AUDIT-C Alcohol Screening Results and Postoperative Inpatient Health Care Use.
(2012) In Journal of the American College of Surgeons 214(3). p.296-305- Abstract
- BACKGROUND: Alcohol screening scores 5 on the Alcohol Use Disorders Identification Test–Consumption
(AUDIT-C) up to a year before surgery have been associated with postoperative complications,
but the association with postoperative health care use is unknown. This study evaluated whether
AUDIT-C scores in the year before surgery were associated with postoperative hospital length of
stay, total ICU days, return to the operating room, and hospital readmission.
STUDY DESIGN: This cohort study included male Veterans Affairs patients who completed the AUDIT-C on
mailed surveys (October 2003 through September 2006) and were hospitalized for nonemergent noncardiac major operations in... (More) - BACKGROUND: Alcohol screening scores 5 on the Alcohol Use Disorders Identification Test–Consumption
(AUDIT-C) up to a year before surgery have been associated with postoperative complications,
but the association with postoperative health care use is unknown. This study evaluated whether
AUDIT-C scores in the year before surgery were associated with postoperative hospital length of
stay, total ICU days, return to the operating room, and hospital readmission.
STUDY DESIGN: This cohort study included male Veterans Affairs patients who completed the AUDIT-C on
mailed surveys (October 2003 through September 2006) and were hospitalized for nonemergent noncardiac major operations in the following year. Postoperative health care use was
evaluated across 4 AUDIT-C risk groups (scores 0, 1 to 4, 5 to 8, and 9 to 12) using linear or
logistic regression models adjusted for sociodemographics, smoking status, surgical category,
relative value unit, and time from AUDIT-C to surgery. Patients with AUDIT-C scores indicating low-risk drinking (scores 1 to 4) were the referent group.
RESULTS: Adjusted analyses revealed that among eligible surgical patients (n 5,171), those with the
highest AUDIT-C scores (ie, 9 to 12) had longer postoperative hospital length of stay (5.8 [95%
CI, 5.06.7] vs 5.0 [95% CI, 4.75.3] days), more ICU days (4.5 [95% CI, 3.25.8] vs 2.8
[95% CI, 2.63.1] days), and increased probability of return to the operating room (10%
[95% CI, 613%] vs 5% [95% CI, 46%]) in the 30 days after surgery, but not increased
hospital readmission within 30 days postdischarge, relative to the low-risk group.
CONCLUSIONS: AUDIT-C screening results could be used to identify patients at risk for increased postoperative
health care use who might benefit from preoperative alcohol interventions. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2340655
- author
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of the American College of Surgeons
- volume
- 214
- issue
- 3
- pages
- 296 - 305
- publisher
- Elsevier
- external identifiers
-
- pmid:22244208
- scopus:84857642868
- pmid:22244208
- ISSN
- 1879-1190
- DOI
- 10.1016/j.jamcollsurg.2011.11.007
- language
- English
- LU publication?
- yes
- id
- 2e76f398-060e-416c-8c31-79e553349dfb (old id 2340655)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed?term=AUDIT-C%20Alcohol%20Screening%20Results%20and%20Postoperative%20Inpatient%20Health%20Care%20Use.
- date added to LUP
- 2016-04-01 10:40:01
- date last changed
- 2022-02-17 20:10:35
@article{2e76f398-060e-416c-8c31-79e553349dfb,
abstract = {{BACKGROUND: Alcohol screening scores 5 on the Alcohol Use Disorders Identification Test–Consumption<br/><br>
(AUDIT-C) up to a year before surgery have been associated with postoperative complications,<br/><br>
but the association with postoperative health care use is unknown. This study evaluated whether<br/><br>
AUDIT-C scores in the year before surgery were associated with postoperative hospital length of<br/><br>
stay, total ICU days, return to the operating room, and hospital readmission.<br/><br>
<br/><br>
STUDY DESIGN: This cohort study included male Veterans Affairs patients who completed the AUDIT-C on<br/><br>
mailed surveys (October 2003 through September 2006) and were hospitalized for nonemergent noncardiac major operations in the following year. Postoperative health care use was<br/><br>
evaluated across 4 AUDIT-C risk groups (scores 0, 1 to 4, 5 to 8, and 9 to 12) using linear or<br/><br>
logistic regression models adjusted for sociodemographics, smoking status, surgical category,<br/><br>
relative value unit, and time from AUDIT-C to surgery. Patients with AUDIT-C scores indicating low-risk drinking (scores 1 to 4) were the referent group.<br/><br>
<br/><br>
RESULTS: Adjusted analyses revealed that among eligible surgical patients (n 5,171), those with the<br/><br>
highest AUDIT-C scores (ie, 9 to 12) had longer postoperative hospital length of stay (5.8 [95%<br/><br>
CI, 5.06.7] vs 5.0 [95% CI, 4.75.3] days), more ICU days (4.5 [95% CI, 3.25.8] vs 2.8<br/><br>
[95% CI, 2.63.1] days), and increased probability of return to the operating room (10%<br/><br>
[95% CI, 613%] vs 5% [95% CI, 46%]) in the 30 days after surgery, but not increased<br/><br>
hospital readmission within 30 days postdischarge, relative to the low-risk group.<br/><br>
<br/><br>
CONCLUSIONS: AUDIT-C screening results could be used to identify patients at risk for increased postoperative<br/><br>
health care use who might benefit from preoperative alcohol interventions.}},
author = {{Rubinsky, AD and Sun, H and Blough, DK and Maynard, C and Bryson, CL and Harris, AH and Hawkins, EJ and Beste, LA and Henderson, WG and Hawn, MT and Hughes, G and Bishop, MJ and Etzioni, R and Tønnesen, Hanne and Kivlahan, DR and Bradley, KA}},
issn = {{1879-1190}},
language = {{eng}},
number = {{3}},
pages = {{296--305}},
publisher = {{Elsevier}},
series = {{Journal of the American College of Surgeons}},
title = {{AUDIT-C Alcohol Screening Results and Postoperative Inpatient Health Care Use.}},
url = {{http://dx.doi.org/10.1016/j.jamcollsurg.2011.11.007}},
doi = {{10.1016/j.jamcollsurg.2011.11.007}},
volume = {{214}},
year = {{2012}},
}