Smoking and alcohol intervention before surgery: evidence for best practice

被引:167
作者
Tonnesen, H. [1 ]
Nielsen, P. R. [3 ]
Lauritzen, J. B. [2 ]
Moller, A. M. [4 ]
机构
[1] Bispebjerg Hosp, WHO Collaborat Ctr, Evidence Based Hlth Promot Hosp & Hlth Serv, DK-2400 Copenhagen, Denmark
[2] Bispebjerg Hosp, Dept Orthoped, DK-2400 Copenhagen, Denmark
[3] Univ Copenhagen, Rigshosp, Pain Clin, Ctr Neurosci, DK-2100 Copenhagen, Denmark
[4] Herlev Univ Hosp, Dept Anaesthesiol, DK-2730 Herlev, Denmark
关键词
alcohol; drinking; complications; postoperative; lifestyle intervention; risk factors; smoking; surgery; CARBOHYDRATE-DEFICIENT TRANSFERRIN; PLATELET THROMBOXANE FORMATION; POSTOPERATIVE COMPLICATIONS; CIGARETTE-SMOKING; RISK-FACTORS; PREOPERATIVE ABSTINENCE; PULMONARY COMPLICATIONS; CESSATION INTERVENTION; ETHANOL WITHDRAWAL; INFECTION;
D O I
10.1093/bja/aen401
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Smoking and hazardous drinking are common and important risk factors for an increased rate of complications after surgery. The underlying pathophysiological mechanisms include organic dysfunctions that can recover with abstinence. Abstinence starting 3-8 weeks before surgery will significantly reduce the incidence of several serious postoperative complications, such as wound and cardiopulmonary complications and infections. However, this intervention must be intensive to obtain sufficient effect on surgical complications. All patients presenting for surgery should be questioned regarding smoking and hazardous drinking, and interventions appropriate for the surgical setting applied.
引用
收藏
页码:297 / 306
页数:10
相关论文
共 84 条
  • [1] *AM PSYCH ASS, 1987, DIAGN STAT MAN MENT, P173
  • [2] *AM PSYCH PR, 1994, DIAGN STAT MAN MENT
  • [3] [Anonymous], 1996, International Statistical Classification of Diseases and Related Health Problems, V9th
  • [4] Combined pharmacotherapies and behavioral interventions for alcohol dependence - The COMBINE study: A randomized controlled trial
    Anton, RF
    O'Malley, SS
    Ciraulo, DA
    Cisler, RA
    Couper, D
    Donovan, DM
    Gastfriend, DR
    Hosking, JD
    Johnson, BA
    LoCastro, JS
    Longabaugh, R
    Mason, BJ
    Mattson, ME
    Miller, WR
    Pettinati, HM
    Randall, CL
    Swift, R
    Weiss, RD
    Williams, LD
    Zweben, A
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (17): : 2003 - 2017
  • [5] ARAI M, 1986, SCAND J GASTROENTERO, V21, P1091, DOI 10.3109/00365528608996427
  • [6] Are patients truthful about their smoking habits? A validation of self-report about smelting cessation with biochemical markers of smoking activity amongst patients with ischaemic heart disease
    Attebring, MF
    Herlitz, J
    Berndt, AK
    Karlsson, T
    Hjalmarson, A
    [J]. JOURNAL OF INTERNAL MEDICINE, 2001, 249 (02) : 145 - 151
  • [7] Introduction of new guidelines for emergency patients: motivational counselling among smokers
    Backer, Vibeke
    Nelbom, Bente Munkholm
    Duus, Benn Ronnow
    Tonnesen, Hanne
    [J]. CLINICAL RESPIRATORY JOURNAL, 2007, 1 (01) : 37 - 41
  • [8] Smoking and timing of cessation - Impact on pulmonary complications after thoracotomy
    Barrera, R
    Shi, WJ
    Amar, D
    Thaler, HT
    Gabovich, N
    Bains, MS
    White, DA
    [J]. CHEST, 2005, 127 (06) : 1977 - 1983
  • [9] Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis
    Beich, A
    Thorsen, T
    Rollnick, S
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2003, 327 (7414): : 536 - 540A
  • [10] Boel Thomas, 2004, Ugeskr Laeger, V166, P3297