Beyond the Spine: Exploring Mental Health Disorders in Spondylodiscitis
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
SD | Spondylodiscitis |
MHD | Mental health disorder |
NRD | Nationwide Readmission Database |
CCSR | Clinical classifications software refined |
LOS | Length of stay |
HCUP | Healthcare Cost and Utilization Project |
ICD-10 | International Classification of Diseases, Tenth Revision, Clinical Modification |
References
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Spondylodiscitis n (%) | |
---|---|
General study population | 6139 |
Mental health disorder | 3771 (61.4) |
Readmission rate | 2146 (35) |
Mental Health Disorder n = 3771 | No Mental Health Disorder n = 2368 | p-Value | |
---|---|---|---|
Patient Demographics | n (%) or | Mean (±SD) | |
Age | 56.56 (±15.78) | 65.70 (±14.19) | <0.001 |
Male | 2234 (59.2) | 1463 (61.8) | 0.048 |
Length of stay | 12.67 (±14.85) | 10.19 (±13.14) | <0.001 |
Non-elective admission | 3575 (94.8) | 2187 (92.4) | <0.001 |
Readmission | 1360 (36.1) | 786 (33.2) | 0.022 |
Time to first readmission (days) | 34.90 (±22.94) | 37.21 (±23.01) | 0.025 |
Elixhauser in-hospital mortality index | −1.87 (±9.2) | 1.56 (±8.94) | <0.001 |
Elixhauser 30-day readmission index | 5.81 (±5.29) | 5 (±6.11) | <0.001 |
In-hospital death | 44 (1.17) | 29 (1.2) | 0.843 |
Mental Health Disorders | n = 6139 (%) | p-Value |
---|---|---|
Neurocognitive disorders | 414 (6.74) | 0.939 |
Schizophrenia spectrum and other psychotic disorders | 128 (2.09) | 0.325 |
Other specified and unspecified mood disorders | 61 (0.99) | 0.930 |
Depressive disorders | 1062 (17.3) | 0.124 |
Bipolar and related disorders | 282 (4.59) | 0.026 |
Anxiety and fear-related disorders | 1131 (18.42) | 0.855 |
Miscellaneous mental and behavioral disorders/conditions | 11 (0.18) | 0.922 |
Personality disorders | 40 (0.65) | 0.995 |
Alcohol-related disorders | 332 (5.41) | 0.005 |
Mental and substance use disorders in remission | 191 (3.11) | 0.731 |
Opioid-related disorders | 1079 (17.58) | 0.001 |
Cannabis-related disorders | 269 (4.38) | 0.237 |
Sedative-related disorders | 54 (0.88) | 0.543 |
Stimulant-related disorders | 515 (8.39) | 0.441 |
Tobacco-related disorders | 1746 (28.44) | 0.013 |
Other specified substance-related disorders | 319 (5.2) | 0.047 |
Obsessive-compulsive and related disorders | 18 (0.29) | 0.885 |
Trauma- and stressor-related disorders | 226 (3.68) | 0.477 |
Disruptive, impulse-control and conduct disorders | 13 (0.212) | 0.369 |
Neurodevelopmental disorders | 108 (1.76) | 0.800 |
Odds Ratio | 95% Confidence Interval | p-Value | |
---|---|---|---|
Bipolar and related disorders | 1.219 | 0.952–1.561 | 0.117 |
Alcohol | 1.310 | 1.044–1.644 | 0.020 |
Opioid-related disorders | 1.187 | 1.029–1.371 | 0.019 |
Tobacco-related disorders | 1.053 | 0.929-1.195 | 0.420 |
Other specified substance-related disorders | 1.163 | 0.917-1.475 | 0.213 |
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Gerstmeyer, J.; Gorbacheva, A.; Pierre, C.; Patel, N.; Davis, D.D.; Heffernan, T.; Godolias, P.; Schulte, T.L.; Schildhauer, T.A.; Abdul-Jabbar, A.; et al. Beyond the Spine: Exploring Mental Health Disorders in Spondylodiscitis. J. Clin. Med. 2025, 14, 1905. https://doi.org/10.3390/jcm14061905
Gerstmeyer J, Gorbacheva A, Pierre C, Patel N, Davis DD, Heffernan T, Godolias P, Schulte TL, Schildhauer TA, Abdul-Jabbar A, et al. Beyond the Spine: Exploring Mental Health Disorders in Spondylodiscitis. Journal of Clinical Medicine. 2025; 14(6):1905. https://doi.org/10.3390/jcm14061905
Chicago/Turabian StyleGerstmeyer, Julius, Anna Gorbacheva, Clifford Pierre, Neel Patel, Donald David Davis, Tara Heffernan, Periklis Godolias, Tobias L. Schulte, Thomas A. Schildhauer, Amir Abdul-Jabbar, and et al. 2025. "Beyond the Spine: Exploring Mental Health Disorders in Spondylodiscitis" Journal of Clinical Medicine 14, no. 6: 1905. https://doi.org/10.3390/jcm14061905
APA StyleGerstmeyer, J., Gorbacheva, A., Pierre, C., Patel, N., Davis, D. D., Heffernan, T., Godolias, P., Schulte, T. L., Schildhauer, T. A., Abdul-Jabbar, A., Oskouian, R. J., & Chapman, J. R. (2025). Beyond the Spine: Exploring Mental Health Disorders in Spondylodiscitis. Journal of Clinical Medicine, 14(6), 1905. https://doi.org/10.3390/jcm14061905