The effects of tobacco smoking on the incidence and risk of intraoperative and postoperative complications in adults

Gourgiotis, Stavros; Aloizos, Stavros; Aravosita, Paraskevi; Mystakelli, Christina; Isaia, Eleni-Christina; Gakis, Christos; Salemis, Nikolaos S.

doi:10.1016/j.surge.2011.02.001

Cited by 42 publications

(18 citation statements)

References 73 publications

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“…In elective procedures, the preoperative time frame is usually sufficiently long for smoking cessation in time to provide positive effects regarding postoperative complications. The ideal time frame for quitting is still under debate [6].…”

Section: Introductionmentioning

confidence: 99%

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Gräsbeck

Ekroos²,

Halonen³

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: Tobacco smoking is a well-established risk factor for postoperative complications. Research on preoperative smoking cessation in primary health care is scarce. Design: This was a retrospective cohort study. Setting: The Stop Smoking before Surgery Project (SSSP) started in Porvoo, Finland, in May of 2016, involving both primary health care and specialized health care. The goals of the project were smoking awareness and preoperative smoking cessation. Subjects: Our study involved 1482 surgical patients operated at Porvoo Hospital between May and December of 2016. Main outcome measures: We studied the recording of smoking status in all patients, and ICD-10 diagnosis of nicotine dependency and the initiation of preoperative smoking cessation in current smokers. Variables were studied from electronic patient records, comparing primary health care referrals and surgical outpatient clinic records. Results: Smoking status was visible in 14.2% of primary health care referrals, and in 18.4% of outpatient clinic records. Corresponding rates for current smokers (n ¼ 275) were 0.0 and 8.7% for ICD-10 diagnosis of nicotine dependence, and 2.2 and 15.3% for initiation of preoperative smoking cessation. The differences between primary health care referrals and outpatient clinic records were statistically significant for all three variables (p .001). Conclusion: In primary health care, very little attention was paid to preoperative smoking cessation. Rates were significantly better at the surgical outpatient clinic, but still low. We could not demonstrate any certain effect of the intervention. Our results call for future research on ways to improve smoking cessation rates. KEY POINTSTobacco smoking is a well-established risk factor for postoperative complications. Research on preoperative smoking cessation in primary health care is scarce. We found weak smoking awareness and weak smoking cessation intervention numbers among both primary and specialized health care doctors. Our results indicate an urgent need for an efficient preoperative smoking cessation model involving both primary and specialized health care. ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Gräsbeck

Ekroos²,

Halonen³

et al. 2020

Scandinavian Journal of Primary Health Care

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“…Smoking has been associated with postoperative complications and mortality in bariatric surgery [3][4][5]. Short-term effects of smoking cessation have shown to significantly improve pulmonary function and immune function [6,7], and smoking cessation is thereby likely to decrease postoperative complications [8][9][10]. Therefore, patients are strictly urged to quit smoking before undergoing bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Smoking Compared to Serum Cotinine in Bariatric Surgery Patients: Smoking Is Underreported Before the Operation

et al. 2019

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Background Smoking has been associated with postoperative complications and mortality in bariatric surgery. The evidence for smoking is based on self-report and medical charts, which can lead to misclassification and miscalculation of the associations. Determination of cotinine can objectively define nicotine exposure. We determined the accuracy of self-reported smoking compared to cotinine measurement in three phases of the bariatric surgery trajectory. Methods Patients in the phase of screening (screening), on the day of surgery (surgery), and more than 18 months after surgery (follow-up) were consecutively selected. Self-reported smoking was registered and serum cotinine was measured. We evaluated the accuracy of self-reported smoking compared to cotinine, and the level of agreement between self-report and cotinine for each phase. Results In total, 715 patients were included. In the screening, surgery, and follow-up group, 25.6%, 18.0%, and 15.5%, respectively, was smoking based on cotinine. The sensitivity of self-reported smoking was 72.5%, 31.0%, and 93.5% in the screening, surgery, and follow-up group, respectively (p < 0.001). The specificity of self-report was > 95% in all groups (p < 0.02). The level of agreement between self-report and cotinine was 0.778, 0.414, and 0.855 for the screening, surgery, and follow-up group, respectively. Conclusions Underreporting of smoking occurs before bariatric surgery, mainly on the day of surgery. Future studies on effects of smoking and smoking cessation in bariatric surgery should include methods taking into account the issue of underreporting.

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“…No entanto, a evolução das pesquisas envolvendo os implantes osseointegráveis tem apresentado as influências de diferentes condições sistêmicas e locais que podem interferir durante o processo de reparo ou na sobrevida dos implantes em função 2 . Dentre essas alterações, o fumo está diretamente associado a algumas alterações nesse processo, pois o tabaco está associado a diversos eventos nocivos à saúde oral como: aumento do risco de câncer bucal, maiores severidade e incidência de doença periodontal, menor ganho de inserção gengival após tratamento periodontal, dificuldades na reparação de enxertos ósseos, inadequada formação de coágulo sanguíneo pós-exodontias 3 .…”

Section: Introductionunclassified

A influência do fumo na reabilitação com implantes osseointegrados: revisão de literatura

Miranda¹,

Oliveira²,

Egas

et al. 2018

RO_UNICID

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O fumo é um forte indicador de risco para implantes osseointegrados e os insucessos estão relacionados com as fases envolvidas durante o processo de reparo e Osseointegração, além da sobrevida dos implantes em decorrência do aumento da incidência de peri-implantite e mucosite peri-implantar, e como consequência em alguns casos a perda do implante. A nicotina representa a substância de maior expressão e toxicidade nos cigarros sobre os tecidos da cavidade oral. Assim, o presente estudo tem por objetivo revisar a literatura associando a influência e o risco do tabagismo à importância da saúde peri-implantar para previsibilidade do tratamento. Há estudos que também concluíram que o fumo aumenta o risco de peri-implantite e perda óssea peri-implantar. Assim, podemos concluir que o tabaco influencia negativamente na osseointegração e sobrevida dos implantes de titânio, devido aos efeitos citotóxicos das suas substâncias

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The effects of tobacco smoking on the incidence and risk of intraoperative and postoperative complications in adults

Cited by 42 publications

References 73 publications

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Self-Reported Smoking Compared to Serum Cotinine in Bariatric Surgery Patients: Smoking Is Underreported Before the Operation

A influência do fumo na reabilitação com implantes osseointegrados: revisão de literatura

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