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AUDIT-C Alcohol Screening Results and Postoperative Inpatient Health Care Use.

Rubinsky, AD; Sun, H; Blough, DK; Maynard, C; Bryson, CL; Harris, AH; Hawkins, EJ; Beste, LA; Henderson, WG and Hawn, MT, et al. (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)
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in
Journal of the American College of Surgeons
volume
214
issue
3
pages
296 - 305
publisher
Elsevier Inc.
external identifiers
  • pmid:22244208
  • scopus:84857642868
ISSN
1879-1190
DOI
10.1016/j.jamcollsurg.2011.11.007
language
English
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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.
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2012-05-02 11:51:30
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2017-10-29 03:14:34
@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 Inc.},
  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},
  volume       = {214},
  year         = {2012},
}