Preoperative intervention for smoking cessation: A systematic review - 12/12/23
Abstract |
Background |
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.
Methods |
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.
Results |
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.
Conclusions |
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.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | A review of the literature shows that it is undetermined whether intervention influences preoperative smoking cessation. |
• | Among articles that show improved smoking cessation, there is no common intervention between them. |
• | Great need exists for ongoing investigation regarding successful preoperative smoking cessation interventions. |
Keywords : Smoking cessation, Surgery, Preoperative intervention, Surgery clinic
Plan
Vol 227
P. 175-182 - janvier 2024 Retour au numéro
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