Alcohol drinking as a predictor of intensive care and hospital mortality in general surgery: a prospective study

Delgado-Rodrı́guez, Miguel; Gómez-Ortega, Antonio; Mariscal-Ortiz, Marcial; Palma-Pérez, Silvia; Sillero-Arenas, Marı́a

doi:10.1046/j.1360-0443.2003.00353.x

Cited by 35 publications

(23 citation statements)

References 12 publications

(14 reference statements)

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“…Hazardous drinking patterns were more common among males than among 13 (40) 8 (9) 6 (27) 8 (5) 12 (8) 4 (3) 11 (12) 10 (8) 4 (5) 10 (9) 10 (3) 26 (80) 21 (25) 20 (89) 10 (6) 31 (21) 14 (12) 35 (39) 20 (17) 13 (17) 19 (18) 32 (10) 26 (83) 22 (26) 21 (91) 19 (12) 31 (20) 18 (15) 28 (31) 20 (17) 21 (26) 24 (22) 19 (6) females. This is consistent with other studies (19,20).…”

Section: Discussionsupporting

confidence: 83%

Hazardous drinkers in Norwegian hospitals – a cross-sectional study of prevalence and drinking patterns among somatic patients

et al. 2011

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Background: High alcohol intake has been associated with increased risk of hospital admission, increased complication rates, and prolonged hospital stay. Thus, hospital admission may present a relevant opportunity for alcohol intervention. To understand the potential of alcohol interventions we need knowledge about patients' drinking patterns. The aim of this study was therefore to determine the drinking patterns in a Norwegian hospital population. Methods: A multicentre cross-sectional survey was carried out at three university hospitals. Patients were asked about alcohol intake one month prior to admission/outpatient treatment. The questionnaire included weekly alcohol intake calculated by frequency X quantity as well as episodes of binge drinking (drinking more than 5 AU during a single day). AUDIT-C was used to determine the frequency of patients having a hazardous drinking pattern during the 12 months prior to hospital treatment. Results: In total we assessed 2,932 patients for eligibility. A total of 2,350 patients fulfilled the inclusion criteria. We included 1,522 patients (65%) in the analyses. Six percent of the women and 11% of the men reported drinking more than the weekly limits of nine alcohol units (AU) for women and 14 AU for men. Fourteen percent of the women and 29% of the men reported binge drinking during the last month. The frequency of women scoring more or equal to 4 points on AUDIT-C was 20%. The frequency of men scoring more or equal to 5 points was 25%. Conclusion: Hazardous drinking among Norwegian hospital patients may be more prevalent than what has been reported for the Norwegian population in general. Binge drinking is the dominant drinking pattern.

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Section: Discussionsupporting

confidence: 83%

Hazardous drinkers in Norwegian hospitals – a cross-sectional study of prevalence and drinking patterns among somatic patients

et al. 2011

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“…In one Spanish study, elective surgical patients undergoing a variety of minor and major procedures were observed to be over eight times more likely to require an unplanned post-operative ICU admission if they consumed more than 72 g of alcohol per day [14]. Trauma patients who consume alcohol in excess are more likely to experience a range of morbidities including pancreatitis, pneumonia, bleeding requiring transfusion and longer ICU stay [15].…”

Section: Discussionmentioning

confidence: 98%

“…Elective surgical patients with a current history of alcohol abuse experience a higher incidence of peri-operative complications including respiratory failure, bleeding requiring transfusion, delayed wound healing and longer hospital stay [14]. In one Spanish study, elective surgical patients undergoing a variety of minor and major procedures were observed to be over eight times more likely to require an unplanned post-operative ICU admission if they consumed more than 72 g of alcohol per day [14].…”

Section: Discussionmentioning

confidence: 99%

Alcohol-related admissions to an intensive care unit in Dublin

et al. 2010

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“…Alcohol consumption increases the risk of intensive care admission and of hospital death in men [9], and is directly related to the admission in 21 to 28% of ICU patients [10,11,12]. Drinking problems have been reported in 37.9% of ICU patients [4], and alcohol-related conditions described in 44 to 51% of gastroenterology inpatients [13,14].…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety and Alcohol Abuse in a Gastroenterology Intensive Care Unit: Prevalence and Detection

Cardoso¹,

Alexandre²,

Rosa³

2010

CPEMH

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Abstract:Objectives: To assess depression, anxiety, and alcohol abuse in a Gastroenterology ICU, and the level of its detection by the staff.Method: All patients consecutively admitted to the ICU during a six-month period, 18 or above, and staying 24 hours, were assessed with the Hospital Anxiety and Depression Scale (HADS) and the CAGE. Doctors and nurses assessed the type and severity of patients' morbidity. Data were analyzed with Student's t-test, Pearson's and Spearman's correlations for ordinal variables, chi-square for nominal variables, and multiple logistic regression.Results: The 65 patients assessed had a mean age of 57, and were predominantly male (58.5%), married (72.3%), and retired (53.8%); 27.7% had a psychiatric history, 24.6% were on psychotropic drugs, and 32.3% had an alcohol intake above standards. Anxiety and depression HADS scores 8 were present in 29.2% and 35.4% of the patients, respectively; 20%, mainly men, scored positive on the CAGE. Women had significantly higher anxiety scores (=.012) than men but did not differ in depression. A psychiatric history was significantly associated with higher anxiety (p<.001) and depression (p=.007) scores, as well as being on psychotropic drugs regularly (p<.001; p=.03, respectively).Doctors diagnosed somatic illness in 48.8%, and somatic illness with psychiatric co-morbidity in 51%; for nurses the rates were, respectively, 41.5% and 58.6%. Doctors' and nurses' detection of psychiatric disorders were significantly associated with the HADS anxiety scores (p=.013; p=.001, respectively), and doctor's detection with depression (p=.046) scores. There were no significant associations between nurses' detection of psychiatric disorders and depression, and between both professional groups detection and alcohol abuse.Conclusion: High prevalence of depression, anxiety, and alcohol abuse in Gastroenterology ICU was confirmed. However, the level of detection by the staff was low and mainly when anxiety symptoms were present.

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Alcohol drinking as a predictor of intensive care and hospital mortality in general surgery: a prospective study

Abstract: Heavy drinking increases admission to intensive care and in-hospital mortality in hospitalized male patients undergoing general surgery procedures.

Cited by 35 publications

References 12 publications

Hazardous drinkers in Norwegian hospitals – a cross-sectional study of prevalence and drinking patterns among somatic patients

Hazardous drinkers in Norwegian hospitals – a cross-sectional study of prevalence and drinking patterns among somatic patients

Alcohol-related admissions to an intensive care unit in Dublin

Depression, Anxiety and Alcohol Abuse in a Gastroenterology Intensive Care Unit: Prevalence and Detection

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