Health Services Research & Development

Veterans Crisis Line Badge
Go to the ORD website
Go to the QUERI website

Publication Briefs



HSR&D Publication Briefs
view more Pub Briefs
 

Get RSS Feeds  

Study Suggests Complications Following Total Joint Arthroplasty Significantly Related to Pre-Operative Alcohol Misuse among Veterans


The risks associated with pre-operative alcohol misuse in patients undergoing total joint arthroplasty are not well known, yet alcohol misuse is common in surgical patients and has been linked to an increased risk of post-operative complications in other procedures. This retrospective cohort study evaluated the association between a standardized, pre-operative alcohol screening score and the risk of post-operative complications in 185 Veterans who underwent total joint arthroplasty at one VA facility between 2004 and 2007. Investigators assessed AUDIT-C (Alcohol Use Disorders Identification Test – Consumption) scores, which had been recorded as part of routine clinical care in the 12 months preceding surgery, for Veterans who had reported at least some alcohol use. [Past-year non-drinkers were excluded from this study.]

Findings show that complications following total joint arthroplasty were significantly related to alcohol misuse. Of the 185 Veterans in this study, 32 (17%) had alcohol screening scores suggestive of alcohol misuse, and 12 Veterans had at least one post-operative complication. Therefore, AUDIT-C scores signified a 29% increase in the expected mean number of complications with every additional AUDIT-C point above 1.

The authors suggest that pre-operative alcohol misuse screening, and perhaps pre-operative counseling or referral to treatment for heavy drinkers, may be indicated for patients undergoing total joint arthroplasty.

PubMed Logo Harris A, Reeder R, Ellerbe L, et al. Pre-operative alcohol screening scores: Association with complications in men undergoing total joint arthroplasty. Journal of Bone and Joint Surgery 2011 Feb;93(4):321-27.

Drs. Sox-Harris, Reeder, and Ellerbe are part of HSR&D’s Center for Health Care Evaluation in Palo Alto, CA.

Related Briefs

» next 58 Substance Use Briefs...


» next 44 Surgery Briefs...


What are HSR&D Publication Briefs?

HSR&D requires notification by HSR&D-funded investigators about all articles accepted for publication. These journal articles are reviewed by HSR&D and publication briefs or summaries are written for a select number of articles that are then forwarded to VHA Central Office leadership to keep them informed about important findings or information. Articles to be summarized are selected by HSR&D based on timeliness of the findings, interest of leadership, or potential impact on the organization. Publication briefs are written for only a small number of HSR&D published articles. Visit the HSR&D citations database for a complete listing of HSR&D articles and presentations.