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

https://doi.org/10.1136/ebn.5.3.84

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    Møller AM, Villebro N, Pedersen T, et al.Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial.Lancet2002 Jan 12;359:114–7OpenUrlCrossRefPubMedWeb of Science

    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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