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University of Oklahoma Health Sciences Center
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Unhealthy alcohol use in a 65-year-old man awaiting surgery

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Author/s: 
Brothers, T. D., Kaulbach, J., Tran, A.
Date Added: 
August 17, 2021
Type: 
Meta-analyses, Reviews, and Guidelines
DOI (1): 
10.1503/cmaj.202128
MeSH 
male
aged
Perindopril
craving
Tremor
retirement
physicians, family
Arthroplasty
substance withdrawal syndrome
ethanol
alcohol drinking
Alcoholic Beverages
osteoarthritis
hypertension
headache
Surgeons
Nausea

RPR Commentary

Not surprisingly, unhealthy levels of alcohol use is associated with surgical complications. Adressing it through screening and clinical management could improve outcomes.

Abstract

Three months before elective hip arthroplasty, a 65-yearold man with osteoarthritis presents to his family physician to discuss his alcohol consumption. His surgeon had expressed concern and advised him to speak to his family physician about decreasing his drinking before surgery. He reports drinking around 6 to 10 ounces of whiskey daily for the past 5 years. His alcohol intake increased gradually after retirement, and he now has cravings daily. He recently abstained from alcohol for 4 days while visiting family and developed irritability, tremor, nausea and headache. He has never had withdrawal seizures or delirium tremens, and he does not use any other substances. He is otherwise healthy, apart from hypertension that is controlled with perindopril. He is alarmed by his cravings, withdrawal symptoms and surgeon’s concerns, and is considering decreasing his alcohol use.