Search resultsAlcohol use in elective total hip arthroplasty: Risk or benefit? hip
Title
Alcohol use in elective total hip arthroplasty: Risk or benefit? hip
Publication type
Journal Article
Year of Publication
2013
Authors
Journal
Clinical Orthopaedics and Related Research
Volume
471
Issue
2
Pagination
504 - 509
Date published
2013
ISBN
0009921X (ISSN)
Keywords
Aged, alcohol abstinence, alcohol consumption, Alcohol Drinking, American Society of Anesthesiologists grade, Arthroplasty, Replacement, Hip, article, body mass, Charlson Comorbidity Index, clinical assessment tool, conference paper, controlled study, demography, drinking behavior, elective surgery, Female, follow up, Harris hip score, hip arthroplasty, hip osteoarthritis, Hispanic, hospital charge, human, Humans, income, length of stay, major clinical study, male, Merle d' Aubigne Postel hip score, Middle Aged, Osteoarthritis, Hip, pain assessment, Pain Measurement, patient satisfaction, postoperative period, preoperative evaluation, priority journal, Prognosis, Quality of Well being Scale 7, questionnaire, Questionnaires, Retrospective Studies, retrospective study, risk factor, Risk Factors, self report, sex difference, Sex Factors, Short Form 36, total hip prosthesis, Treatment Outcome, Western Ontario and McMaster Universities Osteoarthritis Index
Abstract
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.