Academic Journal
Outcomes in smokers and alcohol users after fast‐track hip and knee arthroplasty
| Title: | Outcomes in smokers and alcohol users after fast‐track hip and knee arthroplasty |
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| Authors: | Jørgensen, C. C., Kehlet, H., Jacobsen, M, Søballe, Kjeld, Hansen, T. B., Husted, Henrik, Laursen, M. B., Hansen, L.T., Kjærsgaard-Andersen, Per |
| Source: | Jørgensen, C C, Kehlet, H & Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group 2013, 'Outcomes in smokers and alcohol users after fast-track hip and knee arthroplasty', Acta Anaesthesiologica Scandinavica, vol. 57, no. 5, pp. 631-8. https://doi.org/10.1111/aas.12086 Lundbeck Foundation Centre for Fast-Track Hip and Knee Replacement Collaborative Group 2013, ' Outcomes in smokers and alcohol users after fast-track hip and knee arthroplasty ', Acta Anaesthesiologica Scandinavica, vol. 57, no. 5, pp. 631-638 . https://doi.org/10.1111/aas.12086 Jørgensen, C C, Kehlet, H, Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group & Hansen, T B 2013, 'Outcomes in smokers and alcohol users after fast-track hip and knee arthroplasty', Acta Anaesthesiologica Scandinavica, vol. 57, no. 5, pp. 631-8. https://doi.org/10.1111/aas.12086 |
| Publisher Information: | Wiley, 2013. |
| Publication Year: | 2013 |
| Subject Terms: | Postoperative Complications/epidemiology, Questionnaires, Male, Knee/statistics & numerical data, Alcohol Drinking, Arthroplasty, Replacement, Hip, Denmark, Replacement, Hip/statistics & numerical data, Arthroplasty, Alcohol Drinking/adverse effects, 03 medical and health sciences, Age Distribution, Postoperative Complications, 0302 clinical medicine, Risk Factors, Surveys and Questionnaires, Smoking/adverse effects, Odds Ratio, Humans, Prospective Studies, Arthroplasty, Replacement, Knee/statistics & numerical data, Arthroplasty, Replacement, Knee, Aged, Smoking, Recovery of Function, Length of Stay, Middle Aged, Denmark/epidemiology, 3. Good health, Arthroplasty, Replacement, Hip/statistics & numerical data, Length of Stay/statistics & numerical data, Female, Follow-Up Studies |
| Description: | BackgroundSmoking and alcohol use impair post‐operative outcomes. However, no studies include fast‐track surgery, which is a multimodal‐enhanced recovery programme demonstrated to improve outcome. We hypothesised that outcome is similar in smokers and alcohol users as in non‐users after fast‐track hip and knee arthroplasty.MethodsProspective questionnaires on co‐morbidity and smoking/alcohol use were cross‐referenced with the Danish National Health Registry to investigate relationship between smoking/alcohol use and length of stay of > 4 days and readmissions ≤ 90 days after fast‐track hip and knee arthroplasty.ResultsIn 3041 consecutive patients, 458 reported smoking and 216 drinking > 2 drinks a day, of which 66 did both. Smokers/alcohol users were younger than non‐users (mean age: 64.3 vs. 68.0 years, P 4 days and smoking (odds ratio [95% confidence interval], P) (1.34 [0.92–1.95], 0.127) or alcohol use (0.59 [0.30–1.16], 0.127). Thirty‐ and ninety‐day readmission rate was 6.6% (n = 201) and 9.4% (n = 285). Multiple logistic regression analysis showed an increased risk of readmissions in smokers at 30 (1.60 [1.05–2.44], 0.028) but not 90‐day follow‐up (1.17 [0.80–1.73], 0.419). No increased risk of readmissions was found in alcohol users at 30 (0.94 [0.50–1.76], 0.838) or 90‐day follow‐up (0.83 [0.47–1.49], 0.532). No increased risk of specific readmissions (i.e. wound infections or pneumonia) typically related to smoking/alcohol use was found in smokers (1.56 [0.93–2.62], 0.091) or alcohol users (1.00 [0.47–2.15], 0.999) at 90‐day follow‐up.ConclusionInfluence of smoking or alcohol use may be less pronounced in fast‐track hip and knee arthroplasty compared with data with conventional care programmes. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/aas.12086 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/23421518 https://vbn.aau.dk/da/publications/535596aa-f2ba-441c-81f5-717afeb45c6d https://doi.org/10.1111/aas.12086 https://vbn.aau.dk/da/publications/outcomes-in-smokers-and-alcohol-users-after-fasttrack-hip-and-knee-arthroplasty(535596aa-f2ba-441c-81f5-717afeb45c6d)/export.html https://vbn.aau.dk/da/publications/outcomes-in-smokers-and-alcohol-users-after-fasttrack-hip-and-knee-arthroplasty(535596aa-f2ba-441c-81f5-717afeb45c6d).html https://core.ac.uk/display/60542962 https://onlinelibrary.wiley.com/doi/abs/10.1111/aas.12086 https://europepmc.org/abstract/MED/23421518 https://onlinelibrary.wiley.com/doi/full/10.1111/aas.12086 https://portal.findresearcher.sdu.dk/da/publications/9051b5c3-3875-4063-b010-08a9c02971e8 |
| Rights: | Wiley Online Library User Agreement |
| Accession Number: | edsair.doi.dedup.....235acec6806c8f032eb822f61ad6bba4 |
| Database: | OpenAIRE |
| ISSN: | 13996576 00015172 |
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| DOI: | 10.1111/aas.12086 |