戒烟时间与复发性切口疝修补术发生率及术后手术部位情况的关联
Association of Nicotine Cessation Time on the Incidence of Recurrent Incisional Hernia Repair and Postoperative Surgical Site Occurrences.
作者信息
McBee Patrick J, Larsen Nicholas K, Reilly Matthew J, Walters Ryan W, Olson Molly A, Fitzgibbons Robert J
机构信息
Department of Surgery, Creighton University School of Medicine, Omaha, NE, USA.
Department of Clinical Research, Creighton University School of Medicine, Omaha, NE, USA.
出版信息
Am Surg. 2023 Dec;89(12):6127-6133. doi: 10.1177/00031348231192042. Epub 2023 Jul 27.
BACKGROUND
Nicotine products are believed to be associated with a higher incidence of incisional hernia (IH) recurrence and postoperative complications after IH repair.
METHODS
A retrospective analysis of the Abdominal Core Health Quality Collaborative (ACHQC) database was performed. Outcomes included risk of IH recurrence, 30-day surgical site infection (SSI), and 30-day surgical site occurrence (SSO).
RESULTS
We included 14,663 patients. Nicotine users who quit within 1 year of surgery had a 26% higher risk of IH recurrence compared to patients who quit more than a year before surgery or never users. Patients who quit using nicotine within 1 year of surgery had a 54% higher odds of SSI compared to former nicotine users who quit more than a year before surgery.
CONCLUSION
Former nicotine users with less than 1 year of nicotine use cessation before surgery exhibited worse outcomes than those with more than a year of cessation or no prior use.
背景
据信尼古丁产品与切口疝（IH）复发率升高以及IH修复术后并发症有关。
方法
对腹部核心健康质量协作组（ACHQC）数据库进行回顾性分析。结果包括IH复发风险、30天手术部位感染（SSI）和30天手术部位事件（SSO）。
结果
我们纳入了14,663例患者。与术前一年多戒烟或从不使用尼古丁的患者相比，在手术1年内戒烟的尼古丁使用者IH复发风险高26%。与术前一年多戒烟的既往尼古丁使用者相比，在手术1年内戒烟的患者发生SSI的几率高54%。
结论
术前戒烟时间少于1年的既往尼古丁使用者比戒烟超过1年或既往未使用者的预后更差。
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