To determine whether alcohol abuse or dependence is a risk factor for perioperative complications, increased duration of hospital stay, and increased utilization of nursing resources in patients undergoing thoracic and vascular surgical procedures.
We conducted a prospective study of all adult patients who underwent an elective vascular or thoracic surgical procedure and who received postoperative care in an intensive-care setting.
Patients were screened for alcohol abuse or dependence, and actual versus expected durations of stay were evaluated.
The patients'medical records were reviewed for preoperative comorbidities and perioperative complications.
Fisher's exact test and the rank sum test were used in the analyses.
Of 321 study subjects, 290 were classified as nonalcoholic and 31 as probable alcoholic patients.
Patients in the probable alcohol abuse group had a significantly increased rate of alcohol withdrawal (12.9% versus 1.7% ; P=0.006) in comparison with patients in the nonalcoholic group.
Patients in the probable alcohol abuse group were readmitted to an intensive-care unit more frequently (19.4% versus 7.9% ; P=0.047) and required sedation more often (32.3% versus 13.5% ; P=0.014) than those in the nonalcoholic group.
No significant differences were found between the two study groups in intensive-care unit and hospital durations of stay or in utilization of nursing resources. (...)
Mots-clés Pascal : Alcoolisme, Abus, Facteur risque, Chirurgie, Thorax, Appareil circulatoire, Etude cohorte, Préopératoire, Questionnaire, Analyse statistique, Evaluation, Homme, Unité soin intensif, Prévention, Psychopathologie, Système nerveux pathologie, CAGE questionnaire
Mots-clés Pascal anglais : Alcoholism, Abuse, Risk factor, Surgery, Thorax, Circulatory system, Cohort study, Preoperative, Questionnaire, Statistical analysis, Evaluation, Human, Intensive care unit, Prevention, Psychopathology, Nervous system diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0270391
Code Inist : 002B18C05B. Création : 16/11/1999.