Large increase of vertebral osteomyelitis in France: a 2010-2019 cross-sectional study

被引:47
|
作者
Conan, Yoann [1 ,2 ,3 ]
Laurent, Emeline [1 ,4 ]
Belin, Yannick [1 ,3 ]
Lacasse, Marion [2 ,3 ]
Amelot, Aymeric [5 ]
Mulleman, Denis [3 ,6 ,8 ]
Rosset, Philippe [3 ,7 ,8 ]
Bernard, Louis [2 ,3 ,8 ]
Grammatico-Guillon, Leslie [1 ,3 ]
机构
[1] Teaching Hosp Tours, Dept Publ Hlth, Unit Clin Epidemiol EpiDclic, Tours, France
[2] Teaching Hosp Tours, Dept Infect Dis, Tours, France
[3] Univ Tours, Med Sch, Tours, France
[4] Univ Tours, Res Unit EA7505 Educ Eth & Sante, Tours, France
[5] Teaching Hosp Tours, Dept Neurosurg, Tours, France
[6] Teaching Hosp Tours, Dept Rheumatol, Tours, France
[7] Teaching Hosp Tours, Dept Orthopaed Surg, Tours, France
[8] Reference Ctr Complex Bone & Joint Infect Western, Tours, France
来源
EPIDEMIOLOGY AND INFECTION | 2021年 / 149卷
关键词
Bone infections; device-associated infection; epidemiology; hospital discharge databases; vertebral osteomyelitis; HOSPITALIZED-PATIENTS; JOINT INFECTIONS; CHANGING TRENDS; EPIDEMIOLOGY; MULTIMORBIDITY; SURVEILLANCE; BONE;
D O I
10.1017/S0950268821002181
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Vertebral osteomyelitis (VO) represents 4-10% of bone and joint infections. In Western countries, its incidence seems to increase, simultaneously with an increasing number of comorbidities among an ageing population. This study aimed to assess the evolution of VO epidemiology in France over the 2010-2019 decade. A nationwide cross-sectional study was conducted using the French hospital discharge data collected through the French diagnosis-related groups 'Programme de Medicalisation des Systemes d'Information'. VOs were detected with a previously validated case definition using International Classification of Diseases 10 (ICD-10) codes, implemented with the French current procedural terminology codes. The study population included all patients hospitalised in France during the 2010-2019 decade, aged 15 years old and more. Patient and hospital stay characteristics and their evolutions were described. During the study period, 42 105 patients were hospitalised for VO in France involving 60 878 hospital stays. The mean VO incidence was 7.8/100 000 over the study period, increasing from 6.1/100 000 in 2010 to 11.3/100 000 in 2019. The mean age was 64.8 years old and the sex ratio was 1.56. There were 31 341 (74.4%) patients with at least one comorbidity and 3059 (7.3%) deceased during their hospital stay. Even if rare, device-associated VOs (4450 hospital stays, 7.3%) highly increased over the period. The reliability of the method, based upon an exhaustive database and a validated case definition, provided an effective tool to compare data over time in real-life conditions to regularly update the epidemiology of VO.
引用
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页数:8
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