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

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