A National Directory of Drug Treatment Centers and Alcohol Treatment Centers, Therapists and Specialists. A free, simple directory providing assistance and guidance for those seeking help regarding alcohol addiction, drug addiction, dependency and many other conditions that affect the mind, body and soul.
Call 800-580-9104 to speak with an alcohol or drug abuse counselor.

Who Answers?

Study Uncovers Sobering Facts About Alcohol Abuse Detection in Surgical Patients

Alcohol Abuse Detection in Surgical Patients

Alcohol abuse detection in surgical patients is on the rise.

A study in this month’s Anesthesiology found evidence that alcohol use disorders (AUDs) are frequently overlooked in patients undergoing surgery ― but also touts a very simple and effective method to identify patients who may be at risk for alcohol-related perioperative complications.

In the AUD study, anesthesiologist Claudia D. Spies, M.D., and her research group from Charite-Universitaetsmedizin Berlin studied 1,556 surgical patients and found a trend of missed opportunities in identifying those at risk.

“First, we noted that AUD is not diagnosed adequately during preoperative assessment,” said Dr. Spies. “Then, even if a finding of AUD was made before surgery, preventive measures were not often undertaken. This is significant because patients with AUD have three to four times more complications during and around the time of surgery than patients without AUD.”

According to Dr. Spies, an important key to detection may lie in a computerized self-assessment tool called AUDIT, or the Alcohol Use Disorder Identification Test. When AUDIT was used, over twice as many patients with AUD were identified compared to the standard preoperative interview.

Part of AUDIT’s success (when compared to physicians’ interviews alone) may be due in part to physicians’ lack of training in preoperative screening for alcohol use and also the more anonymous nature of the computerized test itself.

“Patients seem to be more confident in answering questions about their alcohol use in a computer-based question-and-answer format,” said Dr. Spies.

Although it appears that a more accurate assessment of alcohol use is obtained when the human element is removed from the screening process, it is exactly that human element that is crucial to the success of strategies dealing with an enormous societal problem, said Dr. Spies.

“Anesthesiologists can play an important role in preventing severe consequences of AUD and thereby contributing to an improvement in public health,” she said. “Preoperative screening for AUD provides not only the opportunity to select patients for preventive medical interventions but also allows us to screen large and diverse patient populations for at-risk drinkers whose behavior my become dangerous at some point in the future.”

In 2006, the World Health Organization reported that alcohol use was the third highest risk factor for death and disability in the general population of Europe and the leading risk factor for young Europeans.

Dr. Spies’ study found that an overwhelming majority of physicians neglected to use well-documented tools for AUD detection, perhaps because they were uncomfortable in questioning patients about alcohol consumption.

“Physicians tend to underestimate and miss AUD in younger patients, especially young female patients,” she said. “Our results emphasize that the use of computer-based screening methods, such as AUDIT, applied to every patient, are effective in addressing these biases.”

When AUD is properly identified, physicians can then begin the important step of intervention strategies that might include a brief motivational interview or tailored advice, said. Dr. Spies. Patients desiring long-term assistance in changing their drinking habits can then be referred to a specialist in the field.

Dr. Spies’ research is the first to systematically study the effectiveness of a computerized version of the AUDIT test in a preoperative assessment clinic. And although it found inadequate diagnoses among many health care professionals, the study offers simple solutions to a complex problem and should serve as a wake-up call to physicians the world over.

“The enormous amount of well-conducted research into AUD and its social, physical and psychological consequences will not yield the benefits it should if we fail to implement strategies for the detection of AUD into daily clinical practice,” said Dr. Spies.

This study underscores recent efforts by anesthesiologists to address lifestyle issues affecting patients’ health, such as the American Society of Anesthesiologists’ smoking cessation campaign initiated earlier this year.

For more information visit the American Society of Anesthesiologists Web site at www.asahq.org and the journal Anesthesiology site at http://www.anesthesiology.org.

Founded in 1905, the American Society of Anesthesiologists is an educational, research and scientific association with 43,000 members organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient.
_________
source: Newswise, http://www.newswise.com

More Treatment & Detox Articles

Detox

Detox is basically the short term used for detoxification. It means removing the toxic substances present in your body. Detox also refers to the withdrawal period when an individual’s body returns to homeostasis after using an addictive substance for a long period of time. This is one of the important functions of the kidneys, liver….

Continue reading

How much is too much alcohol?

For Filipinos, no celebration is complete without an abundance of food and alcohol drinks. This is clearly evident during the long Holiday season in the country, with Filipinos partying almost weekly until Christmas or New Year’s day. Experts, however, warn that people should take stock of the harm social bingeing and the occasional or regular….

Continue reading

Alcoholism in the Jewish community

It’s not easy to be a recovering alcoholic who is also Jewish. It’s hard enough for someone to admit having a problem with alcohol, let alone having to buck long-standing cultural and religions traditions to find sobriety. Helping people overcome these unique challenges is the goal of Jewish Family Service (JFS). With offices located in….

Continue reading

This Is Your Mom on Drugs: Aging Doesn't Stop Drug Use

It’s the kind of tongue-in-cheek concept that might have percolated out of the subversive imagination of R. Crumb, underground cartoon chronicler of the 1960s. Grandma and Grandpa are passing the time in their rockers—and passing a joint back and forth as they recall their youthful marijuana-smoking days in Haight-Ashbury. In fact, according to three investigators….

Continue reading

Troubling binge-drinking trend turns up in study

Binge drinking typically conjures images of college frat boys at wild house parties smashing Lone Star cans on their foreheads. Texas State student Sarah Brown, however, knows a different reality. She’s seen firsthand that men haven’t cornered the market on binge drinking. “There’s a lot of guys who want to drink as much as they….

Continue reading

Where do calls go?

Calls to numbers on a specific treatment center listing will be routed to that treatment center. Additional calls will also be forwarded and returned by a quality treatment center within the USA.

Calls to any general helpline (non-facility specific 1-8XX numbers) for your visit will be answered by a licensed drug and alcohol rehab facility, a paid advertiser on TreatmentCenters.com.

All calls are private and confidential.

I NEED TO TALK TO SOMEONE NOWI NEED TO TALK TO SOMEONE NOW 800-580-9104Response time about 1 min | Response rate 100%
Who Answers?