Midterm survival and risk factor analysis in patients with pyogenic vertebral osteomyelitis: a retrospective study of 155 cases Article Swipe
Melanie Schindler
,
Nike Walter
,
Jan Reinhard
,
Stefano Pagano
,
Dominik Szymski
,
Volker Alt
,
Markus Rupp
,
Siegmund Lang
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fsurg.2024.1357318
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3389/fsurg.2024.1357318
Background Pyogenic vertebral osteomyelitis (VO) represents a clinical challenge and is linked to substantial morbidity and mortality. This study aimed to examine mortality as well as potential risk factors contributing to in-hospital mortality among patients with VO. Methods This retrospective analysis involved patients receiving treatment for VO at University Regensburg in Germany from January 1, 2000, to December 3, 2020. It included in-hospital mortality rate, comorbidities and pathogens. Patients were identified using ICD-10 diagnosis codes: M46.2, M46.3, M46.4, and M46.5. Kaplan–Meier probability plots and odds ratios (OR) for mortality were calculated. Results Out of the total cohort of 155 patients with VO, 53 patients (34.1%) died during a mean follow-up time of 87.8 ± 70.8 months. The overall mortality was 17.2% at one year, 19.9% at two years and 28.3% at five years. Patients with congestive heart failure ( p = 0.005), renal disease ( p < 0.001), symptoms of paraplegia ( p = 0.029), and sepsis ( p = 0.006) demonstrated significantly higher overall mortality rates. In 56.1% of cases, pathogens were identified, with Staphylococcus aureus (S. aureus) and other unidentified pathogens being the most common. Renal disease (OR 1.85) and congestive heart failure (OR 1.52) were identified as significant risk factors. Conclusion Early assessment of the specific risk factors for each patient may prove beneficial in the management and treatment of VO to reduce the risk of mortality. These findings demonstrate the importance of close monitoring of VO patients with underlying chronic organ disease and early identification and treatment of sepsis. Prioritizing identification of the exact pathogens and antibiotic sensitivity testing can improve outcomes for patients in this high-risk group.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fsurg.2024.1357318
- https://www.frontiersin.org/articles/10.3389/fsurg.2024.1357318/pdf?isPublishedV2=False
- OA Status
- gold
- Cited By
- 7
- References
- 59
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4398174467
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4398174467Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fsurg.2024.1357318Digital Object Identifier
- Title
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Midterm survival and risk factor analysis in patients with pyogenic vertebral osteomyelitis: a retrospective study of 155 casesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-21Full publication date if available
- Authors
-
Melanie Schindler, Nike Walter, Jan Reinhard, Stefano Pagano, Dominik Szymski, Volker Alt, Markus Rupp, Siegmund LangList of authors in order
- Landing page
-
https://doi.org/10.3389/fsurg.2024.1357318Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fsurg.2024.1357318/pdf?isPublishedV2=FalseDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fsurg.2024.1357318/pdf?isPublishedV2=FalseDirect OA link when available
- Concepts
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Medicine, Osteomyelitis, Retrospective cohort study, Risk factor, Vertebral osteomyelitis, Surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 5, 2024: 2Per-year citation counts (last 5 years)
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59Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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