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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/68407700:21460/18:00316670

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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).

Název v anglickém jazyce

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

Popis výsledku anglicky

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).

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30312 - Substance abuse

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

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

Název periodika

Kontakt

ISSN

1212-4117

e-ISSN

—

Svazek periodika

20

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

9

Strana od-do

"e192"-"e200"

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-85040020360