吸烟状态和肺切除后的结果
Amber Ahmed-Issap1, Kim Mantio2, Shubham Jain1
1Department of Thoracic Surgery, Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom of Great Britain and Northern Ireland.
The Thoracic and cardiovascular surgeon
|August 25, 2023
概括
在肺癌手术前吸烟显著增加并发症,死亡率和住院时间. 在手术前戒烟对于更好的患者结果和降低医疗保健成本至关重要.
科学领域:
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 手术切除是早期肺癌的主要治疗方法.
- 像吸烟状况这样的可修改因素会影响手术结果.
- 了解这些影响对于患者管理至关重要.
研究的目的:
- 评估手术前吸烟状态对肺切除结果的影响.
- 为了量化与手术前目前的吸烟相关的风险.
- 为临床实践和公共卫生战略提供信息.
主要方法:
- 从2,426个肺切除 (2012-2021) 的数据分析.
- 患者被分为目前的吸烟者,前吸烟者和从未吸烟者.
- 术后并发症,住院时间和死亡率的比较.
主要成果:
- 目前吸烟者 (20.7%) 患术后并发症 (36.9%) 较高,包括呼吸道感染和空气泄漏.
- 当前吸烟者 (5.8%) 的90天死亡率较高,而前吸烟者 (5.3%) 和非吸烟者 (1%) 的死亡率较高.
- 目前的吸烟者经历了更长的住院时间,更多的再入院和更高的成本.
结论:
- 肺癌手术前立即吸烟与增加的发病率和死亡率有关.
- 在手术前戒烟对于改善患者康复至关重要.
- 这种做法也减少了医疗保健系统的财务负担.
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