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    Prevalence of alcohol misuse among men and women undergoing major noncardiac surgery in the Veterans Affairs health care system

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    Authors
    Bradley, Katharine A.
    Rubinsky, Anna D.
    Sun, Haili
    Blough, David K.
    Tonnesen, Hanne
    Hughes, Grant
    Beste, Lauren A.
    Bishop, Michael J.
    Hawn, Mary T.
    Maynard, Charles
    Harris, Alex H.S.
    Hawkins, Eric J.
    Bryson, Chris L.
    Houston, Thomas K.
    Henderson, William G.
    Kivlahan, Daniel R.
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    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2012-07-01
    Keywords
    Adult
    Aged
    Aged, 80 and over
    Alcoholism
    Delivery of Health Care
    Female
    General Surgery
    Hospitals, Veterans
    Humans
    Male
    Mass Screening
    Middle Aged
    Prevalence
    Questionnaires
    Retrospective Studies
    United States
    *United States Department of Veterans Affairs
    Behavior and Behavior Mechanisms
    Health Services Research
    Substance Abuse and Addiction
    Surgery
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    Link to Full Text
    http://dx.doi.org/10.1016/j.surg.2012.02.007
    Abstract
    BACKGROUND: Patients who screen positive for alcohol misuse on the Alcohol Use Disorder Identification Test Consumption Questionnaire (AUDIT-C >/=5 points) have significantly increased postoperative complications. Severe alcohol misuse (AUDIT-C >/=9 points) is associated with increased postoperative health care use; however, little is known about the prevalence of alcohol misuse in demographic and clinical subgroups of surgical patients. METHODS: The prevalence of alcohol misuse was evaluated among 10,284 patients (9,771 men and 513 women) who underwent major noncardiac surgery in Veterans Affairs (VA) hospitals during the fiscal years 2004 to 2006 and completed the AUDIT-C. Sex-stratified analyses evaluated prevalence rates of alcohol misuse (AUDIT-C >/=5) and severe misuse (AUDIT-C >/=9) across demographic and clinical subgroups. RESULTS: Overall, 1,607 (16%) men and 24 (5%) women screened positive for alcohol misuse (AUDIT-C >/=5) in the year before operation, with 4% and 2% screening positive for severe misuse (AUDIT-C >/=9), respectively. Alcohol misuse was more common among men who were age, divorced or separated, current smokers, or American Stoke Association class 1 or 2, and those with cirrhosis/hepatitis or substance use disorders. Among patients with alcohol misuse, 36% of men and 58% of women were American Society of Anesthesiologists class 1 or 2, and most did not have diagnoses that were commonly associated with alcohol misuse. CONCLUSION: Alcohol misuse is relatively common in male surgical patients. Moreover, surgical patients undergoing operation who screen positive for alcohol misuse are often relatively healthy, without health problems that might alert providers to their alcohol misuse in the absence of screening.
    Source
    Surgery. 2012 Jul;152(1):69-81. Epub 2012 Apr 11. Link to article on publisher's site
    DOI
    10.1016/j.surg.2012.02.007
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46577
    PubMed ID
    22503319
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.surg.2012.02.007
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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