| Alcohol Use in Elective Total Hip Arthroplasty: Risk or Benefit? | |
| | |
MedLine Citation:
|
PMID: 22903285 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Excessive alcohol consumption has been associated with adverse health measures after elective surgery. The effects of low or moderate consumption remain unclear. QUESTION/PURPOSES: We determined differences among patients with different consumption levels in (1) preoperative and postoperative patient-perceived outcomes and hip scores, (2) changes in those scores from preoperatively to postoperatively, (3) demographics and comorbidities, and (4) length of stay (LOS) and hospitalization charges. METHODS: We retrospectively reviewed 191 patients (218 primary hips). Based on a self-administered consumption questionnaire, patients were stratified into three groups: (1) nondrinkers (n = 52), (2) occasional drinkers (n = 56), and (3) moderate drinkers (n = 17). Demographics, BMI, Charlson Comorbidity Index, and American Society of Anesthesiologists grade; preoperative and postoperative Quality of Well-being Scale, SF-36, WOMAC, Harris hip, and Merle d'Aubigné-Postel hip scores; and LOS and hospital charges were obtained and compared among groups adjusting for patient characteristics. Minimum followup was 1 year (mean, 3.5 years; range, 1-6 years). RESULTS: Most abstainers were older, female, and Hispanic. Preoperatively, moderate drinkers had better WOMAC function and total scores and Harris hip scores. There were no differences postoperatively among groups. However, nondrinkers had greater improvement (preoperative to postoperative) in the WOMAC function, pain, and total scores. Compared to nondrinkers, moderate drinkers had a higher contribution margin and net income. CONCLUSIONS: Alcohol consumption is more common among men and non-Hispanics. Moderate consumption was associated with better WOMAC and Harris hip scores. After surgery, abstainers achieved greater improvements in the WOMAC function, pain, and total scores. LEVEL OF EVIDENCE: Level III, prognostic study. See the Instructions for Authors for a complete description of levels of evidence. |
| | |
Authors:
|
Carlos J Lavernia; Jesus M Villa; Juan S Contreras |
Related Documents
:
|
22409435 - Prevention of postoperative pulmonary complications through intensive preoperative resp... 22406145 - Relationship between the chads2 score and risk of very late recurrences after catheter ... 22778885 - Sufentanil infusion before extubation suppresses coughing on emergence without delaying... 22742765 - Clinical and microbiological efficacy of continuous versus intermittent application of ... 2025075 - Comparison of postoperative complications between saphenous vein and ima grafts to left... 16542495 - Antithrombin supplementation for anticoagulation during continuous hemofiltration in cr... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-8-18 |
Journal Detail:
|
Title: Clinical orthopaedics and related research Volume: - ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2012 Aug |
Date Detail:
|
Created Date: 2012-8-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Orthopaedic Institute at Mercy Hospital, 3659 S Miami Avenue, Suite 4008, Miami, FL, 33133, USA, carlos@orthomercy.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: CORR insights: Reliability of Bucholz and Ogden classification for osteonecrosis secondary to develo...
Next Document: Does minimally invasive total knee arthroplasty improve isokinetic torque?