PREVALENCE OF ADDICTION IN MALE PATIENTS POSTED FOR ORTHOPAEDIC OPERATIONS AND ITS SURGICAL OUTCOME

Abstract

Introduction: Addiction of tobacco and other substances is a signicant surgical risk factor for peri-operative surgical events. Orthopedic perioperative complications of smoking include impaired wound healing, augmented infection, delayed and/or impaired fracture union and arthrodesis and worst total knee and hip arthroplasty results. This study is designed to analyse such routinely recorded data and observe prevalence addiction in male patients posted for orthopaedic operation. Material and methods: This Observational Retrospective study was conducted in MRD, ESI-PGIMSR & MC. All elective post-surgical patients who underwent surgery in between the period of January 2017 to December 2017. Total 120 patients were present in this study. Result: The most signicant effects of intervention were seen for wound-related complications (5% vs 31%, p=0·001), cardiovascular complications (0% vs 10%, p=0·08), and secondary surgery (4% vs 15%, p=0·07). The median length of stay was 11 days (range 7–55) in the smoker and 13 days (8–65) in the nonsmoker. Conclusion: Smoking is a risk factor for wound infection and cardiopulmonary complications in almost any type of surgery; smokers make up a considerable proportion of the total number of postoperative complications. An effective smoking intervention programme applied 6–8 weeks before surgery more than halved the frequency of postoperative complications, with the greatest effect on wound-related and cardiovascular complications.