Scopus
YÖKSİS Eşleşti
Association of preoperative smoking with the occurrence of postoperative pulmonary complications: A post hoc analysis of an observational study in 29 countries
Journal of Clinical Anesthesia · Haziran 2025
YÖKSİS Kayıtları
Association of preoperative smoking with the occurrence of postoperative pulmonary complications: A post hoc analysis of an observational study in 29 countries
Journal of Clinical Anesthesia · 2025 SCI-Expanded
PROFESÖR OĞUZHAN ARUN →
Makale Bilgileri
DergiJournal of Clinical Anesthesia
Yayın TarihiHaziran 2025
Cilt / Sayfa104
Scopus ID2-s2.0-105005015590
Özet
Introduction: While smoking has been consistently identified as a significant contributor to postoperative complications, the existing literature on its association with postoperative pulmonary complications remains conflicting. Aim: We examined the association of preoperative smoking with the occurrence of postoperative pulmonary complications (PPCs). Methods: Post hoc analysis of an observational study in 146 hospitals across 29 countries. We included patients at increased risk of PPCs, according to the Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score (≥ 26 points). The primary endpoint was the occurrence of one or more predefined PPCs in the first five postoperative days, including unplanned postoperative need for supplementary oxygen, respiratory failure, unplanned need for invasive ventilation, ARDS, pneumonia and pneumothorax. Secondary endpoints included length of hospital stay and in–hospital mortality. We performed propensity score matching to correct for factors with a known association with postoperative outcomes. Results: Out of 2632 patients, 531 (20.2 %) patients were smokers and 2102 (79.8 %) non-smokers. At five days after surgery, 101 (19.0 %) smokers versus 404 (19.2) non–smokers had developed one or more PPCs (P = 0.95). Respiratory failure was more common in smokers (5.1 %) than non–smokers (3.0 %) (P = 0.02), while rates of other PPCs like need for supplementary oxygen, invasive ventilation, ARDS, pneumonia, or pneumothorax did not differ between the groups. Length of hospital stay and mortality was not different between groups. Propensity score matching did not change the findings. Conclusion: The occurrence of PPCs in smokers is not different from non–smokers. Funding: This analysis was performed without additional funding. LAS VEGAS was partially funded and endorsed by the European Society of Anaesthesiology through their Clinical Trial Network and the Amsterdam University Medical Centers, Amsterdam, The Netherlands. Registration: LAS VEGAS was registered at Clinicaltrials.gov (NCT01601223). Prior presentation: Preliminary study results have been presented at the Euroanaesthesia 2024 International Congress, in Munich, Germany.
Yazarlar (100)
1
Galina Dorland
2
W. Saadat
3
David M. van Meenen
4
Ary Serpa Neto
5
Michael Hiesmayr
6
Markus W. Hollmann
7
Gary H. Mills
8
Marcos F. Vidal Melo
9
Christian Putensen
10
Werner Schmid
11
Paolo Severgnini
12
Hermann Wrigge
13
Marcelo Gama de Abreu
14
Marcus J. Schultz
15
Sabrine N.T. Hemmes
16
Wolfgang Kroell
17
Helfried Metzler
18
Gerd Struber
19
Thomas Wegscheider
20
Hans Gombotz
21
Michael Hiesmayr
22
Werner Schmid
23
Bernhard Urbanek
24
David Kahn
25
Mona Momeni
26
Audrey Pospiech
27
Fernande Lois
28
Patrice Forget
29
Irina Grosu
30
Jan Poelaert
31
Veerle van Mossevelde
32
Marie Claire van Malderen
33
Dimitri Dylst
34
Jeroen van Melkebeek
35
Maud Beran
36
Stefan De Hert
37
Luc De Baerdemaeker
38
Bjorn Heyse
39
Jurgen Van Limmen
40
Piet Wyffels
41
Tom Jacobs
42
Nathalie Roels
43
Ann De Bruyne
44
Stijn van de Velde
45
Brigitte Leva
46
Sandrine Damster
47
Benoit Plichon
48
Marina Juros-Zovko
49
Dejana Djonoviċ-Omanoviċ
50
Selma Pernar
51
Josip Zunic
52
Petar Miskovic
53
Antonio Zilic
54
Slavica Kvolik
55
Dubravka Ivic
56
Darija Azenic-Venzera
57
Sonja Skiljic
58
Hrvoje Vinkovic
59
Ivana Oputric
60
Kazimir Juricic
61
Vedran Frkovic
62
Jasminka Kopic
63
Ivan Mirkovic
64
Nenad Karanovic
65
Mladen Carev
66
Natasa Dropulic
67
Jadranka Pavicic Saric
68
Gorjana Erceg
69
Matea Bogdanovic Dvorscak
70
Branka Mazul-Sunko
71
Anna Marija Pavicic
72
Tanja Goranovic
73
Branka Maldini
74
Tomislav Radocaj
75
Zeljka Gavranovic
76
Inga Mladic-Batinica
77
Mirna Sehovic
78
Petr Stourac
79
Hana Harazim
80
Olga Smekalova
81
Martina Kosinova
82
Tomas Kolacek
83
Kamil Hudacek
84
Michal Drab
85
Jan Brujevic
86
Katerina Vitkova
87
Katerina Jirmanova
88
Ivana Volfova
89
Paula Dzurnakova
90
Katarina Liskova
91
Radovan Dudas
92
Radek Filipsky
93
Samir el Kafrawy
94
Hisham Hosny Abdelwahab
95
Tarek Metwally
96
Ahmed Abdel-Razek
97
Ahmed Mostafa El-Shaarawy
98
Wael Fathy Hasan
99
Ahmed Gouda Ahmed
100
Hany Yassin
Anahtar Kelimeler
Anaesthesia
Intraoperative ventilation
Postoperative outcome
Postoperative pulmonary complications
PPCs
Respiratory complications
Smoking
Kurumlar
Amsterdam UMC - University of Amsterdam
Amsterdam Netherlands
Austin Hospital
Melbourne Australia
AZ Maria Middelares
Ghent Belgium
Beni Suef University Hospital
Beni Suef Egypt
Bermannstrost Hospital Halle
Halle Germany
Cleveland Clinic Foundation
Cleveland United States
Clinical Hospital Merkur
Zagreb Croatia
Cliniques Universitaires Saint-Luc
Brussels Belgium
Columbia University
New York United States
Dr. Josip Bencevic General Hospital
Slavonski Brod Croatia
El-Sahel Teaching Hospital
Cairo Egypt
European Society of Anaesthesiology
Brussels Belgium
Faculty of Medicine
Cairo Egypt
Fakultni Nemocnice Brno
Brno Czech Republic
Fakultní Nemocnice Hradec Králové
Hradec Kralove Czech Republic
Fayoum University Hospital
Fayoum Egypt
General Hospital Čakovec
Cakovec Croatia
General Hospital Karlovac
Karlovac Croatia
General Hospital "Prim. Dr. Abdulah Nakas"
Sarajevo Bosnia and Herzegovina
General Hospital Sveti Duh
Zagreb Croatia
Hospital Israelita Albert Einstein
Sao Paulo Brazil
KBC Osijek
Osijek Croatia
KBC Zagreb
Zagreb Croatia
Kepler Universitätsklinikum
Linz Austria
Klinički Bolnički Centar Rijeka
Rijeka Croatia
Klinički Bolnički Centar Split
Split Croatia
LKH-Universitätsklinikum Graz
Graz Austria
Mahidol Oxford Tropical Medicine Research Unit
Bangkok Thailand
Martin−Luther−University of Halle−Wittenberg
Halle Germany
Massachusetts General Hospital
Boston United States
Medizinische Fakultät Carl Gustav Carus
Dresden Germany
Medizinische Universität Wien
Vienna Austria
Melbourne Medical School
Melbourne Australia
Monash University
Melbourne Australia
Nemocnice Znojmo
Znojmo Czech Republic
Nuffield Department of Medicine
Oxford United Kingdom
The Netherlands Cancer Institute
Amsterdam Netherlands
The University of Sheffield
Sheffield United Kingdom
Università degli Studi dell'Insubria
Varese Italy
Universitair Ziekenhuis Brussel
Jette Belgium
Universitair Ziekenhuis Gent
Ghent Belgium
Universitätsklinikum Bonn
Bonn Germany
University Hospital in Ostrava
Ostrava Czech Republic
Ziekenhuis Oost-Limburg
Genk Belgium