A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial*

doi:10.1111/j.1365-2044.2004.04070.x

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Wiley InterScience

Anaesthesia

Volume 60 Issue 2, Pages 172 - 179

Published Online: 10 Jan 2005

Journal of the Association of Anaesthetists of Great Britain and Ireland

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A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial*

L. Wolfenden ^1,2 , J. Wiggers ^3,4 , J. Knight ^5,6 , E. Campbell ^5,6 , C. Rissel ^7,8 , R. Kerridge ⁹ , A. D. Spigelman ^10,11 and K. Moore ¹²

1 Project Officer , 3 Director and 5 Projects Manager, Hunter Population Health, Hunter Area Health Service, Locked Bag 10, Wallsend, NSW 2287, Australia
2 PhD Student , 4 Senior Lecturer , 6 Conjoint Lecturer and 11 Professor, University of Newcastle, Faculty of Health, Callaghan, NSW 2308, Australia
7 Director, Health Promotion Unit, Central Sydney Area Health Service, Level 9 (North), King George V, Missenden Road, Camperdown, NSW 2050, Australia
8 Lecturer, University of Sydney, Faculty of Medicine, Sydney, 2006, Australia
9 Director and 12 Nurse Unit Manager, Hunter Elective Admissions Planning and Preparations Service, Hunter Area Health Service, Locked Bag 1, Hunter Region Mail Centre, NSW 2310, Australia
10 Director, Clinical Governance Unit, AHQ Hunter Area Health Service, Locked Bag 1, New Lambton NSW 2305, Australia

Correspondence to Luke Wolfenden
E-mail: luke.wolfenden@hunter.health.nsw.gov.au

*Presented in part at the 6th Biannual Behavioural Research in Cancer Control Conference; Newcastle, NSW, Australia: April, 2002; at the 14th Annual Australian Health Promotion Association Conference, Sydney, NSW, Australia: June, 2002; and at the 7th Biannual Behavioural Research in Cancer Control Conference, Newcastle, NSW, Australia, June, 2004.

Summary

We assessed the efficacy of a comprehensive programme for stopping smoking in 210 smokers scheduled for surgery, before admission and 3 months after attending a pre-operative clinic. Participants were randomly allocated to receive an intervention incorporating nicotine replacement therapy for patients smoking more than 10 cigarettes per day ('dependent smokers'), or to a control group to receive usual care. Dependent smokers allocated to the intervention group were more likely to report abstinence before surgery than those allocated to receive usual-care (63 (73%) vs. 29 (56%), respectively; OR 2.2 (95% CI 1.0–4.8)), and 3 months after attendance (16 (18%) vs. 3 (5%), respectively; OR = 3.9 (95% CI 1.0–21.7).

Accepted: 3 November 2004

DIGITAL OBJECT IDENTIFIER (DOI)

10.1111/j.1365-2044.2004.04070.x About DOI