PDF(Pubmed)
Abstract：
BACKGROUND: A recent database study found that 15.2% of clavicle fractures underwent surgical treatment. Recent evidence accentuates the role of smoking in predicting nonunion. The purpose of this study was to further elucidate the effect of smoking on the 30-day postoperative outcomes after surgical treatment of clavicle fractures.
METHODS: The authors queried the American College of Surgeons National Surgical Quality Improvement Program database for all patients who underwent open reduction and internal fixation of clavicle fracture between 2015 and 2020. Multivariate logistic regression, adjusted for notable patient demographics and comorbidities, was used to identify associations between current smoking status and postoperative complications.
RESULTS: In total, 6,132 patients were included in this study of whom 1,510 (24.6%) were current smokers and 4,622 (75.4%) were nonsmokers. Multivariate analysis found current smoking status to be significantly associated with higher rates of deep incisional surgical-site infection (OR, 7.87; 95% CI, 1.51 to 41.09; P = 0.014), revision surgery (OR, 2.74; 95% CI, 1.67 to 4.49; P < 0.001), and readmission (OR, 3.29; 95% CI, 1.84 to 5.89; P < 0.001).
CONCLUSIONS: Current smoking status is markedly associated with higher rates of deep incisional surgical-site infection, revision surgery, and readmission within 30 days after open reduction and internal fixation of clavicle fracture.
METHODS: The authors queried the American College of Surgeons National Surgical Quality Improvement Program database for all patients who underwent open reduction and internal fixation of clavicle fracture between 2015 and 2020. Multivariate logistic regression, adjusted for notable patient demographics and comorbidities, was used to identify associations between current smoking status and postoperative complications.
RESULTS: In total, 6,132 patients were included in this study of whom 1,510 (24.6%) were current smokers and 4,622 (75.4%) were nonsmokers. Multivariate analysis found current smoking status to be significantly associated with higher rates of deep incisional surgical-site infection (OR, 7.87; 95% CI, 1.51 to 41.09; P = 0.014), revision surgery (OR, 2.74; 95% CI, 1.67 to 4.49; P < 0.001), and readmission (OR, 3.29; 95% CI, 1.84 to 5.89; P < 0.001).
CONCLUSIONS: Current smoking status is markedly associated with higher rates of deep incisional surgical-site infection, revision surgery, and readmission within 30 days after open reduction and internal fixation of clavicle fracture.
摘要：
背景：最近的一项数据库研究发现，15.2%的锁骨骨折接受了手术治疗。最近的证据强调了吸烟在预测骨不连中的作用。这项研究的目的是进一步阐明吸烟对锁骨骨折手术治疗后30天术后结局的影响。
方法：作者查询了美国外科医生协会国家外科质量改进计划数据库中所有在2015年至2020年期间接受了锁骨骨折切开复位内固定治疗的患者。多元逻辑回归，针对显著的患者人口统计学和合并症进行了调整，用于确定当前吸烟状况与术后并发症之间的关联。
结果：总计，本研究包括6,132名患者，其中1,510名（24.6％）是当前吸烟者，4,622名（75.4％）是非吸烟者。多变量分析发现，当前吸烟状况与较高的深切口手术部位感染率显着相关（OR，7.87；95%CI，1.51至41.09；P=0.014），翻修手术（或，2.74；95%CI，1.67~4.49；P<0.001），和重新接纳(或，3.29；95%CI，1.84~5.89；P<0.001）。
结论：目前的吸烟状况与较高的深切口手术部位感染率显著相关，翻修手术,锁骨骨折切开复位内固定术后30天内再入院。
方法：作者查询了美国外科医生协会国家外科质量改进计划数据库中所有在2015年至2020年期间接受了锁骨骨折切开复位内固定治疗的患者。多元逻辑回归，针对显著的患者人口统计学和合并症进行了调整，用于确定当前吸烟状况与术后并发症之间的关联。
结果：总计，本研究包括6,132名患者，其中1,510名（24.6％）是当前吸烟者，4,622名（75.4％）是非吸烟者。多变量分析发现，当前吸烟状况与较高的深切口手术部位感染率显着相关（OR，7.87；95%CI，1.51至41.09；P=0.014），翻修手术（或，2.74；95%CI，1.67~4.49；P<0.001），和重新接纳(或，3.29；95%CI，1.84~5.89；P<0.001）。
结论：目前的吸烟状况与较高的深切口手术部位感染率显著相关，翻修手术,锁骨骨折切开复位内固定术后30天内再入院。
