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A preoperative smoking intervention decreased postoperative complications in elective knee or hip replacement

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QUESTION: Does a preoperative smoking intervention reduce postoperative morbidity and mortality in patients having elective knee or hip replacement?

Design

Randomised {allocation concealed}*, blinded (outcome assessor), controlled trial with follow up to discharge.

Setting

3 university affiliated hospitals in Copenhagen, Denmark.

Patients

120 patients who were scheduled for primary elective hip or knee replacement and were daily smokers. Patients with a weekly alcohol intake >35 units were excluded. 108 patients (90%) were included in the analysis (median age 65 y, 57% women).

Intervention

At 6–8 weeks before surgery, 60 patients were allocated to the smoking intervention and were offered a weekly meeting with the project nurse. At the first meeting, a Fagerstöm test was done to estimate the patient's nicotine dependence. Test …

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Footnotes

  • Sources of funding: Danish Research Councils; Danish Ministry of Health; Director Danielsen's Foundation. Pharmacia Upjohn sponsored the nicotine substitution products.

  • For correspondence: Dr AM Møller, Bispebjerg University Hospital, Copenhagen, Denmark. docamm{at}yahoo.com

  • A modified version of this abstract appears in ACP Journal Club.