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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004629naa a2200505 4500
001oai:lup.lub.lu.se:9e17ab1a-0491-4758-9245-dd912477c944
003SwePub
008160404s2011 | |||||||||||000 ||eng|
0247 a https://lup.lub.lu.se/record/23641832 URI
0247 a https://doi.org/10.1007/s11606-010-1475-x2 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Bradley, KA4 aut
2451 0a Alcohol Screening and Risk of Postoperative Complications on Male VA Patients Undergoing Major Non-cardiac Surgery
264 c 2010-09-28
264 1b Springer Science and Business Media LLC,c 2011
520 a BACKGROUND: Patients who misuse alcohol are at increased risk for surgical complications. Four weeks of preoperative abstinence decreases the risk of complications, but practical approaches for early preoperative identification of alcohol misuse are needed. OBJECTIVE: To evaluate whether results of alcohol screening with the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) questionnaire—up to a year before surgery—were associated with the risk of postoperative complications. DESIGN: This is a cohort study. SETTING AND PARTICIPANTS: Male Veterans Affairs (VA) patients were eligible if they had major noncardiac surgery assessed by the VA’s Surgical Quality Improvement Program (VASQIP) in fiscal years 2004-2006, and completed the AUDIT-C alcohol screening questionnaire (0-12 points) on a mailed survey within 1 year before surgery. MAIN OUTCOME MEASURE: One or more postoperative complication(s) within 30 days of surgery based on VASQIP nurse medical record reviews. RESULTS Among 9,176 eligible men, 16.3% screened positive for alcohol misuse with AUDIT-C scores ≥ 5, and 7.8% had postoperative complications. Patients with AUDIT-C scores ≥ 5 were at significantly increased risk for postoperative complications, compared to patients who drank less. In analyses adjusted for age, smoking, and days from screening to surgery, the estimated prevalence of postoperative complications increased from 5.6% (95% CI 4.8–6.6%) in patients with AUDIT-C scores 1–4, to 7.9% (6.3–9.7%) in patients with AUDIT-Cs 5–8, 9.7% (6.6–14.1%) in patients with AUDIT-Cs 9–10 and 14.0% (8.9–21.3%) in patients with AUDIT-Cs 11–12. In fully-adjusted analyses that included preoperative covariates potentially in the causal pathway between alcohol misuse and complications, the estimated prevalence of postoperative complications increased significantly from 4.8% (4.1–5.7%) in patients with AUDIT-C scores 1–4, to 6.9% (5.5–8.7%) in patients with AUDIT-Cs 5-8 and 7.5% (5.0–11.3%) among those with AUDIT-Cs 9–10. CONCLUSIONS: AUDIT-C scores of 5 or more up to a year before surgery were associated with increased postoperative complications.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
7001 a Rubinsky, AD4 aut
7001 a Sun, H4 aut
7001 a Bryson, CL4 aut
7001 a Bishop, MK4 aut
7001 a Blough, DK4 aut
7001 a Henderson, WG4 aut
7001 a Maynard, C4 aut
7001 a Hawn, MT4 aut
7001 a Tønnesen, Hanneu Lund University,Lunds universitet,Kliniskt Centrum för Hälsofrämjande Vård,Forskargrupper vid Lunds universitet,Clinical Health Promotion Centre,Lund University Research Groups4 aut0 (Swepub:lu)med-hto
7001 a Hughes, Grant4 aut
7001 a Beste, LA4 aut
7001 a Harris, AH4 aut
7001 a Hawkins, EJ4 aut
7001 a Houston, TK4 aut
7001 a Kivlahan, DR4 aut
7102 a Kliniskt Centrum för Hälsofrämjande Vårdb Forskargrupper vid Lunds universitet4 org
7730 t Journal of General Internal Medicined : Springer Science and Business Media LLCg 26:2, s. 162-169q 26:2<162-169x 0884-8734x 1525-1497
8564 u http://dx.doi.org/10.1007/s11606-010-1475-xy FULLTEXT
8564 u https://europepmc.org/articles/pmc3019325?pdf=render
8564 8u https://lup.lub.lu.se/record/2364183
8564 8u https://doi.org/10.1007/s11606-010-1475-x

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