Loading…
Preoperative alcoholism and postoperative morbidity
Background: Preoperative risk assessment has become part of daily clinical practice, but preoperative alcohol abuse has not received much attention. Methods: A Medline search was carried out to identify original papers published from 1967 to 1998. Relevant articles on postoperative morbidity in alco...
Saved in:
| Published in: | British journal of surgery 1999-07, Vol.86 (7), p.869-874 |
|---|---|
| Main Authors: | , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c4323-d290fc4b0f5f0b4eca66030acb485ffa0db58f0a74913eaf7c2a3937c5bff7de3 |
|---|---|
| cites | |
| container_end_page | 874 |
| container_issue | 7 |
| container_start_page | 869 |
| container_title | British journal of surgery |
| container_volume | 86 |
| creator | Tønnesen, H. Kehlet, H. |
| description | Background:
Preoperative risk assessment has become part of daily clinical practice, but preoperative alcohol abuse has not received much attention.
Methods:
A Medline search was carried out to identify original papers published from 1967 to 1998. Relevant articles on postoperative morbidity in alcohol abusers were used to evaluate the evidence.
Results:
Prospective and retrospective studies demonstrate a twofold to threefold increase in postoperative morbidity in alcohol abusers, the most frequent complications being infections, bleeding and cardiopulmonary insufficiency. Wound complications account for about half of the morbidity. The pathogenic mechanisms include preoperative immune incompetence, subclinical cardiac insufficiency and haemostatic imbalance. In addition, surgical trauma and/or postoperative abstinence result in an exaggerated stress response, which may further contribute to postoperative morbidity.
Conclusion:
Alcohol consumption should be included in the preoperative assessment of likely postoperative outcome. Reduction of postoperative morbidity in alcohol abusers may include preoperative alcohol abstinence to improve organ function, or perioperative alcohol administration to avoid the abstinence response. © 1999 British Journal of Surgery Society Ltd |
| doi_str_mv | 10.1046/j.1365-2168.1999.01181.x |
| format | article |
| fullrecord | <record><control><sourceid>istex_pubme</sourceid><recordid>TN_cdi_pubmed_primary_10417555</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>ark_67375_WNG_1RLVPV6T_2</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4323-d290fc4b0f5f0b4eca66030acb485ffa0db58f0a74913eaf7c2a3937c5bff7de3</originalsourceid><addsrcrecordid>eNpNkFFPwjAUhRujEUT_gtmDr5u369puiS9KEDVEiSI-Nl3XxuLGlnUq_Hs3QfDpPpzvnHNzEPIwBBgidrkIMGHUDzGLA5wkSQAYxzhYHaD-TjhEfQDgPiYh6aET5xYAmAANj1GvDcGcUtpHZFrrstK1bOyX9mSuyvcyt67w5DLzqtI1e7Eo69RmtlmfoiMjc6fPtneAXm9Hs-GdP3ka3w-vJ76K2k4_CxMwKkrBUANppJVkDAhIlUYxNUZCltLYgORRgomWhqtQkoRwRVNjeKbJAJ1vcqvPtNCZqGpbyHot_r5vgYstIJ2SuanlUlm35-KkLeywqw32bXO9_hfTJTGxEN1mottMdGOK3zHFStw8vGBGWru_sVvX6NXOLusPwTjhVLw9jgV-nsynczYTIfkBfJF3iQ</addsrcrecordid><sourcetype>Index Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Preoperative alcoholism and postoperative morbidity</title><source>Oxford Journals Online</source><creator>Tønnesen, H. ; Kehlet, H.</creator><creatorcontrib>Tønnesen, H. ; Kehlet, H.</creatorcontrib><description>Background:
Preoperative risk assessment has become part of daily clinical practice, but preoperative alcohol abuse has not received much attention.
Methods:
A Medline search was carried out to identify original papers published from 1967 to 1998. Relevant articles on postoperative morbidity in alcohol abusers were used to evaluate the evidence.
Results:
Prospective and retrospective studies demonstrate a twofold to threefold increase in postoperative morbidity in alcohol abusers, the most frequent complications being infections, bleeding and cardiopulmonary insufficiency. Wound complications account for about half of the morbidity. The pathogenic mechanisms include preoperative immune incompetence, subclinical cardiac insufficiency and haemostatic imbalance. In addition, surgical trauma and/or postoperative abstinence result in an exaggerated stress response, which may further contribute to postoperative morbidity.
Conclusion:
Alcohol consumption should be included in the preoperative assessment of likely postoperative outcome. Reduction of postoperative morbidity in alcohol abusers may include preoperative alcohol abstinence to improve organ function, or perioperative alcohol administration to avoid the abstinence response. © 1999 British Journal of Surgery Society Ltd</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1046/j.1365-2168.1999.01181.x</identifier><identifier>PMID: 10417555</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Addictive behaviors ; Adult and adolescent clinical studies ; Alcoholism ; Alcoholism - complications ; Biological and medical sciences ; Cardiomyopathy, Alcoholic - etiology ; Hemostasis, Surgical ; Humans ; Immunologic Deficiency Syndromes - etiology ; Medical sciences ; Miscellaneous ; Postoperative Complications - etiology ; Preoperative Care ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Stress, Psychological - etiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Wound Healing - physiology</subject><ispartof>British journal of surgery, 1999-07, Vol.86 (7), p.869-874</ispartof><rights>1999 British Journal of Surgery Society Ltd</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4323-d290fc4b0f5f0b4eca66030acb485ffa0db58f0a74913eaf7c2a3937c5bff7de3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1896035$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10417555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tønnesen, H.</creatorcontrib><creatorcontrib>Kehlet, H.</creatorcontrib><title>Preoperative alcoholism and postoperative morbidity</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background:
Preoperative risk assessment has become part of daily clinical practice, but preoperative alcohol abuse has not received much attention.
Methods:
A Medline search was carried out to identify original papers published from 1967 to 1998. Relevant articles on postoperative morbidity in alcohol abusers were used to evaluate the evidence.
Results:
Prospective and retrospective studies demonstrate a twofold to threefold increase in postoperative morbidity in alcohol abusers, the most frequent complications being infections, bleeding and cardiopulmonary insufficiency. Wound complications account for about half of the morbidity. The pathogenic mechanisms include preoperative immune incompetence, subclinical cardiac insufficiency and haemostatic imbalance. In addition, surgical trauma and/or postoperative abstinence result in an exaggerated stress response, which may further contribute to postoperative morbidity.
Conclusion:
Alcohol consumption should be included in the preoperative assessment of likely postoperative outcome. Reduction of postoperative morbidity in alcohol abusers may include preoperative alcohol abstinence to improve organ function, or perioperative alcohol administration to avoid the abstinence response. © 1999 British Journal of Surgery Society Ltd</description><subject>Addictive behaviors</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcoholism</subject><subject>Alcoholism - complications</subject><subject>Biological and medical sciences</subject><subject>Cardiomyopathy, Alcoholic - etiology</subject><subject>Hemostasis, Surgical</subject><subject>Humans</subject><subject>Immunologic Deficiency Syndromes - etiology</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Postoperative Complications - etiology</subject><subject>Preoperative Care</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Stress, Psychological - etiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Wound Healing - physiology</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNpNkFFPwjAUhRujEUT_gtmDr5u369puiS9KEDVEiSI-Nl3XxuLGlnUq_Hs3QfDpPpzvnHNzEPIwBBgidrkIMGHUDzGLA5wkSQAYxzhYHaD-TjhEfQDgPiYh6aET5xYAmAANj1GvDcGcUtpHZFrrstK1bOyX9mSuyvcyt67w5DLzqtI1e7Eo69RmtlmfoiMjc6fPtneAXm9Hs-GdP3ka3w-vJ76K2k4_CxMwKkrBUANppJVkDAhIlUYxNUZCltLYgORRgomWhqtQkoRwRVNjeKbJAJ1vcqvPtNCZqGpbyHot_r5vgYstIJ2SuanlUlm35-KkLeywqw32bXO9_hfTJTGxEN1mottMdGOK3zHFStw8vGBGWru_sVvX6NXOLusPwTjhVLw9jgV-nsynczYTIfkBfJF3iQ</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>Tønnesen, H.</creator><creator>Kehlet, H.</creator><general>Blackwell Science Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>19990701</creationdate><title>Preoperative alcoholism and postoperative morbidity</title><author>Tønnesen, H. ; Kehlet, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4323-d290fc4b0f5f0b4eca66030acb485ffa0db58f0a74913eaf7c2a3937c5bff7de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Addictive behaviors</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcoholism</topic><topic>Alcoholism - complications</topic><topic>Biological and medical sciences</topic><topic>Cardiomyopathy, Alcoholic - etiology</topic><topic>Hemostasis, Surgical</topic><topic>Humans</topic><topic>Immunologic Deficiency Syndromes - etiology</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Postoperative Complications - etiology</topic><topic>Preoperative Care</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Stress, Psychological - etiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tønnesen, H.</creatorcontrib><creatorcontrib>Kehlet, H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tønnesen, H.</au><au>Kehlet, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative alcoholism and postoperative morbidity</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1999-07-01</date><risdate>1999</risdate><volume>86</volume><issue>7</issue><spage>869</spage><epage>874</epage><pages>869-874</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background:
Preoperative risk assessment has become part of daily clinical practice, but preoperative alcohol abuse has not received much attention.
Methods:
A Medline search was carried out to identify original papers published from 1967 to 1998. Relevant articles on postoperative morbidity in alcohol abusers were used to evaluate the evidence.
Results:
Prospective and retrospective studies demonstrate a twofold to threefold increase in postoperative morbidity in alcohol abusers, the most frequent complications being infections, bleeding and cardiopulmonary insufficiency. Wound complications account for about half of the morbidity. The pathogenic mechanisms include preoperative immune incompetence, subclinical cardiac insufficiency and haemostatic imbalance. In addition, surgical trauma and/or postoperative abstinence result in an exaggerated stress response, which may further contribute to postoperative morbidity.
Conclusion:
Alcohol consumption should be included in the preoperative assessment of likely postoperative outcome. Reduction of postoperative morbidity in alcohol abusers may include preoperative alcohol abstinence to improve organ function, or perioperative alcohol administration to avoid the abstinence response. © 1999 British Journal of Surgery Society Ltd</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10417555</pmid><doi>10.1046/j.1365-2168.1999.01181.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1323 |
| ispartof | British journal of surgery, 1999-07, Vol.86 (7), p.869-874 |
| issn | 0007-1323 1365-2168 |
| language | eng |
| recordid | cdi_pubmed_primary_10417555 |
| source | Oxford Journals Online |
| subjects | Addictive behaviors Adult and adolescent clinical studies Alcoholism Alcoholism - complications Biological and medical sciences Cardiomyopathy, Alcoholic - etiology Hemostasis, Surgical Humans Immunologic Deficiency Syndromes - etiology Medical sciences Miscellaneous Postoperative Complications - etiology Preoperative Care Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Stress, Psychological - etiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Wound Healing - physiology |
| title | Preoperative alcoholism and postoperative morbidity |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T07%3A05%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-istex_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preoperative%20alcoholism%20and%20postoperative%20morbidity&rft.jtitle=British%20journal%20of%20surgery&rft.au=T%C3%B8nnesen,%20H.&rft.date=1999-07-01&rft.volume=86&rft.issue=7&rft.spage=869&rft.epage=874&rft.pages=869-874&rft.issn=0007-1323&rft.eissn=1365-2168&rft.coden=BJSUAM&rft_id=info:doi/10.1046/j.1365-2168.1999.01181.x&rft_dat=%3Cistex_pubme%3Eark_67375_WNG_1RLVPV6T_2%3C/istex_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4323-d290fc4b0f5f0b4eca66030acb485ffa0db58f0a74913eaf7c2a3937c5bff7de3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/10417555&rfr_iscdi=true |