Preoperative evaluation of alcohol consumption in older patients.

IF 3.7 2区医学 Q1 SUBSTANCE ABUSE

Addiction Science & Clinical Practice Pub Date : 2025-05-21 DOI:10.1186/s13722-025-00569-8

Vera Guttenthaler, Maria Wittmann, Jan Menzenbach

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Abstract

Purpose: This sub-analysis of the PROPDESC-study (Pre-Operative Prediction of postoperative delirium by appropriate Screening-study) evaluated the alcohol consumption of older patients with two different assessment tools (single sentence question and Alcohol Use Disorder Identification Test-Consumption (AUDIT-C)) and compared the results in regards to detection, reliability, and quantification of patient´s alcohol consumption.

Methods: During their anesthesiological pre-clinic visit 1084 patients older than 59 years were asked whether they consume alcohol daily and 668 of them additionally answered the AUDIT-C questionnaire.

Results: According to the SSQ 11.72% of the patients consumed alcohol daily. In the AUDIT-C sub-group 25.90% reported moderate to high alcohol consumption while infrequent or very low alcohol intake was reported by 41.92%. In the subgroup 31.89% of the patients stated alcohol abstinence. About one quarter (25.13%) of patients who denied daily alcohol intake but scored positive on the AUDIT-C displayed levels of alcohol consumption ranging from moderate (11.20%) to high (13.87%) according to the AUDIT-C.

Conclusion: Reliable information about alcohol consumption is related to the method of questioning. The AUDIT-C evaluates the patient´s alcohol intake precisely and identifies more older patients with possibly health- and surgery-relevant alcohol consumption levels. The validated AUDIT-C provides an objective assessment to the physician during the pre-clinic anesthesiologic consultation. Additionally, handing out a questionnaire to the patient encourages initiative and self-assessment and could also relieve both, the physician and the patient from sensing a moral evaluation of alcohol consumption.

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老年患者术前饮酒评价

目的：对propdesc研究（术前预测术后谵妄的适当筛查研究）进行亚分析，用两种不同的评估工具（单句问题和酒精使用障碍识别测试-消费（审计- c））评估老年患者的酒精消耗，并比较患者酒精消耗的检测、可靠性和量化结果。方法：1084名年龄大于59岁的患者在麻醉前就诊时被问及是否每天饮酒，其中668人额外回答了AUDIT-C问卷。结果：根据SSQ， 11.72%的患者每天饮酒。在AUDIT-C亚组中，25.90%的人报告中度至重度饮酒，41.92%的人报告不经常或极少量饮酒。在该亚组中，31.89%的患者表示戒酒。根据AUDIT-C，大约四分之一（25.13%）的患者否认每日饮酒，但在AUDIT-C中得分为阳性，其饮酒水平从中度（11.20%）到重度（13.87%）不等。结论：饮酒量的可靠信息与询问方法有关。AUDIT-C精确评估患者的酒精摄入量，并识别出更多可能与健康和手术相关的老年患者的酒精消费水平。经过验证的AUDIT-C在临床前麻醉会诊期间为医生提供了客观的评估。此外，给病人发一份调查问卷可以鼓励主动性和自我评估，也可以减轻医生和病人对饮酒的道德评价的感觉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addiction Science & Clinical Practice Psychology-Clinical Psychology

CiteScore

3.90

自引率

10.80%

发文量

审稿时长

28 weeks

期刊介绍： Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings. Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use. Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations. Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.