Abstract
Background: Alcohol screening scores ≥5 on the Alcohol Use Disorders Identification TestConsumption (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, 5.0-6.7] vs 5.0 [95% CI, 4.7-5.3] days), more ICU days (4.5 [95% CI, 3.2-5.8] vs 2.8 [95% CI, 2.6-3.1] days), and increased probability of return to the operating room (10% [95% CI, 6-13%] vs 5% [95% CI, 4-6%]) 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.
| Original language | English (US) |
|---|---|
| Journal | Journal of the American College of Surgeons |
| Volume | 214 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jan 1 2012 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
AUDIT-C alcohol screening results and postoperative inpatient health care use. / Rubinsky, Anna D.; Sun, Haili; Blough, David K.; Maynard, Charles; Bryson, Christopher L.; Harris, Alex H.; Hawkins, Eric J.; Beste, Lauren A.; Henderson, William G.; Hawn, Mary T.; Hughes, Grant; Bishop, Michael J.; Etzioni, Ruth; Tønnesen, Hanne; Kivlahan, Daniel R.; Bradley, Katharine A.
In: Journal of the American College of Surgeons, Vol. 214, No. 3, 01.01.2012.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - AUDIT-C alcohol screening results and postoperative inpatient health care use
AU - Rubinsky, Anna D.
AU - Sun, Haili
AU - Blough, David K.
AU - Maynard, Charles
AU - Bryson, Christopher L.
AU - Harris, Alex H.
AU - Hawkins, Eric J.
AU - Beste, Lauren A.
AU - Henderson, William G.
AU - Hawn, Mary T.
AU - Hughes, Grant
AU - Bishop, Michael J.
AU - Etzioni, Ruth
AU - Tønnesen, Hanne
AU - Kivlahan, Daniel R.
AU - Bradley, Katharine A.
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Background: Alcohol screening scores ≥5 on the Alcohol Use Disorders Identification TestConsumption (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, 5.0-6.7] vs 5.0 [95% CI, 4.7-5.3] days), more ICU days (4.5 [95% CI, 3.2-5.8] vs 2.8 [95% CI, 2.6-3.1] days), and increased probability of return to the operating room (10% [95% CI, 6-13%] vs 5% [95% CI, 4-6%]) 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.
AB - Background: Alcohol screening scores ≥5 on the Alcohol Use Disorders Identification TestConsumption (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, 5.0-6.7] vs 5.0 [95% CI, 4.7-5.3] days), more ICU days (4.5 [95% CI, 3.2-5.8] vs 2.8 [95% CI, 2.6-3.1] days), and increased probability of return to the operating room (10% [95% CI, 6-13%] vs 5% [95% CI, 4-6%]) 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.
UR - http://www.scopus.com/inward/record.url?scp=84857642868&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84857642868&partnerID=8YFLogxK
U2 - 10.1016/j.jamcollsurg.2011.11.007
DO - 10.1016/j.jamcollsurg.2011.11.007
M3 - Article
C2 - 22244208
AN - SCOPUS:84857642868
VL - 214
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
SN - 1072-7515
IS - 3
ER -