Ricker Ansley Beth, Manning Debra, Smith Kaylee E, Warren Yancey E, Matthews Brent D, Reinke Caroline E
Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, 28205, USA.
Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, 28205, USA.
Am J Surg. 2024 Jan;227:175-182. doi: 10.1016/j.amjsurg.2023.10.016. Epub 2023 Oct 8.
Smoking is associated with increased postoperative complications. Pre-surgical smoking cessation remains a challenge. Our aim was to summarize pre-hospital smoking cessation interventions and impact on smoking cessation rates.
Independent review of English language articles identified from systematic searches of MEDLINE, PubMed, PsycInfo, Embase, Web of Science, and Cumulative Index to Nursing & Allied Health Literature databases from 1998 to 2019 was performed (PROSPERO registration number CRD42021247927). Studies of adult patients enrolled in a pre-hospital smoking cessation intervention were included. Studies with historical controls or only self-reported outcomes were excluded.
Nine articles including 1762 patients were identified. Exhaled CO was used to confirm cessation. Six studies reported smoking status day of surgery. Interventions included NRT, hand-held technology, e-cigarettes, decision aids/counseling and medications. Four studies demonstrated a difference in smoking cessation rates. Ethics and study appraisal were assessed using ROB2.
Based on the variability of interventions, settings, and outcomes, best practice for successful pre-hospital smoking cessation in surgery clinics would benefit from ongoing investigation.
吸烟与术后并发症增加有关。术前戒烟仍然是一项挑战。我们的目的是总结院前戒烟干预措施及其对戒烟率的影响。
对1998年至2019年从MEDLINE、PubMed、PsycInfo、Embase、科学网以及护理与联合健康文献累积索引数据库中系统检索得到的英文文章进行独立综述（PROSPERO注册号CRD42021247927）。纳入了参与院前戒烟干预的成年患者研究。排除有历史对照或仅自我报告结果的研究。
共识别出9篇文章，涉及1762例患者。采用呼出一氧化碳来确认戒烟情况。6项研究报告了手术当天的吸烟状况。干预措施包括尼古丁替代疗法、手持技术、电子烟、决策辅助工具/咨询和药物。4项研究显示戒烟率存在差异。使用ROB2对伦理和研究评估进行了评估。
基于干预措施、环境和结果的变异性，手术诊所成功进行院前戒烟的最佳实践将受益于持续的研究。
