| Substance use among Iranian cardiac surgery patients and its effects on short-term outcome. | |
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MedLine Citation:
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PMID: 19843794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We assessed the prevalence of substance use among patients undergoing coronary artery bypass graft and valve surgery in northwest Iran. We evaluated the postoperative complications and in-hospital mortality of patients with substance dependence and abuse. METHODS: In this prospective, observational study, we interviewed 600 patients during the preoperative visit in a tertiary referral educational hospital in northwest Iran. The definition of substance abuse and dependence was according to DSM-IV criteria. Postoperative complications and in-hospital mortality of patients with substance (cigarette, opium, and alcohol) dependence and abuse were compared with those in control patients who did not use these substances. RESULTS: In 600 studied patients, the prevalence of cigarette smoking was 42.1% (ex-smokers 26.0% and current smokers 16.1%), prevalence of opium use was 12.0% (opium abuse 7.0% and opium dependence 5.0%), and alcohol consumption was 8.1% (alcohol abuse 7.4% and alcohol dependence 0.7%). The prevalence of cigarette smoking was 58.9% in men and 7.6% in women (P = 0.001). Postoperative cardiac complications in current smokers (21.5%) and ex-smokers (20.5%) were not significantly different from the control group (28.2%). Also, pulmonary complications were not different in current smokers (24.7%) and ex-smokers (17.9%) from the control group (26.8%; P = 0.196). However, in men, pulmonary complications in current smokers were more prevalent than in the control group (P = 0.044). In opium and alcohol dependents and abusers, postoperative complications were not statistically different from the control group (all P values >0.05). No increase was observed regarding in-hospital mortality in patients with substance use. CONCLUSIONS: In cardiac surgery patients in northwest Iran, the prevalence of cigarette smoking is relatively low (very low in women), as is alcohol use, compared with Western countries; however, opium use is twice as prevalent. We found higher pulmonary complication rates in men who smoked, but no increase in postoperative cardiopulmonary complications and in-hospital mortality rates in patients who abused opium and consumed alcohol. |
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Authors:
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Mitra Azarasa; Rasoul Azarfarin; Ali Changizi; Azin Alizadehasl |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 109 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-21 Completed Date: 2009-11-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1553-9 Citation Subset: AIM; IM |
Affiliation:
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Cardiovascular Research Center, Madani Heart Hospital, Tabriz University of Medical Sciences, Tabriz, Iran. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Alcohol Drinking / ethnology*, mortality Alcoholism / complications*, ethnology, mortality Asian Continental Ancestry Group* Case-Control Studies Coronary Artery Bypass / adverse effects*, mortality Female Heart Valves / surgery* Hospital Mortality Humans Iran / epidemiology Lung Diseases / ethnology, etiology Male Middle Aged Opioid-Related Disorders / complications*, ethnology, mortality Prevalence Prospective Studies Questionnaires Risk Assessment Risk Factors Smoking / ethnology*, mortality Time Factors Tobacco Use Disorder / complications*, ethnology, mortality Treatment Outcome Young Adult |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 2009 Nov;109(5):1374-6
[PMID:
19843773
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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