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AUDIT-C Alcohol Scr...
AUDIT-C Alcohol Screening Results and Postoperative Inpatient Health Care Use.
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Rubinsky, AD (författare)
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Sun, H (författare)
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Blough, DK (författare)
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visa fler...
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Maynard, C (författare)
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Bryson, CL (författare)
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Harris, AH (författare)
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Hawkins, EJ (författare)
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Beste, LA (författare)
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Henderson, WG (författare)
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Hawn, MT (författare)
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Hughes, G (författare)
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Bishop, MJ (författare)
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Etzioni, R (författare)
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- Tønnesen, Hanne (författare)
- Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine
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Kivlahan, DR (författare)
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Bradley, KA (författare)
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(creator_code:org_t)
- Ovid Technologies (Wolters Kluwer Health), 2012
- 2012
- Engelska.
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Ingår i: Journal of the American College of Surgeons. - : Ovid Technologies (Wolters Kluwer Health). - 1879-1190 .- 1072-7515. ; 214:3, s. 296-305
- Relaterad länk:
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http://www.ncbi.nlm....
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
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Rubinsky, AD
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Sun, H
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Blough, DK
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Maynard, C
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Bryson, CL
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Harris, AH
-
visa fler...
-
Hawkins, EJ
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Beste, LA
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Henderson, WG
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Hawn, MT
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Hughes, G
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Bishop, MJ
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Etzioni, R
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Tønnesen, Hanne
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Kivlahan, DR
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Bradley, KA
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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och Hälsovetenskap
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Lunds universitet