Prevalence of Unhealthy Substance Use and Associated Characteristics Among Patients Presenting for Surgery
Authors' conclusion
As many as 2 in 5 patients in the preoperative period may present with unhealthy substance use before elective surgery.
Study context
- Population
- Patients presenting for elective surgical procedures, December 2018 to July 2021 (Michigan Genomics Initiative, Prevention of Iatrogenic Opioid Dependence after Surgery Study)
- Participants
- 1,912 patients
- Outcome
- Unhealthy substance use (Tobacco, Alcohol, Prescription medication, and other Substance use tool)
- Follow-up
- Past 12 months
Methodological detailspatients prospectively recruited to 2 clinical research studies
- Patients prospectively recruited to 2 clinical research studies
Main finding
As reported in the abstract
Unhealthy substance use (prevalence)
- Any unhealthy substance use: 768
- 40.2%
- Illicit drugs: 385
- 20.1%
- Alcohol: 358
- 18.7%
- Tobacco: 262
- 13.7%
- Prescription medications: 86
- 4.5%
Observational data: associations, not effects.
Further findings
Characteristics associated with unhealthy substance use: male
| aOR (95% CI) | ||
|---|---|---|
| Male | 1.95 (1.58–2.42) | |
| 0.512Adjusted odds ratio (log scale) |
Characteristics associated with unhealthy substance use: higher scores for pain
| aOR (95% CI) | ||
|---|---|---|
| Higher scores for pain | 1.07 (1.02–1.13) | |
| 0.512Adjusted odds ratio (log scale) |
Characteristics associated with unhealthy substance use: higher scores for anxiety
| aOR (95% CI) | ||
|---|---|---|
| Higher scores for anxiety | 1.03 (1.01–1.04) | |
| 0.512Adjusted odds ratio (log scale) |
Unhealthy substance use by surgical procedure: forearm, wrist, and hand
| aOR (95% CI) | ||
|---|---|---|
| Surgical procedures of the forearm, wrist, and hand | 2.58 (1.01–6.55) | |
| 0.10.31310Adjusted odds ratio (log scale) |
Characteristics associated with unhealthy substance use: male
- Patients reporting unhealthy substance use significantly more likely to be younger
Original publication
Prevalence of Unhealthy Substance Use and Associated Characteristics Among Patients Presenting for Surgery. Ann Surg. Published 24 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →