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Therapeutics
A preoperative smoking intervention decreased postoperative complications in elective knee or hip replacement

https://doi.org/10.1136/ebm.7.4.112

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    (2002) Lancet 359, 114; Møller AM, Villebro N, Pedersen T, et al.. Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial.. Jan 12;. :. –7.
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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 …

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