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Göğüs Cerrahisi Sonrası Pulmoner Rehabilitasyon Uygulanan Hastalarda Sigara İçme ve Komplikasyonlar Arasındaki İlişki

Yıl 2019, Cilt: 3 Sayı: 1, 1 - 5, 01.01.2019

Öz

Bu çalışmanın amacı, göğüs ameliyatı geçiren hastalarda postoperatif komplikasyonlar ile sigara içme arasındaki ilişkiyi araştırmaktı. Göğüs cerrahisi kliniğimizde Ocak 2018 ile Aralık 2018 tarihleri arasında opere edilen 117 olgunun verileri retrospektif olarak değerlendirildi. Olgularımızın 83'ü erkek, 34'ü kadındı. Hastaların yaş ortalaması 50.97±18.00 yıldı ve hastanede kalış süresi 4.09±2.96 gündü. Olguların 68'i %58,10 sigara içicisi idi. Sigara içmeyenlerin sayısı 49 %41.90 idi. Sigara içenler tarafından tüketilen ortalama sigara miktarı 30.07±20.85 paket*yıldı. Ameliyat sonrası pulmoner rehabilitasyona başlandı ve taburcu oluncaya kadar devam etti. Sigara içmeyen 49 hasta, 20 paket*yıldan az içen 19 hasta %16.20 ve 20 paket*yıl veya daha fazla içen 49 hasta %41.90 vardı. Sigara içenlerde toplam 19, sigara içmeyenlerde 3 komplikasyon görüldü. Sigara içme ve postoperatif komplikasyon arasında pozitif bir ilişki bulundu p

Kaynakça

  • Agostini P, Cieslik H, Rathinam S, Bishay E, Kalkat MS, Rajesh PB, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Thorax. 2010;65(9):815-8.
  • Agostini P, Reeve J, Dromard S, Singh S, Steyn RS, Naidu B. A survey of physiotherapeutic provision for patients undergoing thoracic surgery in the UK. Physiotherapy. 2013;99(1):56-62.
  • Fisher BW, Majumdar SR, McAlister FA. Predicting pulmonary complications after nonthoracic surgery: a systematic review of blinded studies. Am J Med. 2002;112(3):219-25.
  • Hawn MT, Houston TK, Campagna EJ, Graham LA, Singh J, Bishop M, et al. The attributable risk of smoking on surgical complications. Ann Surg. 2011;254(6):914-20.
  • Mackay MR, Ellis E, Johnston C. Randomised clinical trial of physiotherapy after open abdominal surgery in high risk patients. Aust J Physiother. 2005;51(3):151-9.
  • Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking Cessation Reduces Postoperative Complications: A Systematic Review and Meta-analysis. Am J Med. 2011;124(2):144-54.e8.
  • Önen ZP, Şen E, Gülbay BE, Öztürk A, Yıldız ÖA, Acıcan T, et al. Kardiyopulmoner hastalığı olanlarda sigaranın bırakılması. Anatol J Cardiol. 2011;11(3).
  • Pasquina P, Tramèr MR, Granier J-M, Walder B. Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: a systematic review. Chest. 2006;130(6):1887-99.
  • Rudra A, Sudipta D. Postoperative pulmonary complications. Indian J Anaesth. 2006;50(2):89-98.
  • Sengupta S. Post-operative pulmonary complications after thoracotomy. Indian J Anaesth. 2015;59(9):618.
  • Sorensen LT, Karlsmark T, Gottrup F. Abstinence from smoking reduces incisional wound infection: a randomized controlled trial. Ann Surg. 2003;238(1):1-5.
  • Şenel A, Yağcı N, Atalay TO. Examination of the effect of smoking on physical activity in middleaged males. XVII. Fizyoterapi Ve Rehabilitasyonda Gelişmeler Kongresi .April 25-28, 2018, Antalya. Turk J Physiother Rehabil. ;29(Suppl 2):P092.
  • Theadom A, Cropley M. Effects of preoperative smoking cessation on the incidence and risk of intraoperative and postoperative complications in adult smokers: a systematic review. Tob Control. 2006;15(5):352-8.
  • Thomsen T, Villebro N, Mİller AM. Interventions for preoperative smoking cessation. Cochrane Database Syst Rev. 2010;7(7).

The Relationship Between Smoking And Complications In Patients Undergoing Pulmonary Rehabilitation After Chest Surgery

Yıl 2019, Cilt: 3 Sayı: 1, 1 - 5, 01.01.2019

Öz

The aim of this study was to investigate the relationship between postoperative complications and smoking in patients undergoing chest surgery. The data of 117 cases who were operated in our chest surgery clinic between January 2018 and December 2018 were evaluated retrospectively. 83 of our cases were male and 34 were female. The mean age of the patients was 50.97±18.00 years and the length of hospital stay was 4.09±2.96 days. 68 58.10% of the subjects were smokers. The number of non-smokers was 49 41.90% . The mean amount of cigarettes consumed by smokers was 30.07±20.85 pack-years. Pulmonary rehabilitation was started after the surgery and continued until discharge. There were 49 patients 41.90% who non-smokers, 19 patients 16.20% who smoked less than 20 pack*years, and 49 patients 41.90% who smoked 20 pack*years or more. A total of 19 complications observed in smokers and 3 complications were observed in non-smokers. A positive correlation was found between smoking and postoperative complication p

Kaynakça

  • Agostini P, Cieslik H, Rathinam S, Bishay E, Kalkat MS, Rajesh PB, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Thorax. 2010;65(9):815-8.
  • Agostini P, Reeve J, Dromard S, Singh S, Steyn RS, Naidu B. A survey of physiotherapeutic provision for patients undergoing thoracic surgery in the UK. Physiotherapy. 2013;99(1):56-62.
  • Fisher BW, Majumdar SR, McAlister FA. Predicting pulmonary complications after nonthoracic surgery: a systematic review of blinded studies. Am J Med. 2002;112(3):219-25.
  • Hawn MT, Houston TK, Campagna EJ, Graham LA, Singh J, Bishop M, et al. The attributable risk of smoking on surgical complications. Ann Surg. 2011;254(6):914-20.
  • Mackay MR, Ellis E, Johnston C. Randomised clinical trial of physiotherapy after open abdominal surgery in high risk patients. Aust J Physiother. 2005;51(3):151-9.
  • Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking Cessation Reduces Postoperative Complications: A Systematic Review and Meta-analysis. Am J Med. 2011;124(2):144-54.e8.
  • Önen ZP, Şen E, Gülbay BE, Öztürk A, Yıldız ÖA, Acıcan T, et al. Kardiyopulmoner hastalığı olanlarda sigaranın bırakılması. Anatol J Cardiol. 2011;11(3).
  • Pasquina P, Tramèr MR, Granier J-M, Walder B. Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: a systematic review. Chest. 2006;130(6):1887-99.
  • Rudra A, Sudipta D. Postoperative pulmonary complications. Indian J Anaesth. 2006;50(2):89-98.
  • Sengupta S. Post-operative pulmonary complications after thoracotomy. Indian J Anaesth. 2015;59(9):618.
  • Sorensen LT, Karlsmark T, Gottrup F. Abstinence from smoking reduces incisional wound infection: a randomized controlled trial. Ann Surg. 2003;238(1):1-5.
  • Şenel A, Yağcı N, Atalay TO. Examination of the effect of smoking on physical activity in middleaged males. XVII. Fizyoterapi Ve Rehabilitasyonda Gelişmeler Kongresi .April 25-28, 2018, Antalya. Turk J Physiother Rehabil. ;29(Suppl 2):P092.
  • Theadom A, Cropley M. Effects of preoperative smoking cessation on the incidence and risk of intraoperative and postoperative complications in adult smokers: a systematic review. Tob Control. 2006;15(5):352-8.
  • Thomsen T, Villebro N, Mİller AM. Interventions for preoperative smoking cessation. Cochrane Database Syst Rev. 2010;7(7).
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Alp Özel Bu kişi benim

Elif Yakşi Bu kişi benim

Osman Yakşi Bu kişi benim

Mehmet Ünal Bu kişi benim

Ali Kılıçgün Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 3 Sayı: 1

Kaynak Göster

APA Özel, A., Yakşi, E., Yakşi, O., Ünal, M., vd. (2019). Göğüs Cerrahisi Sonrası Pulmoner Rehabilitasyon Uygulanan Hastalarda Sigara İçme ve Komplikasyonlar Arasındaki İlişki. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 3(1), 1-5.

Dergimiz; Cite Factor, Türk Medline, Sobiad Atıf Dizini, Türk Eğitim İndeksi, Türkiye Atıf Dizini (Turkiye Citation Index) ve Index Copernicus'ta taranmaktadır.


Dergimizin Önceki Editörleri:

2017-2019: Doç. Dr. Rıdvan Karabulut