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[The smoking and drinking patient].

Hanne Tønnesen1, Ann M Møller

  • 1H:S Bispebjerg Hospital, Klinisk Enhed for Sygdomsforebyggelse/WHO Collaborating Centre for Evidence-Based Health Promotion in Hospitals, København NV. ht02@bbh.hosp.dk

Ugeskrift for Laeger
|December 14, 2006
PubMed
Summary

Preoperative smoking cessation and alcohol reduction programs significantly decrease surgical complications. Identifying and supporting patients who smoke or drink before surgery improves outcomes and is cost-effective.

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Area of Science:

  • Surgical outcomes
  • Public health
  • Preventive medicine

Context:

  • Daily smokers and heavy drinkers face 2-4x more surgical complications.
  • Tobacco and alcohol cause reversible organ dysfunction impacting surgical risk.
  • Preoperative interventions are crucial for at-risk surgical patients.

Purpose:

  • To evaluate the impact of preoperative smoking cessation and alcohol reduction on postoperative complications.
  • To determine the effectiveness of preoperative prevention programs in surgical patients.
  • To provide evidence-based recommendations for managing smoking and drinking patients undergoing surgery.

Summary:

  • Preoperative smoking cessation (6-8 weeks) reduces complications after knee/hip replacement.
  • Preoperative alcohol intervention (4 weeks) improves organ function and reduces colorectal surgery complications.
  • These preventive programs are proven to be cost-effective.

Impact:

  • Highlights the reversibility of organ dysfunction through abstinence.
  • Supports the integration of smoking cessation and alcohol reduction into surgical care pathways.
  • Emphasizes the importance of identifying, informing, and offering prevention to patients who smoke or drink.

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