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Ein potenzieller Anstieg an PJI-Diagnosen, insbesondere in Verbindung mit psychologischen Komorbidit\u00e4ten, kann zu einer besonderen Herausforderung f\u00fcr Akteure im Gesundheitswesen werden. Bisher ist die Pr\u00e4valenz f\u00fcr Deutschland unbekannt. Dies erschwert es, den zuk\u00fcnftigen Behandlungsbedarf abzusch\u00e4tzen und Entwicklungen vorherzusehen, die durch eine Anpassung von Pr\u00e4ventions- und Therapiema\u00dfnahmen beeinflusst werden k\u00f6nnen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Die vorliegende Arbeit gibt eine detaillierte \u00dcbersicht \u00fcber die Epidemiologie periprothetischer Gelenkinfektionen und psychologischer Komorbidit\u00e4ten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Ein Datensatz vom Statistischen Bundesamt (Destatis) aus j\u00e4hrlichen, deutschlandweiten ICD-10-Diagnosekodes von 2009 bis 2019 wurde analysiert. Pr\u00e4valenzraten des Kodes \u201eT84.5\u00a0\u2013 Infektion und entz\u00fcndliche Reaktion durch eine Gelenkendoprothese\u201c wurden nach Altersgruppe, Geschlecht und in Verbindung mit einer Nebendiagnose des Kapitels\u00a0F quantifiziert und aufgeschl\u00fcsselt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Seit 2009 steigen die PJI-Diagnosen kontinuierlich an, die H\u00e4ufigkeit war im Jahr 2018 r\u00fcckl\u00e4ufig. Im Jahr 2019 wurden 16.174\u00a0F\u00e4lle entsprechend einer Pr\u00e4valenz von 23,8\/100.000 Einwohner verzeichnet. Eine Entwicklung hinsichtlich mehr Diagnosen bei \u00e4lteren Patienten wurde evident. Ein Viertel aller Patienten wiesen eine Nebendiagnosen im Bereich psychischer St\u00f6rungen und Verhaltensst\u00f6rungen auf, wobei sich die Anzahl an Patienten mit psychologischen Komorbidit\u00e4ten im letzten Jahrzehnt verdoppelte.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Richtlinien zu Pr\u00e4ventionsstrategien und psychologische Unterst\u00fctzungsangebote sollten in der Unfallchirurgie implementiert werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00132-021-04088-7","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T19:03:18Z","timestamp":1615316598000},"page":"859-865","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Protheseninfektionen und die zunehmende Bedeutung psychologischer Komorbidit\u00e4ten","Prosthetic infections and the increasing importance of psychological comorbidities"],"prefix":"10.1007","volume":"50","author":[{"given":"Nike","family":"Walter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Rupp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thilo","family":"Hinterberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Alt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"key":"4088_CR1","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.bbi.2020.05.048","volume":"89","author":"VNME Benros","year":"2020","unstructured":"Benros\u00a0VNME (2020) COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. 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