{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:38:08Z","timestamp":1753882688082,"version":"3.41.2"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"abstract":"<jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>The purpose of this study is to evaluate the influence of alcohol use disorder (AUD) on postoperative outcomes following ankle anrthrodesis (AA).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This investigation utilized the Nationwide Readmissions Database from 2016 to 2020, identifying 26\u2009705 patients who underwent primary elective AA, and further stratifying based on the presence of preoperative AUD (N = 612, 2.29%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Multivariate regression analysis, adjusting for demographic and comorbid disparities, revealed that preoperative AUD significantly predicted a 22% increase in the risk of complications (odds ratio [OR] = 1.217), a 42% increase in readmission risk (OR = 1.424), and a 135% increase in the likelihood of an extended LOS exceeding 4 days (OR = 2.349). Moreover, preoperative AUD was significantly associated with an approximate $7000 increase in total procedural costs (\u03b2 = 6929.34).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The AUD was statistically significantly associated with higher rates of multiple complications for patients undergoing AA. These findings suggest the importance of considering AUD as a risk factor in patient assessment and treatment planning for AA.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Level III, Retrospective Cohort Study<\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/19386400251345535","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T06:09:36Z","timestamp":1750831776000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Alcohol Use Disorder Is Associated With Increased Morbidity and Costs in Ankle Arthrodesis"],"prefix":"10.1177","author":[{"given":"Weston E.","family":"McDonald","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Morningstar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6996-9472","authenticated-orcid":false,"given":"Daniel J.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, SC, United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1108\/RR-10-2013-0256"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12331"},{"key":"e_1_3_2_4_2","unstructured":"SAMHSA Center for Behavioral Health Statistics and Quality 2022 National Survey on Drug Use and Health: Table 5.9A\u2014Alcohol use disorder in past year among people aged 12 or older; by age group and demographic characteristics numbers in thousands 2021 and 2022. https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt42728\/NSDUHDetailedTabs2022\/NSDUHDetailedTabs2022\/NSDUHDetTabsSect5pe2022.htm. 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A national analysis of the effect alcohol use disorder has on short-term complications and readmissions following total shoulder arthroplasty. J Orthop. 2022;35:13-17.","journal-title":"J Orthop"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2021.02.033"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017706155"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000805"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B2.BJJ-2016-0344.R1"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.06.018"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008343.pub2"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B3.1670461"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/24730114231193391"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713519777"},{"key":"e_1_3_2_30_2","unstructured":"Data from: HCUP Nationwide Readmissions Database (NRD). 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