Evidence map›Paper›PMID 39773279›Full record

ReviewJournal of orthopaedic surgery and research2025

Malnutrition in spondylodiscitis: an overlooked risk factor.

Julius Gerstmeyer, Clifford Pierre, Thomas A Schildhauer, Amir Abdul-Jabbar, Rod J Oskouian, Jens R Chapman

Abstract readReview
In one paragraph

Review in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Julius GerstmeyerSwedish Neuroscience Institute, Swedish Medical Center, Seattle 550 17th Avenue, Suite 500, Seattle, WA, 98122, USA. julius.gerstmeyer@rub.de.
Clifford PierreSwedish Neuroscience Institute, Swedish Medical Center, Seattle 550 17th Avenue, Suite 500, Seattle, WA, 98122, USA.
Thomas A SchildhauerDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany.
Amir Abdul-JabbarSwedish Neuroscience Institute, Swedish Medical Center, Seattle 550 17th Avenue, Suite 500, Seattle, WA, 98122, USA.
Rod J OskouianSwedish Neuroscience Institute, Swedish Medical Center, Seattle 550 17th Avenue, Suite 500, Seattle, WA, 98122, USA.
Jens R ChapmanSwedish Neuroscience Institute, Swedish Medical Center, Seattle 550 17th Avenue, Suite 500, Seattle, WA, 98122, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSpondylodiscitis presents a significant diagnostic and treatment challenge to healthcare providers, with various risk factors and treatment outcomes having been identified. Malnutrition, a multifactorial condition defined by imbalance or deficiency of nutrients, is a known risk factor for various adverse events such as postoperative infection and readmissions in spine surgery. However, its impact in SD has not yet been explored. The study aims to assess the prevalence of malnutrition and hypoalbuminemia in SD patients and their impact on the 90-day-all-cause readmission and in-hospital mortality rates.

methodsUsing the 2020 Nationwide Readmission Database, adult patients were selected by primary ICD-10 diagnosis for SD (M46.2x, M46.3x and M46.4x). Demographic information and clinical data were extracted. Readmissions were identified by VisitLink. Patients were categorized into 2 groups: those with malnutrition and/or hypoalbuminemia and those without. Descriptive and comparative analysis, with multivariate regression models to assess for independent risk factors of mortality and readmission were performed.

methodsUsing the 2020 Nationwide Readmission Database, adult patients were selected by primary ICD-10 diagnosis for SD (M46.2x, M46.3x and M46.4x). Demographic information and clinical data were extracted. Readmissions were identified by VisitLink. Patients were categorized into 2 groups: those with malnutrition and/or hypoalbuminemia and those without. Descriptive and comparative analysis, with multivariate regression models to assess for independent risk factors of mortality and readmission were performed.

conclusionMalnutrition and hypoalbuminemia are relatively common in SD patients and are significant risk factors for both in-hospital mortality and readmission. Early identification, including screening for hypoalbuminemia and management of malnutrition, may be beneficial in SD treatment.

Indexed as

DiscitisHospital MortalityHypoalbuminemiaMalnutritionPatient ReadmissionAdultAgedAged, 80 and overDatabases, FactualFemaleHumansMaleMiddle AgedPostoperative ComplicationsPrevalenceRisk FactorsBibliometric analysisBig dataLarge databaseResearchSpineSpine surgery

Identifiers

PMID39773279
PMCPMC11706169

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.