Perioperative Morbidity and Mortality in Chronic Alcoholic Patients

Spies, Claudia; Tønnesen, Hanne; Andréasson, Sven; Helander, Anders; Conigrave, Kate

doi:10.1111/j.1530-0277.2001.tb02392.x

Cited by 115 publications

(77 citation statements)

References 77 publications

(105 reference statements)

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“…45 These complications culminate in increased odds of repeated surgery, a long duration of mechanical ventilation, and frequent readmission to the hospital ICU. 26,42,45 Finally, some studies have shown that surgical patients with chronic alcohol abuse have longer ICU lengths of stay and increased risk of death. 41,42 The increased risk of postoperative complications in patients with AUDs can be minimized in surgical patients undergoing elective surgery.…”

Section: Surgical Patientsmentioning

confidence: 99%

“…In the surgical patient population, chronic alcohol abuse is associated with more postoperative complications, including pneumonia, surgical wound infection, sepsis, poor wound healing, and cardiac complications (heart failure, ischemia, and arrhythmias). 17,42,43,45,46 Indeed, when surgical patients experience adverse outcomes, we recommend that clinicians strongly consider carefully screening for AUDs, as the conditions may have been missed preoperatively. In our experience, patient family members have been receptive to inquiries about alcohol consumption and, on a number of occasions, relieved to discuss their concerns with clinicians.…”

Section: Surgical Patientsmentioning

confidence: 99%

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Alcohol-Use Disorders in the Critically Ill Patient

Wit

Jones

Sessler

et al. 2010

Chest

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A lcohol-use disorders (AUDs) encompass a spectrum of disorders, including excessive use, abuse, dependence, and addiction. Abuse occurs when a patient experiences adverse socioeconomic or health consequences related to the use of the substance. 1 Dependence is present either when the patient experiences withdrawal symptoms on discontinuation of the substance or when larger amounts are necessary to achieve the desired effect. 1 Addiction is indicated by the patient experiencing a compulsive craving for a substance. 1 At any one time, a patient may have more than one of these disorders simultaneously present. The National Institutes of Health 2 have put forth guidelines that quantify excessive and unhealthy use of alcohol; a level of use above this threshold increases a patient's risk for health problems. 3 Men aged Յ 65 years who consume more than four standard drinks in a typical day or . 14 standard drinks in a typical week have excessive and unhealthy alcohol consumption. These volumes are halved for women of all ages and men aged .

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Section: Surgical Patientsmentioning

confidence: 99%

Section: Surgical Patientsmentioning

confidence: 99%

Alcohol-Use Disorders in the Critically Ill Patient

Wit

Jones

Sessler

et al. 2010

Chest

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“…The search was updated April of 2007. Citations of identified studies and prior reports [9,10,14,21] were also reviewed for potentially eligible studies.…”

Section: Search Strategymentioning

confidence: 99%

“…A major limitation of studies identified was the lack of description of how alcohol use/misuse was assessed and the timeframe of the alcohol measure (Tables 1 and 2), so that it was often unclear if patients who were categorized as at-risk due to drinking continued to drink at the time of surgery. No study used a measure that specifically assessed whether patients consumed over 60 grams of alcohol or more than 4 drinks a day in the pre-operative period, the level of drinking most strongly associated with post-operative complications in European studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14].…”

Section: Strengths and Limitations Of Identified Studiesmentioning

confidence: 99%

Alcohol Misuse Prevalence and Associations with Post-Operative Complications in US Surgical Patients: A Review

Harris¹,

Frey²,

DeBenedetti³

et al. 2009

TOSJ

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Abstract:We conducted a standardized review of research on the prevalence of alcohol use or misuse (including alcohol use disorders), and the association of alcohol use or misuse with post-operative surgical complications among US patients. Twenty seven studies that included a preoperative measure of alcohol use or misuse and included at least 50 US surgical patients were identified using a standardized search strategy (1950( -April 2007. Twenty-two of the studies reported prevalence of alcohol use or misuse, which was highest in major otolaryngology surgeries (mostly for cancer and injuries: 22-88.5%) and thoracic surgery (lung transplant and cancer resections: 29-33%) and ranged from 8-28% in the remaining studies. Nineteen studies examined the association between pre-operative alcohol consumption and post-operative complications suggesting positive associations between alcohol use or misuse and risk for post-operative delirium, pneumonia, cognitive decline, overall complications, and death. Most identified studies had methodological limitations, especially the widespread use of drinking assessment methods that cannot distinguish alcohol use from misuse.

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“…Tissue healing and hepatic metabolization of many drugs are other complications that may be caused by smoking and drinking 12 . In addition to system affected by alcohol such as liver, pancreas, and nervous system, heavy drinking may complicate cardiac function, immune capacity, haemostasis, metabolic stress response and muscular dysfunction 13 . Furthermore, postoperative infections and bleeding episodes are among the most occurring alcohol complications 14 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Substance Abuse/Alcohol Consumption and their Predictors among Patients Admitted in Operating Rooms of a General Educational Hospital, Tehran, Iran

Alavi¹,

Mehrdad²,

Makarem³

2016

AJPRHC

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Substance/alcohol abuse is an important public health threat in most countries. Social stigmatization and legal restrictions prevent accurate and direct estimate of prevalence of substance/alcohol abuse in Iran. This study aimed to estimate of the prevalence of alcohol and substance use among Iranian patients who were admitted to operating rooms of a general hospital in Tehran and identified risk factors that may predict alcohol and substance use. This cross-sectional study was conducted among all consecutive patients who were admitted to 16 operating rooms in Vali-e-Asr General Educational Hospital (Tehran, Iran) during March 2014 to September 2015. Data were derived from a medical history form prior to operation by trained nurses who were working in the operating rooms. Among 1136 patients admitted to operating rooms, 105 (28.7%) men and 21 (2.7%) women were substance/alcohol users. The main substance of abuse was opium (57.3%) followed by alcohol consumption (25.6%) and water pipe smoking (14.8%). Cigarette smoking was reported by 110 (30.1%) men and 21 (2.7%) women. Sex, cigarette smoking and family history of alcohol and substance abuse predicted 42.3% of the variance in substance abuse/alcohol consumption. Substance use, especially opium, alcohol, water pipe tobacco and cigarette smoking were found to be significantly high particularly among male patients. Being a man, current cigarette smoking and having a first-degree family member who had abused substances should be considered when planning preventive or therapeutic programs.

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Perioperative Morbidity and Mortality in Chronic Alcoholic Patients

Cited by 115 publications

References 77 publications

Alcohol-Use Disorders in the Critically Ill Patient

Alcohol-Use Disorders in the Critically Ill Patient

Alcohol Misuse Prevalence and Associations with Post-Operative Complications in US Surgical Patients: A Review

Prevalence of Substance Abuse/Alcohol Consumption and their Predictors among Patients Admitted in Operating Rooms of a General Educational Hospital, Tehran, Iran

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