• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Smoking prior to open and endovascular revascularization associated with increased post-procedural complications

byBipandeep AbbatandAlex Chan
October 15, 2021
in Cardiology, Chronic Disease
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

RELATED REPORTS

Health system-based care associated with better treatment use and high rates of tobacco abstinence at 3 months post-discharge in hospitalized smokers

Heavy smoking is associated with visual field loss in glaucoma

#VisualAbstract: Varenicline improves successful smoking cessation amongst African American daily smokers: KIS-IV Trial

1. In a large cohort of patients with intermittent claudication, smoking prior to open and endovascular revascularization was associated with increased post-procedural complications.

Evidence Rating Level: 2 (Good)

Treatment guidelines for intermittent claudication (IC) recommend optimal medical therapy, which includes smoking cessation, prior to considering revascularization. However, most patients are not medically optimized prior to revascularization. Therefore, this retrospective cohort study sought to determine the association between smoking and post-procedural complications following revascularization for IC. It made use of data from the Veterans Affairs Surgical Quality Improvement Program. There was a total of 14,350 cases of revascularization for IC included in the study (mean [SD] age = 65.7 [7.0] years; 14,090 [98.2%] male). 7,820 (54.5%) of patients were smoking within the year prior to the procedure, which was defined as the exposure. The study implemented propensity score matching in which 3,855 smokers were matched to 3,855 non-smokers with otherwise similar characteristics. The primary outcome was any post-procedural complication within 30 days. It was found that smokers had a higher risk of any 30 day post-procedural complication compared to non-smokers (484 [12.6%] vs 34 [8.9%]) with an absolute risk difference (ARD) of 3.68% (95% CI, 2.31-5.06; p<0.001). The increased risk in smokers was preserved across all subgroups of different types of procedures, including endovascular revascularization (ARD, 2.19%; 95% CI, 0.77-3.60; p=0.003), hybrid revascularization (ARD, 3.18%; 95% CI, 0.23-6.13; p =0 .04), and open revascularization (ARD, 5.18%; 95% CI, 2.78-7.58; p < 0.001). The secondary outcomes measured were 30 day post-procedural major and minor complications, complications by organ systems, and mortality. It was found that smokers had a higher risk of major (ARD, 1.56%; 95% CI, 0.51-2.60; p =0 .004), minor (ARD, 2.65%; 95% CI, 1.63-3.67; p<0 .001), wound (ARD, 1.84%; 95% CI, 0.75-2.93; p =0 .001), respiratory (ARD, 1.30%; 95% CI, 0.75-1.85; p<0 .001, and thrombotic complications (ARD, 0.67%; 95% CI, 0.10-1.24; p =0 .02) compared to non-smokers. Additionally, smoking was found to be associated with increased 30-day mortality (23 [0.6%] vs 2 [0.1%]; ARD, 0.54%; 95% CI, 0.29-0.80). Overall, this is a large and well-designed study that demonstrated increased risk of post-revascularization complications in patients who smoked within 1 year of the procedure.

Click to read the study in JAMA Cardiology

Image: PD

©2021 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: cardiologysmoking
Previous Post

The Most Outrageous Kim Khasyian Outfits of All Time

Next Post

These Things You Should Know Before Getting Lip Injections

RelatedReports

Strict tobacco licensing laws linked to reduced adolescent smoking initiation
Chronic Disease

Health system-based care associated with better treatment use and high rates of tobacco abstinence at 3 months post-discharge in hospitalized smokers

July 1, 2022
Smoking during pregnancy associated with aerobic fitness of children
Ophthalmology

Heavy smoking is associated with visual field loss in glaucoma

June 28, 2022
#VisualAbstract: Varenicline improves successful smoking cessation amongst African American daily smokers: KIS-IV Trial
StudyGraphics

#VisualAbstract: Varenicline improves successful smoking cessation amongst African American daily smokers: KIS-IV Trial

June 28, 2022
Strict tobacco licensing laws linked to reduced adolescent smoking initiation
Chronic Disease

Varenicline improves successful smoking cessation amongst African American daily smokers: KIS-IV Trial

June 15, 2022
Next Post

These Things You Should Know Before Getting Lip Injections

Trump Says US Has 'passed the peak' of Coronavirus Outbreak

Indonesia Extends Covid-19 Emergency to May 29 as Cases Rise

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Stereotactic body radiotherapy as a state of the art treatment option in inoperable non-small cell lung cancer [Classics Series]
  • Health system-based care associated with better treatment use and high rates of tobacco abstinence at 3 months post-discharge in hospitalized smokers
  • APOEε4 genotype may increase risk of chronic traumatic encephalopathy following repetitive head impact
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.