Improving the detection of illicit substance use in ...
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Improving the detection of illicit substance use in ...
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Improving the detection of illicit substance use in preoperative anesthesiological assessment R. KLEINWÄCHTER, F. KORK, E. WEISS-GERLACH, A. RAMME, H. LINNEN, F. RADTKE, A. LÜTZ, H. KRAMPE, C. D. SPIES Department of Anaesthesiology and Operative Intensive Medicine, Charité Universitätsmedizin, Berlin, Germany
ABSTRACT Aim. Illicit substance use (ISU) is a worldwide burden, and its prevalence in surgical patients has not been well investigated. Co-consumption of legal substances, such as alcohol and tobacco, complicates the perioperative management and is frequently underestimated during routine preoperative assessment. The aim of this study was to compare the anesthesiologists’ detection rate of ISU during routine preoperative assessment with a computerized self-assessment questionnaire. Methods. In total, 2,938 patients were included in this study. Prior to preoperative assessment, patients were asked to complete a computer-based questionnaire that addressed ISU, alcohol use disorder (AUDIT), nicotine use (Fagerström) and socio-economic variables (education, income, employment, partnership and size of household). Medical records were reviewed, and the anesthesiologists’ detection of ISU was compared to the patients’ self-reported ISU. Results. Seven point five percent of patients reported ISU within the previous twelve months. ISU was highest in the age group between 18 and 30 years (26.4%; P
