作者
Khaled M Musallam, Frits R Rosendaal, Ghazi Zaatari, Assaad Soweid, Jamal J Hoballah, Pierre M Sfeir, Salah Zeineldine, Hani M Tamim, Toby Richards, Donat R Spahn, Luca A Lotta, Flora Peyvandi, Faek R Jamali
发表日期
2013/8/1
期刊
JAMA surgery
卷号
148
期号
8
页码范围
755-762
出版商
American Medical Association
简介
Importance
The effects of smoking on postoperative outcomes in patients undergoing major surgery are not fully established. The association between smoking and adverse postoperative outcomes has been confirmed. Whether the associations are dose dependent or restricted to patients with smoking-related disease remains to be determined.
Objective
To evaluate the association between current and past smoking on the risk of postoperative mortality and vascular and respiratory events in patients undergoing major surgery.
Design
Cohort study using the American College of Surgeons National Surgical Quality Improvement Program database. We obtained data on smoking history, perioperative risk factors, and 30-day postoperative outcomes. We assessed the effects of current and past smoking (>1 year prior) on postoperative outcomes after adjustment for potential confounders and effect mediators (eg …
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