Pain medicine

Preoperative Alcohol Use, Postoperative Pain, and Opioid Use After Coronary Artery Bypass Surgery

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

There is no apparent association among mild-to-moderate preoperative alcohol consumption and early postoperative pain and opioid use in patients who underwent CABG.

Study context

Population
Patients having isolated coronary artery bypass grafting (CABG) at a single academic medical center
Participants
1,338 patients
Exposure
Preoperative alcohol use categories vs no weekly alcohol use
  • No alcoholn = 764reference
  • ≤1 drinkn = 294
  • 2-to-7 drinksn = 170
  • 8 or more drinksn = 110
Outcome
Mean pain score and morphine milligram equivalent (MME) consumption
Follow-up
POD 0
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Mean pain score

No alcohol

5.3

mean · ± 2.2

≤1 drink

5.2

mean · ± 2.1

2-to-7 drinks

5.3

mean · ± 2.3

8 or more drinks

5.4

mean · ± 1.9

P = 0.66

Observational data: associations, not effects.

Further findings

MME use (co-primary) · POD 0 · no significant difference

P = 0.14

Original publication

Preoperative Alcohol Use, Postoperative Pain, and Opioid Use After Coronary Artery Bypass Surgery. J Cardiothorac Vasc Anesth. Published 22 January 2024. doi:10.1053/j.jvca.2024.01.010

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