The effect of smoking on post-operative complications of selected surgical interventions and on their cost analyses

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10367191" target="_blank" >RIV/00216208:11110/18:10367191 - isvavai.cz</a>

Alternative codes found

RIV/68407700:21460/18:00316670

Result on the web

<a href="https://doi.org/10.1016/j.kontakt.2017.12.001" target="_blank" >https://doi.org/10.1016/j.kontakt.2017.12.001</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.kontakt.2017.12.001" target="_blank" >10.1016/j.kontakt.2017.12.001</a>

Result language

angličtina

Original language name

The effect of smoking on post-operative complications of selected surgical interventions and on their cost analyses

Original language description

This paper studies the effect of smoking on post-operative complications in certain surgical interventions in Czech hospitals. Patients were divided into three groups - smokers, exsmokers and non-smokers. The first part was a retrospective study of cholecystectomies performed in Jihlava Hospital. The hospital provided anonymised data concerning 253 patients who were operated on in 2014, including 61 smokers, 15 ex-smokers and 177 non-smokers. Consequently, a prospective observational study of the effect of smoking on complications after planned hip or knee replacement surgeries was carried out. The study included all patients of the orthopaedic departments of the University Hospital Královské Vinohrady and the Regional Hospital Mladá Boleslav; those included were scheduled for planned surgeries in January or February 2017, and signed the informed consent for participation in the study. Data concerning a total of 61 patients, including 27 non-smokers, 25 exsmokers and 9 smokers were collected. This study, the first of its kind in the Czech environment, found neither a higher percentage of complications after the studied surgical interventions in smokers, nor any positive effect of short-term smoking cessation on postoperative complications. Both the results of a literary review and expert opinions of surgeons vary. Above all, Scandinavian authors have defended the positive effect of a short-term smoking cessation before surgery. However, this position seems to be in a conflict with the results of our study, which found the highest incidence of post-operative complications in exsmokers. The study indicates a need for a carefully designed and sufficiently large research focusing on ex-smokers and the impact of the pre-operative smoking cessation, which would yield statistically significant results (whether positive or negative).

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30312 - Substance abuse

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Kontakt

ISSN

1212-4117

e-ISSN

—

Volume of the periodical

20

Issue of the periodical within the volume

2

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

9

Pages from-to

"e192"-"e200"

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85040020360