Pre‐operative screening for excessive alcohol consumption among patients scheduled for elective surgery

作者: Swati Shourie , Katherine M Conigrave , Elizabeth M Proude , Jeanette E Ward , Sonia E Wutzke

DOI: 10.1080/09595230601146595

关键词:

摘要: Pre-operative intervention for excessive alcohol consumption among patients scheduled elective surgery has been shown to reduce complications of surgery. However, successful depends upon an effective and practical screening procedure. This study examines current practices amongst in general hospitals. It also the appropriateness potential sites staff pre-operative screening. Forms used routinely assess pre-admission clinics (PAC) eight Sydney hospitals were examined. In addition, six categories (surgeons, surgeons' secretaries, junior medical officer, anaesthetists, nurses a research assistant) two (surgeons' office PAC) conducting additional was assessed at Outcomes included observed advantages disadvantages personnel, number cases with drinking identified. There duplication information collected on use PACs Hospitals. Questions patient self-completion forms not validated. The PAC provided efficient but time typically too short many cases. A validated tool procedure is required detect before Patients often present close any change reverse alcohol's effects. role referring practitioner printed advice from surgeon preparing needs further investigation.

参考文章(17)
B. Bonevski, R.W. Sanson-Fisher, E. Campbell, A. Carruthers, A.L.A. Reid, M. Ireland, Randomized controlled trial of a computer strategy to increase general practitioner preventive care. Preventive Medicine. ,vol. 29, pp. 478- 486 ,(1999) , 10.1006/PMED.1999.0567
A L Reid, G R Webb, D Hennrikus, P P Fahey, R W Sanson-Fisher, Detection of patients with high alcohol intake by general practitioners. BMJ. ,vol. 293, pp. 735- 737 ,(1986) , 10.1136/BMJ.293.6549.735
Pia N. Townes, Alfred L. Harkley, Alcohol Screening Practices of Primary Care Physicians in Eastern North Carolina Alcohol. ,vol. 11, pp. 489- 492 ,(1994) , 10.1016/0741-8329(94)90073-6
Elizabeth M Proude, Swati Shourie, Katherine M Conigrave, Sonia E Wutzke, Jeanette E Ward, Paul S Haber, None, Do elective surgery patients use the internet to look for information about their condition Anz Journal of Surgery. ,vol. 74, pp. 304- 307 ,(2004) , 10.1111/J.1445-1433.2004.02990.X
David O. Warner, David C. Warltier, Perioperative abstinence from cigarettes: physiologic and clinical consequences. Anesthesiology. ,vol. 104, pp. 356- 367 ,(2006) , 10.1097/00000542-200602000-00023
Terry D. Schneekloth, Robert M. Morse, Linda M. Herrick, Vera J. Suman, Kenneth P. Offord, Leo J. Davis, Point prevalence of alcoholism in hospitalized patients: continuing challenges of detection, assessment, and diagnosis. Mayo Clinic proceedings. ,vol. 76, pp. 460- 466 ,(2001) , 10.4065/76.5.460
Claudia Spies, Hanne Tonnesen, Sven Andreasson, Anders Helander, Kate Conigrave, Perioperative morbidity and mortality in chronic alcoholic patients. Alcoholism: Clinical and Experimental Research. ,vol. 25, ,(2001) , 10.1111/J.1530-0277.2001.TB02392.X
Hans-Jürgen Rumpf, Ulfert Hapke, Christian Meyer, Ulrich John, Screening for alcohol use disorders and at-risk drinking in the general population: Psychometric performance of three questionnaires Alcohol and Alcoholism. ,vol. 37, pp. 261- 268 ,(2002) , 10.1093/ALCALC/37.3.261
Ann Møller, Hanne Tønnesen, Risk reduction: perioperative smoking intervention. Best Practice & Research Clinical Anaesthesiology. ,vol. 20, pp. 237- 248 ,(2006) , 10.1016/J.BPA.2005.10.008
Katharine A. Bradley, Kristen R. Bush, Amee J. Epler, Dorcas J. Dobie, Tania M. Davis, Jennifer L. Sporleder, Charles Maynard, Marcia L. Burman, Daniel R. Kivlahan, Two Brief Alcohol-Screening Tests From the Alcohol Use Disorders Identification Test (AUDIT) Archives of Internal Medicine. ,vol. 163, pp. 821- 829 ,(2003) , 10.1001/ARCHINTE.163.7.821