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Impact of smoking on perioperative outcomes after major surgery

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Impact of smoking on perioperative outcomes after major surgery. / Schmid, Marianne; Sood, Akshay; Campbell, Logan; Kapoor, Victor; Dalela, Deepansh; Klett, Dane E; Chun, Felix K-H; Kibel, Adam S; Sammon, Jesse D; Menon, Mani; Fisch, Margit; Trinh, Quoc-Dien.

in: AM J SURG, Jahrgang 210, Nr. 2, 08.2015, S. 221-229.e6.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung

Harvard

Schmid, M, Sood, A, Campbell, L, Kapoor, V, Dalela, D, Klett, DE, Chun, FK-H, Kibel, AS, Sammon, JD, Menon, M, Fisch, M & Trinh, Q-D 2015, 'Impact of smoking on perioperative outcomes after major surgery', AM J SURG, Jg. 210, Nr. 2, S. 221-229.e6. https://doi.org/10.1016/j.amjsurg.2014.12.045

APA

Schmid, M., Sood, A., Campbell, L., Kapoor, V., Dalela, D., Klett, D. E., Chun, F. K-H., Kibel, A. S., Sammon, J. D., Menon, M., Fisch, M., & Trinh, Q-D. (2015). Impact of smoking on perioperative outcomes after major surgery. AM J SURG, 210(2), 221-229.e6. https://doi.org/10.1016/j.amjsurg.2014.12.045

Vancouver

Schmid M, Sood A, Campbell L, Kapoor V, Dalela D, Klett DE et al. Impact of smoking on perioperative outcomes after major surgery. AM J SURG. 2015 Aug;210(2):221-229.e6. https://doi.org/10.1016/j.amjsurg.2014.12.045

Bibtex

@article{3faa7e8425b647fd895ba95269bf390b,
title = "Impact of smoking on perioperative outcomes after major surgery",
abstract = "BACKGROUND: To investigate the impact of smoking on perioperative outcomes in patients undergoing one of the 16 major cardiovascular, orthopedic, or oncologic surgical procedures.METHODS: We relied on the American College of Surgeons National Surgical Quality Improvement Program database (2005 to 2011). Procedure-specific multivariable logistic regression models assessed the association between smoking status (non, former, or current smokers) and risk of 30-day morbidity and mortality.RESULTS: Overall, 141,802 patients were identified. A total of 12.5%, 14.6%, and 14.9% of non, former, and current smokers, respectively, experienced at least one complication (P < .001). In multivariable models, current smokers had higher odds of overall, pulmonary, wound, and septic/shock complications following most cardiovascular and oncologic surgeries compared with nonsmokers. The odds of experiencing such adverse outcomes were significantly lower in former smokers compared with current smokers, but still higher compared with nonsmokers.CONCLUSIONS: The effect of smoking on perioperative outcomes is procedure dependent. Current and, even though mitigated, former smoking negatively influence outcomes following cardiovascular or oncologic procedures. Patients undergoing major procedures should be encouraged to discontinue tobacco smoking to achieve optimal procedural outcomes.",
keywords = "Aged, Cardiovascular Surgical Procedures, Female, Humans, Male, Middle Aged, Neoplasms, Orthopedic Procedures, Postoperative Complications, Smoking",
author = "Marianne Schmid and Akshay Sood and Logan Campbell and Victor Kapoor and Deepansh Dalela and Klett, {Dane E} and Chun, {Felix K-H} and Kibel, {Adam S} and Sammon, {Jesse D} and Mani Menon and Margit Fisch and Quoc-Dien Trinh",
note = "Copyright {\textcopyright} 2015 Elsevier Inc. All rights reserved.",
year = "2015",
month = aug,
doi = "10.1016/j.amjsurg.2014.12.045",
language = "English",
volume = "210",
pages = "221--229.e6",
journal = "AM J SURG",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "2",

}

RIS

TY - JOUR

T1 - Impact of smoking on perioperative outcomes after major surgery

AU - Schmid, Marianne

AU - Sood, Akshay

AU - Campbell, Logan

AU - Kapoor, Victor

AU - Dalela, Deepansh

AU - Klett, Dane E

AU - Chun, Felix K-H

AU - Kibel, Adam S

AU - Sammon, Jesse D

AU - Menon, Mani

AU - Fisch, Margit

AU - Trinh, Quoc-Dien

N1 - Copyright © 2015 Elsevier Inc. All rights reserved.

PY - 2015/8

Y1 - 2015/8

N2 - BACKGROUND: To investigate the impact of smoking on perioperative outcomes in patients undergoing one of the 16 major cardiovascular, orthopedic, or oncologic surgical procedures.METHODS: We relied on the American College of Surgeons National Surgical Quality Improvement Program database (2005 to 2011). Procedure-specific multivariable logistic regression models assessed the association between smoking status (non, former, or current smokers) and risk of 30-day morbidity and mortality.RESULTS: Overall, 141,802 patients were identified. A total of 12.5%, 14.6%, and 14.9% of non, former, and current smokers, respectively, experienced at least one complication (P < .001). In multivariable models, current smokers had higher odds of overall, pulmonary, wound, and septic/shock complications following most cardiovascular and oncologic surgeries compared with nonsmokers. The odds of experiencing such adverse outcomes were significantly lower in former smokers compared with current smokers, but still higher compared with nonsmokers.CONCLUSIONS: The effect of smoking on perioperative outcomes is procedure dependent. Current and, even though mitigated, former smoking negatively influence outcomes following cardiovascular or oncologic procedures. Patients undergoing major procedures should be encouraged to discontinue tobacco smoking to achieve optimal procedural outcomes.

AB - BACKGROUND: To investigate the impact of smoking on perioperative outcomes in patients undergoing one of the 16 major cardiovascular, orthopedic, or oncologic surgical procedures.METHODS: We relied on the American College of Surgeons National Surgical Quality Improvement Program database (2005 to 2011). Procedure-specific multivariable logistic regression models assessed the association between smoking status (non, former, or current smokers) and risk of 30-day morbidity and mortality.RESULTS: Overall, 141,802 patients were identified. A total of 12.5%, 14.6%, and 14.9% of non, former, and current smokers, respectively, experienced at least one complication (P < .001). In multivariable models, current smokers had higher odds of overall, pulmonary, wound, and septic/shock complications following most cardiovascular and oncologic surgeries compared with nonsmokers. The odds of experiencing such adverse outcomes were significantly lower in former smokers compared with current smokers, but still higher compared with nonsmokers.CONCLUSIONS: The effect of smoking on perioperative outcomes is procedure dependent. Current and, even though mitigated, former smoking negatively influence outcomes following cardiovascular or oncologic procedures. Patients undergoing major procedures should be encouraged to discontinue tobacco smoking to achieve optimal procedural outcomes.

KW - Aged

KW - Cardiovascular Surgical Procedures

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Neoplasms

KW - Orthopedic Procedures

KW - Postoperative Complications

KW - Smoking

U2 - 10.1016/j.amjsurg.2014.12.045

DO - 10.1016/j.amjsurg.2014.12.045

M3 - SCORING: Journal article

C2 - 25980408

VL - 210

SP - 221-229.e6

JO - AM J SURG

JF - AM J SURG

SN - 0002-9610

IS - 2

ER -