A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial.
We assessed the efficacy of a comprehensive programme for stopping smoking in 210 smokers scheduled for surgery, before admission and 3 months after attending a pre-operative clinic. Participants were randomly allocated to receive an intervention incorporating nicotine replacement therapy for patients smoking more than 10 cigarettes per day ("dependent smokers"), or to a control group to receive usual care. Dependent smokers allocated to the intervention group were more likely to report abstinence before surgery than those allocated to receive usual-care (63 (73%) vs. 29 (56%), respectively; OR 2.2 (95% CI 1.0-4.8)), and 3 months after attendance (16 (18%) vs. 3 (5%), respectively; OR = 3.9 (95% CI 1.0-21.7).
Wolfenden
L
L
Hunter Population Health, Hunter Area Health Service, Locked Bag 10, Wallsend, NSW 2287, Australia. luke.wolfenden@hunter.health.nsw.gov.au
Wiggers
J
J
Knight
J
J
Campbell
E
E
Rissel
C
C
Kerridge
R
R
Spigelman
A D
AD
Moore
K
K
D000328:Adult; D000368:Aged; D005260:Female; D017048:Health Care Costs; D006801:Humans; D008297:Male; D008875:Middle Aged; D009538:Nicotine / Q000627:therapeutic use; D018722:Nicotinic Agonists / Q000627:therapeutic use; D011300:Preoperative Care / Q000191:economics / Q000379:methods*; D015397:Program Evaluation; D016540:Smoking Cessation / Q000191:economics / Q000379:methods*; D000074606:Smoking Prevention; D014029:Tobacco Use Disorder / Q000534:rehabilitation; D016896:Treatment Outcome
D018722:Nicotinic Agonists; D009538:Nicotine