Key result
Smoking was independently associated with an increased risk of post-operative complications following ORIF of distal upper extremity fractures (OR 1.43; 95% CI 1.15-1.78; P<0.001).
Why the study?
The study sought to determine the effect of smoking status on acute postoperative complications and evaluate smoking as an independent risk factor following open reduction and internal fixation of distal upper extremity fractures.
Does current smoking increase the risk of postoperative complications in adults undergoing ORIF of distal upper extremity fractures?
Population
22,002 adult patients undergoing ORIF of distal upper extremity fractures
Comparison
Current smokers vs non-smokers
Design
Retrospective database cohort study
Authors
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May inform risk counseling for smokers before distal upper extremity ORIF; leaves open whether cessation improves outcomes.
Cohort (n=22,002)
Yes
Does current smoking increase the risk of postoperative complications in adults undergoing ORIF of distal upper extremity fractures?
Odds Ratio: 1.43 (95% CI 1.15–1.78)
p-value: p=<0.001
Smoking independently increases the risk of overall complications, superficial infections, unplanned reoperation, and unplanned 30-day readmission following ORIF of distal upper extremity fractures.
Johnson et al. (2023) conducted a cohort in distal upper extremity fractures (n=22,002). Smoking vs. Non-smokers was evaluated on post-operative complications (OR 1.43, 95% CI 1.15-1.78, p=<0.001). Smoking was independently associated with an increased risk of post-operative complications following ORIF of distal upper extremity fractures (OR 1.43; 95% CI 1.15-1.78; P<0.001).
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