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Published on: August 1, 2019
A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial
L Wolfenden1, J Wiggers, J Knight
1Hunter Population Health, Hunter Area Health Service, Locked Bag 10, Wallsend, NSW 2287, Australia. luke.wolfenden@hunter.health.nsw.gov.au
Abstract:
We assessed the efficacy of a comprehensive programme for stopping smoking in 210 smokers scheduled for surgery, before admission and 3 months after attending a pre-operative clinic. Participants were randomly allocated to receive an intervention incorporating nicotine replacement therapy for patients smoking more than 10 cigarettes per day ("dependent smokers"), or to a control group to receive usual care. Dependent smokers allocated to the intervention group were more likely to report abstinence before surgery than those allocated to receive usual-care (63 (73%) vs. 29 (56%), respectively; OR 2.2 (95% CI 1.0-4.8)), and 3 months after attendance (16 (18%) vs. 3 (5%), respectively; OR = 3.9 (95% CI 1.0-21.7).
