The effect of short-term preoperative smoking cessation on the incidence of post-operative pulmonary complications in patients undergoing elective non-cardiac surgery / (Record no. 3287)

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control field DOH
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100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Balanag, Vincent M. Jr.
245 04 - TITLE STATEMENT
Title The effect of short-term preoperative smoking cessation on the incidence of post-operative pulmonary complications in patients undergoing elective non-cardiac surgery /
Statement of responsibility, etc. Vincent M. Balanag Jr.
520 3# - SUMMARY, ETC.
Summary, etc. This is a prospective cohort study to determine the effect of smoking cessation less than 8 weeks before elective surgery on the incidence of postoperative pulmonary complications (POPC). Subjects consisted of 237 adult patients who had smoked at least one cigarette within 8 weeks of their scheduled operation. They were observed up to 7 days post-surgery for development of atelectasis, tracheobronchitis, pneumonia, respiratory failure or bronchospasm. Fifty or 21.1% of the 237 patients had POPC during the observation period. Patients who quit smoking less than 2 weeks had a complication rate of 16.6%; while those who stopped between 2-4 weeks and 4-8 weeks before surgery had complication rates of 33% (OR 2.52; [1.11, 5.72]) and 25% (OR 1.68; [0.80, 3.55]), respectively. After adjusting for the effect of other risk factors, however, the impact of different intervals of smoking cessation on POPC was no longer apparent. In contrast, American Society of Anesthesiologists (ASA) status and chronic lung disease were found to be independent predictors of POPC. It was concluded that pre-operative smoking cessation less than 8 weeks neither reduced nor increased POPC and that any observed increase in POPC may be related to poorer medical condition, with sicker patients likely to undergo longer periods of abstention to reduce the risk of pulmonary complications.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note In: Acta Medica Philippina, 2009 43 ( 3 ) pages 9-15
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Smoking Cessation
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Intraoperative Complications
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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-- 3287
-- 3287
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    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 03/05/2021   J000116 D0001J000116 03/05/2021 03/05/2021 Journal Article