Postoperative risks associated with alcohol screening depend on documented drinking at the time of surgery
(2013) In Drug and Alcohol Dependence 132(3). p.521-527- Abstract
- Background
Both AUDIT-C alcohol screening scores up to a year before surgery and clinical documentation of drinking over 2 drinks per day immediately prior to surgery (“documented drinking >2 d/d”) are associated with increased postoperative complications and health care utilization. The purpose of this study was to evaluate whether documented drinking >2 d/d contributed additional information about postoperative risk beyond past-year AUDIT-C screening results.
Method
Male Veterans Affairs (VA) patients who had a non-emergent, non-cardiac, major surgery assessed by the VA's Surgical Quality Improvement Program 10/2003-9/2006 and completed the AUDIT-C by mailed survey in the prior year were eligible for this study. Linear... (More) - Background
Both AUDIT-C alcohol screening scores up to a year before surgery and clinical documentation of drinking over 2 drinks per day immediately prior to surgery (“documented drinking >2 d/d”) are associated with increased postoperative complications and health care utilization. The purpose of this study was to evaluate whether documented drinking >2 d/d contributed additional information about postoperative risk beyond past-year AUDIT-C screening results.
Method
Male Veterans Affairs (VA) patients who had a non-emergent, non-cardiac, major surgery assessed by the VA's Surgical Quality Improvement Program 10/2003-9/2006 and completed the AUDIT-C by mailed survey in the prior year were eligible for this study. Linear or logistic regression models compared 30-day postoperative complication(s), return to operating room (OR), hospital length of stay (LOS), and intensive care unit (ICU) days across eight groups defined by past-year AUDIT-C score and clinically documented drinking >2 d/d, with AUDIT-C scores 1–4 and no documented drinking >2 d/d as the referent, after adjusting for important covariates.
Results
Overall 8811 patients met inclusion criteria. Among patients with documented drinking >2 d/d immediately prior to surgery, postoperative risk varied widely depending on past-year AUDIT-C score; scores ≥5 were associated with increased risk of complication(s), and scores ≥9 with increased hospital LOS and ICU days. Among patients without documentation of drinking >2 d/d, increasing AUDIT-C scores were not associated with these outcomes.
Conclusions
Clinical documentation of drinking >2 d/d immediately prior to surgery contributed additional information about postoperative risk beyond past-year AUDIT-C score. However, among patients with documented drinking >2 d/d, postoperative risk varied widely depending on the AUDIT-C score. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/a47daa4d-3295-447e-a850-0eb18a5b8060
- author
- Rubinsky, Anna D ; Bishop, Michael J ; Maynard, Charles ; Henderson, William G ; Hawn, Mary T ; Harris, Alex H S ; Beste, Lauren A ; Tønnesen, Hanne LU and Bradley, Katharine A
- publishing date
- 2013-10-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Drug and Alcohol Dependence
- volume
- 132
- issue
- 3
- pages
- 7 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:84883559517
- ISSN
- 0376-8716
- DOI
- 10.1016/j.drugalcdep.2013.03.022
- language
- English
- LU publication?
- no
- id
- a47daa4d-3295-447e-a850-0eb18a5b8060
- date added to LUP
- 2018-12-06 15:31:26
- date last changed
- 2022-01-31 07:39:07
@article{a47daa4d-3295-447e-a850-0eb18a5b8060, abstract = {{Background<br> Both AUDIT-C alcohol screening scores up to a year before surgery and clinical documentation of drinking over 2 drinks per day immediately prior to surgery (“documented drinking >2 d/d”) are associated with increased postoperative complications and health care utilization. The purpose of this study was to evaluate whether documented drinking >2 d/d contributed additional information about postoperative risk beyond past-year AUDIT-C screening results.<br> Method<br> Male Veterans Affairs (VA) patients who had a non-emergent, non-cardiac, major surgery assessed by the VA's Surgical Quality Improvement Program 10/2003-9/2006 and completed the AUDIT-C by mailed survey in the prior year were eligible for this study. Linear or logistic regression models compared 30-day postoperative complication(s), return to operating room (OR), hospital length of stay (LOS), and intensive care unit (ICU) days across eight groups defined by past-year AUDIT-C score and clinically documented drinking >2 d/d, with AUDIT-C scores 1–4 and no documented drinking >2 d/d as the referent, after adjusting for important covariates.<br> Results<br> Overall 8811 patients met inclusion criteria. Among patients with documented drinking >2 d/d immediately prior to surgery, postoperative risk varied widely depending on past-year AUDIT-C score; scores ≥5 were associated with increased risk of complication(s), and scores ≥9 with increased hospital LOS and ICU days. Among patients without documentation of drinking >2 d/d, increasing AUDIT-C scores were not associated with these outcomes.<br> Conclusions<br> Clinical documentation of drinking >2 d/d immediately prior to surgery contributed additional information about postoperative risk beyond past-year AUDIT-C score. However, among patients with documented drinking >2 d/d, postoperative risk varied widely depending on the AUDIT-C score.}}, author = {{Rubinsky, Anna D and Bishop, Michael J and Maynard, Charles and Henderson, William G and Hawn, Mary T and Harris, Alex H S and Beste, Lauren A and Tønnesen, Hanne and Bradley, Katharine A}}, issn = {{0376-8716}}, language = {{eng}}, month = {{10}}, number = {{3}}, pages = {{521--527}}, publisher = {{Elsevier}}, series = {{Drug and Alcohol Dependence}}, title = {{Postoperative risks associated with alcohol screening depend on documented drinking at the time of surgery}}, url = {{http://dx.doi.org/10.1016/j.drugalcdep.2013.03.022}}, doi = {{10.1016/j.drugalcdep.2013.03.022}}, volume = {{132}}, year = {{2013}}, }