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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Beyond the Spine: Exploring Mental Health Disorders in Spondylodiscitis
Julius Gerstmeyer1,2,3, Anna Gorbacheva4, Clifford Pierre1,4
1Swedish Neuroscience Institute, Swedish Medical Center, 550 17th Avenue, Suite 500, Seattle, WA 98122, USA.
Journal of Clinical Medicine
|March 27, 2025
Summary
Mental health disorders (MHDs) are common in spondylodiscitis (SD) patients and increase readmission risk, especially substance-related disorders. Integrating mental health care may improve outcomes for SD patients.
Area of Science:
- Infectious Diseases
- Psychiatry
- Health Services Research
Background:
- Spondylodiscitis (SD) is a growing global health concern.
- Mental health disorders (MHDs) are known to negatively affect patient outcomes.
- The impact of MHDs on SD patient outcomes remains understudied.
Purpose of the Study:
- To determine the incidence of MHDs in hospitalized SD patients.
- To assess the association between MHDs and 90-day all-cause readmission rates in SD patients.
- To identify specific MHDs that independently predict readmission risk.
Main Methods:
- Retrospective analysis of the 2020 Nationwide Readmission Database (NRD).
- Adult patients with primary ICD-10 codes for SD were identified.
- MHDs were identified using ICD-10 F-codes; readmissions were tracked using VisitLinks.
Main Results:
- 61.4% of 6139 SD patients had at least one MHD.
- The 90-day readmission rate was 35% overall, higher in patients with MHDs (36.1%).
- Opioid and alcohol use disorders were independent predictors of increased readmission risk (OR 1.187, p=0.019 and OR 1.310, p=0.020, respectively).
Conclusions:
- MHDs are prevalent in SD patients and linked to higher readmission rates.
- Substance-related disorders significantly increase readmission risk in SD patients.
- Integrating mental health interventions into SD care may enhance patient outcomes and reduce readmissions.
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