Perioperative medicine & outcomes

Preoperative alcohol use disorders and adverse outcomes in surgical patients: A systematic review and meta-analysis

J Clin AnesthPublished Systematic review and meta-analysis

Authors' conclusion

Surgical patients with alcohol use disorder were associated with worse postoperative outcomes, including higher rates of respiratory complications and infections, longer length of hospital stay and increased in-hospital mortality.

Study context

Population
Adults undergoing surgery
Participants
18,472,205 adults · 35 studies
Comparison
Preoperative unhealthy alcohol use vs no unhealthy alcohol use
Outcome
Postoperative outcomes
Follow-up
Within 12 months
Methodological detailsrandom-effects meta-analysis
  • Random-effects meta-analysis

Pooled result

As reported in the abstract

UAU vs No UAURelative risk (95% CI)P value
Respiratory complications; alcohol use disorder
2.59(1.51–4.45)
P = 0.0005
Infections/wound complications; alcohol use disorder
1.71(1.37–2.15)
P < 0.0001
In-hospital mortality; alcohol use disorder
1.67(1.21–2.29)
P = 0.002
UAU vs No UAUMean difference, days (95% CI)P value
Hospital LOS; alcohol use disorder
0.76(0.24–1.29)
P = 0.004

Original publication

Preoperative alcohol use disorders and adverse outcomes in surgical patients: A systematic review and meta-analysis. J Clin Anesth. Published 31 March 2026. doi:10.1016/j.jclinane.2026.112194

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