Simon J A, Browner W S, Mangano D T
General Internal Medicine Section, Veterans Affairs Medical Center, San Francisco 94121.
Am J Public Health. 1992 Sep;82(9):1235-7. doi: 10.2105/ajph.82.9.1235.
We studied 235 smokers who were admitted for major noncardiac surgery and who survived hospitalization to determine the frequency and predictors of smoking relapse 1 year after hospitalization.
We analyzed data collected prospectively from the Study of Perioperative Ischemia. We determined smoking status by self-report.
At 12 months posthospitalization, 142 (76%) of the 186 surviving patients had resumed smoking. Significant independent predictors of relapse at 12 months were a history of alcohol abuse and a history of heavy cigarette smoking (P less than 0.01 and P less than 0.05, respectively).
Since smokers commonly undergo surgery, the perioperative period provides a valuable window of opportunity for smoking cessation interventions designed to decrease the high rate of smoking relapse after surgery.
我们研究了235名因非心脏大手术入院且住院存活的吸烟者，以确定住院1年后吸烟复发的频率及预测因素。
我们分析了前瞻性收集自围手术期缺血研究的数据。通过自我报告确定吸烟状况。
在住院后12个月时，186名存活患者中有142名（76%）恢复吸烟。12个月时复发的显著独立预测因素是酒精滥用史和重度吸烟史（分别为P<0.01和P<0.05）。
由于吸烟者常接受手术，围手术期为旨在降低术后高吸烟复发率的戒烟干预提供了一个宝贵的机会窗口。
