The Effect of a Perioperative Smoking Cessation Program on Rates of Smoking Cessation/Reduction and Perioperative Complications: a Randomized Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Smoking
- Sponsor
- Lawson Health Research Institute
- Enrollment
- 168
- Locations
- 1
- Primary Endpoint
- smoking cessation
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The purpose of this study is to determine whether a perioperative smoking cessation program, implemented at least 3 weeks prior to elective surgery, is effective in increasing rates of smoking cessation or reduction. Intraoperative and immediate postoperative complications will also be compared.
Detailed Description
Previous studies have shown that patients have up to one-third fewer complications after surgery when they quit smoking at least several weeks before surgery. Nicotine replacement therapy (which relieves cravings for cigarettes) and support by healthcare professionals have been shown to help patients quit smoking, particularly when encountering a major health event (e.g. surgery). In addition, quitting smoking in preparation for surgery sometimes results in quitting for a longer period of time after surgery, giving these patients the health benefits of long-term smoking cessation such as reduced rates of cancer and heart disease. The preadmission clinic at St. Joseph's Health Care, London, Ontario, is assessing how effective a new 'Stop Smoking' program is for patients preparing for surgery. The program will include brief counselling in the clinic, smoking cessation brochures, six weeks of free transdermal nicotine replacement therapy and a referral to the Canadian Cancer Society's Smokers' Helpline telephone advice line. Patients that are smokers and preparing for their elective surgery will be invited to join the study, then be assigned to a group that either participates in the program or not. These groups will then be compared in terms of success at quitting smoking and complication rates around the time of surgery.
Investigators
Philip Jones
Associate Professor
Lawson Health Research Institute
Eligibility Criteria
Inclusion Criteria
- •smokers (defined as those that smoke at least 2 cigarettes per day and have smoked within the last 7 days)
- •over age 18
- •presenting to preadmission clinic at St. Joseph's Health Care at least 3 weeks prior to scheduled date of surgery
Exclusion Criteria
- •less than age 18
- •poor proficiency in English language
- •breastfeeding
- •unable to consent due to severe mental illness or dementia
- •actively participating in another smoking cessation trial
Outcomes
Primary Outcomes
smoking cessation
Time Frame: date of surgery
Smoking cessation is defined as exhaled carbon monoxide (CO) of equal to or less than 7ppm on the day of surgery.
Secondary Outcomes
- smoking cessation/reduction(day of surgery)
- Intraoperative complications and immediate post-operative complications(day of surgery)
- Time until PACU readiness for discharge / actual time in PACU(day of surgery)
- Unanticipated hospital admission(day of surgery)
- Hospital length of stay(until hospital discharge)
- Smoking cessation at 12 months(1 year)