Evidence map›Paper›PMID 39780754›Full record

ArticleAnaesthesia2025

Peri-operative identification and management of patients with unhealthy alcohol intake.

Matthew J A Jenkins, Stephen M Kinsella, Matthew D Wiles, Brijesh Srivastava, Catherine Griffiths, Jacquelyn Lewin, Stephen Usher, Gautam Mehta, Abi Berger, Dereck Gondongwe and 1 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Comment on "Management of cocaine-induced midline lesion (CIMDL) extended to skull base: a case report and systematic review".European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Matthew J A JenkinsConsultant, Department of Anaesthesia, Pain and Peri-operative Medicine, Te Whatu Ora Counties Manukau Health, Auckland, New Zealand.
Stephen M KinsellaConsultant, Department of Anaesthesia, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK and Co-Chair representing the Association of Anaesthetists.
Matthew D WilesConsultant, Department of Anaesthesia and Operating Services, Sheffield Teaching Hospitals NHS Foundation Trust, UK.ORCID 0000-0003-2299-0060
Brijesh SrivastavaConsultant Hepatologist, Cardiff and Vale NHS Trust, Cardiff, UK.
Catherine GriffithsResident Doctor, Department of Anaesthesia, Aneurin Bevan University Health Board, Newport, UK.
Jacquelyn LewinConsultant, Department of Anaesthesia, New Cross Hospital, Royal Wolverhampton Hospital NHS Trust, Wolverhampton, UK.
Stephen UsherConsultant, Department of Anaesthesia, Cardiff and Vale NHS Trust, Cardiff, UK.
Gautam MehtaAssociate Professor, Institute for Liver and Digestive Health, University College London, London, UK.
Abi BergerGeneral Practitioner, NHS Fitzrovia Medical Centre, London, UK.
Dereck GondongweDeputy Lead Pharmacist, Critical Care Division, University College London Hospitals NHS Trust, London, UK.
Isra HassanConsultant, Department of Peri-operative Medicine, University College London Hospitals NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis consensus statement gives practical advice for the safe management of patients with harmful alcohol intake undergoing elective and emergency surgery. The wide spectrum of alcohol-related organ dysfunction observed in this cohort of patients may have a profound impact on care, and the additional effects of alcohol withdrawal may further exacerbate postoperative morbidity and mortality.

methodsA working party was assembled based on clinical and/or academic expertise in the area. Recommendations were formulated using a modified Delphi process. An initial list of recommendations was produced following targeted literature reviews for all relevant phases of patient care throughout the peri-operative pathway. These recommendations were distributed among the authors who rated each as 'include', 'exclude'; or 'revise'. Recommendations with ≥ 75% inclusion decision were included.

resultsThe working party produced a list of 10 key peri-operative management recommendations. These include recommendations on how to screen effectively for excessive alcohol usage in the surgical population. To achieve this, a validated point-of-care tool is used with additional weighting provided by considering surgical urgency. This is combined with the use of scoring systems to facilitate decisions regarding peri-operative care including postoperative location. This document also provides clear explanation of the physiological and pharmacological issues relating to alcohol excess, highlighting the direct effects of alcohol and its secondary effects on organ systems. DISCUSSION: This consensus statement offers strategies and solutions to minimise the impact of harmful alcohol intake on the safe conduct of anaesthesia.

Indexed as

Alcohol DrinkingAlcoholismPerioperative CareDelphi TechniqueHumansPostoperative Complicationsalcoholalcohol‐related disordersanaesthesialiver diseasesurgery

Identifiers

PMID39780754
PMCPMC11825216

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.