Predictors of smoking relapse after noncardiac surgery. Study of Perioperative Ischemia (SPI) Research Group
J A Simon, W S Browner, D T Mangano, J A Simon, W S Browner, D T Mangano
Abstract
Objectives: We studied 235 smokers who were admitted for major noncardiac surgery and who survived hospitalization to determine the frequency and predictors of smoking relapse 1 year after hospitalization.
Methods: We analyzed data collected prospectively from the Study of Perioperative Ischemia. We determined smoking status by self-report.
Results: At 12 months posthospitalization, 142 (76%) of the 186 surviving patients had resumed smoking. Significant independent predictors of relapse at 12 months were a history of alcohol abuse and a history of heavy cigarette smoking (P less than 0.01 and P less than 0.05, respectively).
Conclusions: Since smokers commonly undergo surgery, the perioperative period provides a valuable window of opportunity for smoking cessation interventions designed to decrease the high rate of smoking relapse after surgery.
References
- N Engl J Med. 1990 Dec 27;323(26):1781-8
- J Clin Epidemiol. 1990;43(12):1399-405
- JAMA. 1990 May 23-30;263(20):2760-5
- JAMA. 1989 Jan 6;261(1):49-55
- J Clin Psychol. 1974 Oct;30(4):431-8
- J Gen Intern Med. 1991 Jul-Aug;6(4):305-11
- Ann Intern Med. 1990 Jul 15;113(2):118-23
- Am J Public Health. 1987 Oct;77(10):1301-5
- Annu Rev Med. 1985;36:51-61
Source: PubMed