Chálim Rebelo, CarolinaFélix, CatarinaCardoso, Filipe S.Bagulho, LuisSousa, MonicaMendes, MilenaGlória, HelenaMateus, ÉliaMega, InêsJara, MiguelPinto Marques, HugoPinto Marques, HugoNolasco, FernandoMartins, AméricoPerdigoto, Rui2022-11-232022-11-232023-10-172341-4545PURE: 47856870PURE UUID: b2eda448-f147-4871-923d-aabd3eccae4fScopus: 85141237927ORCID: /0000-0003-3540-0488/work/123442003ORCID: /0000-0002-7089-1975/work/123442487WOS: 000872972700001PubMed: 37868639http://hdl.handle.net/10362/145743Publisher Copyright: © 2022 The Author(s). Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). Usage and distribution for commercial purposes requires written permission.Background: Listing patients with alcohol-associated liver disease (ALD) for liver transplant (LT) remains challenging especially due to the risk of alcohol resumption post-LT. We aimed to evaluate post-LT alcohol consumption at a Portuguese transplant center. Methods: We conducted a cross-sectional study including LT recipients from 2019 at Curry Cabral Hospital, Lisbon, Portugal. A pretested survey and a validated Portuguese translation of the Alcohol Use Disorder Identification Test (AUDIT) were applied via a telephone call. Alcohol consumption was defined by patients' self-reports or a positive AUDIT. Results: In 2019, 122 patients underwent LT, and 99 patients answered the survey (June 2021). The mean (SD) age was 57 (10) years, 70 patients (70.7%) were males, and 49 (49.5%) underwent ALD-related LT. During a median (IQR) follow-up of 24 (20-26) months post-index LT, 22 (22.2%) recipients consumed any amount of alcohol: 14 had a drink monthly or less and 8 drank 2-4 times/month. On drinking days, 18 patients usually consumed 1-2 drinks and the remainder no more than 3-4 drinks. One patient reported having drunk ≥6 drinks on one occasion. All post-LT drinking recipients were considered low risk (score <8) as per the AUDIT score (median [IQR] of 1 [1-2]). No patient reported alcohol-related problems, whether self-inflicted or toward others. Drinking recipients were younger (53 vs. 59 years, p = 0.020), had more non-ALD-related LT (72.7 vs. 44.2%, p = 0.018) and active smoking (31.8 vs. 10.4%, p = 0.037) than abstinent ones. Conclusion: In our cohort, about a quarter of LT recipients consumed alcohol early posttransplant, all with a low-risk pattern according to the AUDIT score.269800engAlcoholismLiver transplantRecidivismRelapseGastroenterologySDG 3 - Good Health and Well-beingjournal article10.1159/000525808https://www.scopus.com/pages/publications/85141237927