Alcohol misuse has been linked to increased postoperative complications. The primary aim of this study was to determine whether there was increased length of stay and cost for total hip or knee arthroplasty for patients who drink alcohol at high-risk levels (At-Risk) compared to those who do not drink (Not-At-Risk). The secondary aim was to identify potential predictors of postoperative alcohol withdrawal. A retrospective, comparative research design was used to review surgery records of 37 At-Risk and 74 Not-At-Risk patients. There were no significant differences between groups. Records of At-Risk patients included the following, which can be used as predictors of withdrawal symptoms: (a) higher incidence of preoperative alcohol dependency or abuse, (b) higher levels of serum glutamic oxaloacetic transaminase (SGOT), serum glutamic oxaloacetic transaminase (SGPT), mean corpuscluar volume (MCV), and mean corpuscular hemoglobin (MCH) on Postoperative Day 1, (c) more doses of benzodiazepines used postoperatively, and (d) more withdrawal signs and symptoms on the first postoperative day.
|Commitee:||Jadalla, Ahlam, Leever, Dianne|
|School:||California State University, Long Beach|
|Department:||Nursing, School of|
|School Location:||United States -- California|
|Source:||MAI 54/01M(E), Masters Abstracts International|
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