A preoperative smoking cessation intervention increases postoperative quit rates and may reduce postoperative morbidity.

摘要

Question: In patients who smoke and are scheduled for surgery, does a preoperative smoking intervention improve smoking cessation and reduce postoperative complications?Data sources: Studies were identified in the specialized register of the Cochrane Tobacco Addiction Group, MEDLINE, EMBASE/Excerpta Medica, and CINAHL up to April 2010.Study selection and assessment! studies were included if they were randomized controlled trials (RCTs) that evaluated any preoperative intervention to help smokers give up smoking by the time of their elective surgery. Studies of intraoperative or postoperative interventions were excluded. Study quality was assessed with use of the Cochrane Collaboration Risk of Bias tool.Main outcome measures: The primary outcome measure was the prevalence of smoking cessation at the time of surgery and twelve months after surgery.