Postoperative morbidity among symptom-free alcohol misusers

Retrospective studies suggest that there is an increased postoperative morbidity among alcohol misusers. We have prospectively studied the risk of alcohol intake among patients undergoing surgery. We investigated 15 symptom-free subjects who required colorectal surgery and who were drinking at least...

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Bibliographic Details
Published in:The Lancet (British edition) 1992-08, Vol.340 (8815), p.334-337
Main Authors: Tønneson, H., Petersen, K.R., Nielsen, H.J., Kehlet, H., Højgaard, L., Stokholm, K.H., Knigge, U.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Alcohol
Alcohol use
Alcoholic beverages
Alcoholics
Alcoholism
Alcoholism - complications
Alcoholism and acute alcohol poisoning
Alcohols
Anesthesia
Biological and medical sciences
Bleeding
Bleeding Time
Blood Coagulation Disorders - blood
Blood Coagulation Disorders - epidemiology
Blood Glucose - analysis
Blood Pressure
Cardiac Output, Low - epidemiology
Cardiac Output, Low - physiopathology
Catecholamines
Catecholamines - blood
Colonic Diseases - complications
Colonic Diseases - surgery
Cortisol
Denmark - epidemiology
Disease control
Drinking behavior
Fatalities
Heart
Heart Rate
Hospitals, University
Humans
Hydrocortisone - blood
Hypersensitivity
Hypersensitivity (delayed)
Immunologic Deficiency Syndromes - epidemiology
Immunosuppression
Infection - epidemiology
Length of Stay - statistics & numerical data
Lung diseases
Male
Matched-Pair Analysis
Medical research
Medical sciences
Middle Aged
Morbidity
Nursing Care - statistics & numerical data
Nutrition
Patients
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Complications - nursing
Prospective Studies
Rectal Diseases - complications
Rectal Diseases - surgery
Risk analysis
Risk Factors
Stroke Volume
Surgery
Toxicology
Ventricle
Weight
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Description
Summary:Retrospective studies suggest that there is an increased postoperative morbidity among alcohol misusers. We have prospectively studied the risk of alcohol intake among patients undergoing surgery. We investigated 15 symptom-free subjects who required colorectal surgery and who were drinking at least 60 g of alcohol per day. These patients were matched for sex, nutrition, age, weight, cardiovascular and pulmonary disease, diagnosis, anaesthesia, and surgery to 15 control subjects who were consuming below 25 g of alcohol daily. Those drinking at least 60 g of alcohol per day developed more postoperative complications than controls (67% vs 20%, p
ISSN:0140-6736
1474-547X
DOI:10.1016/0140-6736(92)91405-W