Smoking and timing of cessation on postoperative pulmonary complications after curative-intent lung cancer surgery
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RESEARCH ARTICLE
Open Access
Smoking and timing of cessation on postoperative pulmonary complications after curative-intent lung cancer surgery Sebastian T. Lugg1, Theofano Tikka2, Paula J. Agostini2, Amy Kerr2, Kerry Adams2, Maninder S. Kalkat2, Richard S. Steyn2, Pala B. Rajesh2, Ehab Bishay2, David R. Thickett1 and Babu Naidu1,2*
Abstract Background: Smoking is a risk factor for postoperative pulmonary complications (PPC) following non-small cell lung cancer (NSCLC) surgery. The optimal timing for preoperative smoking cessation has not been identified. Our study aimed to observe the impact of preoperative smoking cessation on PPC incidence and other postoperative outcomes including long-term survival. Methods: A prospective study included consecutive patients following resection for NSCLC in a regional thoracic centre over a 4-year period (2010–2014). Patients were stratified according to self-reported preoperative smoking status. The primary endpoint was PPC incidence, which was assessed from postoperative day one onwards using the Melbourne Group Scale. Secondary endpoints included short-term outcomes (hospital length of stay [LOS], intensive therapy unit [ITU] admission, 30-day hospital readmission rate) and long-term survival. Results: Four hundred and sixty-two patients included 111 (24%) current smokers, 55 (12%) ex-smokers
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