Navigation Links
Practical intervention helps patients to quit smoking before surgery
Date:8/22/2013

San Francisco, CA. (August 22, 2013) A simple four-part programincluding referral to a quit-smoking hotline and a free supply of nicotine patchescan increase the percentage of patients who quit smoking before undergoing surgery, reports a study in the September issue of Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).

The "easily implemented and inexpensive" program significantly improves preoperative smoking cessation rates, according to the new research by Dr Susan M. Lee of University of Western Ontario, London, Canada, and colleagues. They believe their intervention may help to overcome perceived obstacles to encouraging patients to quit smoking before scheduled surgery.

Simple Intervention Increases Quit-Smoking Rate

The study evaluated an intervention designed to promote smoking cessation in 168 smoking patients scheduled to undergo elective surgery. At clinic visits at least three weeks before their procedure, one group of patients received the study intervention, which consisted of:

  • Brief counseling (less than five minutes) by a nurse
  • Brochures on smoking cessation
  • Referral to a quit-smoking telephone hotline
  • A six-week supply of nicotine patches, provided free of charge

The other group received no specific quit-smoking intervention or advice. The two groups were compared for their rates of smoking cessation at the time of surgery, confirmed by breath test.

Most patients in both groups were still smoking when admitted to the hospital for surgery. However, the smoking cessation rate was higher for patients assigned to the quit-smoking intervention: about 14 percent, compared to four percent in the control group.

With adjustment for other factors, patients in the intervention group were four times more likely to stop smoking. About one additional patient quit smoking for every nine patients enrolled in the program. Thirty days after surgery, patients assigned to the quit-smoking program were still more likely to say they had stopped smoking: 29 versus 11 percent. (However, smoking status at follow-up was not confirmed by testing.)

No Significant Effect on Complication Rates

The overall risk of complications before and after surgery was similar between groups: about 13 percent for patients assigned to the quit-smoking program and 17 percent in the control group. The authors hope this finding "will help to dispel [the] erroneous belief" that quitting smoking shortly before surgery somehow increases the risk of pulmonary (lung-related) complications.

Patients in the intervention group also had a shorter time before discharge from the recovery room after surgery. About half of patients received telephone counseling from the quit-smoking hotline.

Smokers are at increased risk of complications after surgeryespecially problems related to breathing and poor wound healing. Hospitalization for surgery is considered a "teachable moment" to encourage smoking cessation.

However, anesthesiologists and other hospital care providers do not routinely offer quit-smoking advice to surgical patients. Lack of time and training are often cited as barriers to smoking cessation services. The new intervention was designed as a simple, practical, and low-cost approach to encouraging smoking cessation before surgery.

The results show that the program increases the percentage of patients who quit smoking before surgery, and may increase the number who remain abstinent from smoking one month later. It provides a simple, effective, and practical way to encourage smoking cessationwithout increasing demands on doctors' and nurses' time. Dr Lee and colleagues conclude, "This intervention, and its straightforward implementation, dispel frequently raised objections to more active participation of anesthesiologists in preoperative smoking cessation programs."


'/>"/>

Contact: Connie Hughes
Connie.Hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Practical Handbook of Advanced Interventional Cardiology
2. Practical Wealth LLC Now Offers All-in-One Business Funding and Credit Solutions For Small Business Owners
3. Huge Discounts Now Available Through Practical Wealth LLC for Business Owners Seeking Business Funding
4. Four Intensive Sessions to Provide Practical Training on All Aspects of Operating an Insurance Exchange in AIS’s Virtual Conference
5. Nobel Biocare Offers a Practical Dental Implant Solution in the Form of All-on-4 Technique
6. Standing With Hope's New Website Utilizes the Experience of its Founder's 27 Years as a Caregiving Husband - to Offer Practical Help and Wisdom to Today's Caregivers
7. International Book Release on Alzheimer’s Care-giving by Barbara Michels “The Alzheimer’s Journey…A Practical Perspective for Caregivers
8. LIA Introduces LASER U – The Global Laser Education Portal! Practical Online Training for All Laser Users
9. Practical Steps to Defeating Addiction
10. Practical Steps Toward Identifying and Living Your Purpose
11. Practical approach makes new ESC cardiac pacing and resynchronization guidelines accessible to all
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Apple ... care services, staged a mock evacuation of the facility as part of a disaster ... Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... 2017 , ... Asante, a nationally recognized health system in ... existing home health joint venture through an agreement, effective October 1, 2017, to ... home health company with Asante, delivering clinically integrated care, for the past eight ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/4/2017)... 4, 2017  South Korean-based healthcare product Development Company ... "cprCUBE" on Kickstarter. The device will educate the user ... with better efficiency compared to the dated and pricey ... on efficacy of the compression for a more informed ... goal to raise $5,000. ...
(Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
Breaking Medicine Technology: