Abstract
Smokers are at increased risk of postoperative complications. Electronic nicotine
delivery systems (ENDS; or electronic cigarettes) could be a useful tool to reduce
harm in the perioperative period. This pilot study examined the attitudes, beliefs,
and practices of smokers scheduled for elective surgery regarding ENDS. This was a
cross-sectional survey of current cigarette smokers who were evaluated in a preoperative
clinic before elective surgery at Mayo Clinic. Measures included demographic characteristics,
smoking history, 2 indices assessing the perception of how smoking affected health
risks, ENDS use history, and 3 indices assessing interest in, perceived benefits of,
and barriers to using ENDS in the perioperative period. Of the 112 smokers who completed
the survey, 62 (55%) had tried ENDS and 24 (21%) reported current use. The most commonly
stated reason for using ENDS was to quit smoking. Approximately 2 in 3 participants
would be willing to use ENDS to help them reduce or eliminate perioperative cigarette
use, and similar proportions perceived health benefits of doing so. Of the factors
studied, only attempted to quit within the last year was significantly associated
with increased interest in the perioperative use of ENDS (P=.03). Compared with participants who had tried ENDS (n=62), those who had never tried
ENDS (n=50) had a significantly increased interest in the perioperative use of ENDS.
A substantial proportion of patients scheduled for elective surgery had tried ENDS
and would consider using ENDS to reduce perioperative use of cigarettes.
Abbreviations and Acronyms:
ENDS (electronic nicotine delivery system), NRT (nicotine replacement therapy)To read this article in full you will need to make a payment
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Article Info
Footnotes
For editorial comment, see page 1; for a related article, see page 128
Dr Kadimpati is currently affiliated with Lutheran Medical Center, Seattle, WA.
Grant Support: This study was supported by Mayo Foundation , Rochester, MN.
Identification
Copyright
© 2015 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.
