Department for Trauma Surgery, University Hospital Regensburg, Regensburg, Germany; Department for Psychosomatic Medicine, University Hospital Regensburg, Regensburg, Germany.
Department for Trauma Surgery, University Hospital Regensburg, Regensburg, Germany.
J Psychosom Res. 2022 Jun;157:110806. doi: 10.1016/j.jpsychores.2022.110806. Epub 2022 Mar 31.
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.
A dataset provided by the Federal Statistical Office (Destatis) consisting of annual, Germany-wide ICD-10 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.
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.
The implementation of prevention strategies, interdisciplinary approaches and psychological support in orthopaedics and trauma surgery is warranted.
骨感染是骨科和创伤外科的主要并发症。同时存在的心理障碍会显著影响治疗效果，但这些往往被忽视。因此，我们旨在确定与骨折相关的感染（FRI）和骨髓炎与心理共病的全国流行病学。
分析联邦统计局（Destatis）提供的一个数据集，该数据集包含 2009 年至 2019 年德国每年的 ICD-10 诊断代码。量化了“T84.6，内置设备引起的感染和炎症反应”和“M86.-，骨髓炎”的代码的发生率。确定 ICD-10 第 F 章的次要诊断的比例。
骨髓炎的发病率为 19.1/100,000 居民，FRI 的发病率为 10.5/100,000 居民。有心理共病的患者分别占骨髓炎病例的 14.6%和 FRI 病例的 26.5%。2009 年至 2019 年期间，合并 ICD-10“F”诊断的患者比例增加了 27.3%，骨髓炎增加了 24.1%，FRI。最常见的次要诊断是器质性的，包括有症状的精神障碍（F0）、情感障碍（F3）和精神活性物质使用所致的精神和行为障碍（F1），后者近年来有所下降。
在骨科和创伤外科中实施预防策略、跨学科方法和心理支持是必要的。
