Zusammenfassung
Jeder 4. – 6. Patient, der ins Krankenhaus eingeliefert wird, betreibt chronischen Alkoholmissbrauch. Das Risiko der Krankenhausaufnahme steigt mit dem Alkoholkonsum an. Die Prävalenz des chronischen Alkoholmissbrauchs ist in vielen operativen Disziplinen sogar höher als in psychiatrischen Kliniken. Die Rate liegt bei Patienten mit einem Poly trauma oder mit operativen Eingriffen im Bereich des Gastrointestinaltraktes bei ca. 50 %. Die alkoholassoziierten Organschäden sind vielfältig und werden in den einzelnen Kapiteln detailliert beschrieben.
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Welterführende literatur
Dinh-Zarr T, Diguiseppi C, Heitman E, Roberts I (1999) Preventing injuries through interventions for problem drinking: a systematic review of randomized controlled trials-Review. Alcohol Alcoholism 34(4): 609–621
Ewing JA (1984) Detecting alcoholism. The CAGE Questionnaire. JAMA 252: 1905–1907
Foy A, Kiay J (1995) The incidence of alcohol-related problems and the risk of alcohol withdrawal in a general hospital population. Drug Alcohol Rev 14: 49–54
Mendenhal CL, Theus SA, Roselle GA (1997) Biphasic in vivo immunfunction after low vs. high dose alcohol consumption. Alcohol 14: 255–223
Moore RD, Bone LR, Geiler G et al. (1989) Prevalence, detection, and treatment of alcoholism in hospitalized patients.JAMA 20: 261(3): 403–407
Neumann T, Müller C, Rommelspacher H, Spies C (1998) Chronic alcoholics: At risk in the postoperative intensive care unit stay. Alcohol Clin Exp Res 22: S21:5
Sarkar D (1996) Neuroendocrine-immune axis of alcoholics-Review. Alcohol Clin Exp Res 20: 256A–259A
Spies CD, Rommelspacher H (1999) Alcohol withdrawal in the surgical patient: prevention and treatment-Review. Anesth Analg 88(4): 946–954
Spies CD, Dubisz N, Funk W et al. (1995a) Prophylaxis of alcohol withdrawal syndrome in alcohol dependent patients admitted to the intensive care unit following tumor resection. Br J Anaesth 75: 734–739
Spies CD, Emadi A, Neumann T et al. (1995b) Relevance of carbohydrate-deficient transferrin as a predictor of alcoholism in intensive care patients following trauma. J Trauma 39(4): 742–748
Spies CD, Dubisz N, Neumann T et al. (1996a) Therapy of alcohol withdrawal syndrome in intensive care unit patients following trauma: results of a prospective, randomized trial. Crit Care Med 24(3): 414–422
Spies CD, Nordmann A, Brummer G et al. (1996b) Intensive care unit stay is prolonged in chronic alcoholic men following tumor resection of the upper digestive tract. Acta Anaesthesiol Scand 40(6): 649–656
Spies C, Tønnesen H, Andreasson S et al. (2001) Perioperative morbidity and mortality in chronic alcoholics patient.-Review. Alcohol Clin Exp Res 25(5): 1645–1705
Szabo G, Mandrekar P, Verma B et al. (1994) Acute ethanol consumption synergizes with trauma to increase monocyte tumor necrosis factor alpha production late postinjury. J Clin Immunol 14(6): 340–352
Tønnesen H (1999) The alcohol patient at surgery. Alcohol Alcoholism-Review. 34: 148–152
Tønnesen H, Kehlet H (1999) Preoperative alcoholism and postoperative morbidity.-Review. Br J Surg 86: 869–874
Tønnesen H, Petersen KR, Hojgaard L et al. (1992) Postoperative morbidity among symptom-free alcohol misusers. Lancet 8: 334–337
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Eggers, V., Neumann, T., Kox, W.J., Spies, C. (2002). Alkoholabusus: Risikofaktoren für Anästhesie und Intensivmedizin. In: Singer, M.V., Teyssen, S. (eds) Kompendium Alkohol. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56253-2_9
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DOI: https://doi.org/10.1007/978-3-642-56253-2_9
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