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QUESTION: In patients having elective knee or hip replacement, is a preoperative smoking intervention more effective than usual care for reducing postoperative morbidity and mortality?
Design
Randomised {allocation concealed*}†, blinded (outcome assessor),* controlled trial with follow up time to discharge.
Setting
3 university affiliated hospitals in Copenhagen, Denmark.
Patients
120 patients who were scheduled for primary elective hip or knee alloplasty and were daily smokers. Patients with a weekly alcohol intake > 35 units were excluded. 108 patients (90%) were included in the analysis (median age 65 y, 57% women).
Intervention
At 6 to 8 weeks before surgery, 60 patients were allocated to the smoking intervention and were offered a weekly meeting with the project nurse. At the first meeting, a Fagerstöm …
Footnotes
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Sources of funding: Danish Research Councils; Danish Ministry of Health; Director Danielsen’s Foundation. Pharmacia Upjohn sponsored the nicotine substitution products.
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For correspondence: Dr A M Møller, Bispebjerg University Hospital, Copenhagen, Denmark. docamm{at}yahoo.com.
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A modified version of this abstract also appears in Evidence-Based Nursing.
↵† Information provided by author.