NDLI: Lack of correlation between smoking status and early postoperative outcome following valve surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Al-Sarraf, N. Thalib, L. Hughes, A. Tolan, M. Young, V. McGovern, E.
Description	Country affiliation: Ireland Author Affiliation: Al-Sarraf N ( Department of Cardiothoracic Surgery, St. James's Hospital, Dublin, Ireland. trinityq8@hotmail.com)
Abstract	BACKGROUND: We sought to assess the effect of smoking on early outcome following valve surgery. METHODS: This is a retrospective review of a prospectively collected departmental database of all patients who underwent isolated aortic and/or mitral valve surgery (replacement and/or repair). Our cohort consisted of 590 patients stratified into three groups: current smokers (n = 94), ex-smokers (n = 243), and nonsmokers (n = 253). RESULTS: There were no significant differences in the in-hospital mortality between the three groups. Likewise, the length of both hospital and intensive care unit stays were similar among the three groups with a similar rate of postoperative complications. These findings remained statistically not significant, even after adjusting for potential confounders such as age, gender, etc. CONCLUSION: Smoking does not seem to be associated with an increased early postoperative risk in patients undergoing valve surgery. However, because of the known effect of smoking on the risk of cardiovascular disease and because the effect of smoking on long-term survival in patients undergoing valve surgery remains unknown, patients should still be encouraged to quit smoking.
File Format	HTM / HTML
ISSN	01716425
Issue Number	8
Volume Number	56
e-ISSN	14391902
Journal	The Thoracic and Cardiovascular Surgeon
Language	English
Publisher	Thieme
Publisher Date	2008-12-01
Publisher Place	Germany
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline General Surgery Discipline Cardiology Discipline Vascular Diseases Discipline Pulmonary Medicine Heart Valves Surgery Smoking Adult Aged Aged, 80 And Over Female Humans Length Of Stay Male Middle Aged Postoperative Complications Retrospective Studies Adverse Effects Treatment Outcome Young Adult Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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