact on the 90-day-all-cause readmission and in-hospital mortality rates. Methods Using the 2020 Nationwide Readmission Database, adult patients were selected by primary ICD-10 diagnosis for SD (M46.2x, M46.3x and M46.4x). Demographic information and clinical data were extracted. Readmissions were identified by VisitLink. Patients were categorized into 2 groups: those with malnutrition and/or hypoalbuminemia and those without. Descriptive and comparative analysis, with multivariate regression models to assess for independent risk factors of mortality and readmission were performed. Methods Using the 2020 Nationwide Readmission Database, adult patients were selected by primary ICD-10 diagnosis for SD (M46.2x, M46.3x and M46.4x). Demographic information and clinical data were extracted. Readmissions were identified by VisitLink. Patients were categorized into 2 groups: those with malnutrition and/or hypoalbuminemia and those without. Descriptive and comparative analysis, with multivariate regression models to assess for independent risk factors of mortality and readmission were performed. Conclusion Malnutrition and hypoalbuminemia are relatively common in SD patients and are significant risk factors for both in-hospital mortality and readmission. Early identification, including screening for hypoalbuminemia and management of malnutrition, may be beneficial in SD treatment. |
| format | Article |
| id | doaj-art-4e21358f4f834012954d12bbad2ceb5c |
| institution | Kabale University |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-4e21358f4f834012954d12bbad2ceb5c2025-01-12T12:32:29ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-01-012011610.1186/s13018-024-05431-2Malnutrition in spondylodiscitis: an overlooked risk factorJulius Gerstmeyer0Clifford Pierre1Thomas A. Schildhauer2Amir Abdul-Jabbar3Rod J. Oskouian4Jens R. Chapman5Swedish Neuroscience Institute, Swedish Medical CenterSwedish Neuroscience Institute, Swedish Medical CenterDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University BochumSwedish Neuroscience Institute, Swedish Medical CenterSwedish Neuroscience Institute, Swedish Medical CenterSwedish Neuroscience Institute, Swedish Medical CenterAbstract Objective Spondylodiscitis presents a significant diagnostic and treatment challenge to healthcare providers, with various risk factors and treatment outcomes having been identified. Malnutrition, a multifactorial condition defined by imbalance or deficiency of nutrients, is a known risk factor for various adverse events such as postoperative infection and readmissions in spine surgery. However, its impact in SD has not yet been explored. The study aims to assess the prevalence of malnutrition and hypoalbuminemia in SD patients and their impact on the 90-day-all-cause readmission and in-hospital mortality rates. Methods Using the 2020 Nationwide Readmission Database, adult patients were selected by primary ICD-10 diagnosis for SD (M46.2x, M46.3x and M46.4x). Demographic information and clinical data were extracted. Readmissions were identified by VisitLink. Patients were categorized into 2 groups: those with malnutrition and/or hypoalbuminemia and those without. Descriptive and comparative analysis, with multivariate regression models to assess for independent risk factors of mortality and readmission were performed. Methods Using the 2020 Nationwide Readmission Database, adult patients were selected by primary ICD-10 diagnosis for SD (M46.2x, M46.3x and M46.4x). Demographic information and clinical data were extracted. Readmissions were identified by VisitLink. Patients were categorized into 2 groups: those with malnutrition and/or hypoalbuminemia and those without. Descriptive and comparative analysis, with multivariate regression models to assess for independent risk factors of mortality and readmission were performed. Conclusion Malnutrition and hypoalbuminemia are relatively common in SD patients and are significant risk factors for both in-hospital mortality and readmission. Early identification, including screening for hypoalbuminemia and management of malnutrition, may be beneficial in SD treatment.https://doi.org/10.1186/s13018-024-05431-2Big dataLarge databaseBibliometric analysisSpineSpine surgeryResearch |
| spellingShingle | Julius Gerstmeyer Clifford Pierre Thomas A. Schildhauer Amir Abdul-Jabbar Rod J. Oskouian Jens R. Chapman Malnutrition in spondylodiscitis: an overlooked risk factor Journal of Orthopaedic Surgery and Research Big data Large database Bibliometric analysis Spine Spine surgery Research |
| title | Malnutrition in spondylodiscitis: an overlooked risk factor |
| title_full | Malnutrition in spondylodiscitis: an overlooked risk factor |
| title_fullStr | Malnutrition in spondylodiscitis: an overlooked risk factor |
| title_full_unstemmed | Malnutrition in spondylodiscitis: an overlooked risk factor |
| title_short | Malnutrition in spondylodiscitis: an overlooked risk factor |
| title_sort | malnutrition in spondylodiscitis an overlooked risk factor |
| topic | Big data Large database Bibliometric analysis Spine Spine surgery Research |
| url | https://doi.org/10.1186/s13018-024-05431-2 |
| work_keys_str_mv | AT juliusgerstmeyer malnutritioninspondylodiscitisanoverlookedriskfactor AT cliffordpierre malnutritioninspondylodiscitisanoverlookedriskfactor AT thomasaschildhauer malnutritioninspondylodiscitisanoverlookedriskfactor AT amirabduljabbar malnutritioninspondylodiscitisanoverlookedriskfactor AT rodjoskouian malnutritioninspondylodiscitisanoverlookedriskfactor AT jensrchapman malnutritioninspondylodiscitisanoverlookedriskfactor |