Tobak, alkohol og fedme för planlagt kirurgi.Forekomst og motivation for risikoreduktion
Engelsk titel: Smoking, alcohol overconsumption and obesity before elective surgery. Prevalence and patient motivation for risk reduction
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Författare:
Boel T
;
Kannegaard PN
;
Goldstein H
;
Andersen T
Email: boel@dadlnet.dk
Språk: Dan
Antal referenser: 18
Dokumenttyp:
Artikel
UI-nummer: 04091131
Sammanfattning
Introduction: Smoking, alcohol overconsumption and obesity are risk factors in relation to surgery. To obtain prevalence data on the risk factors, we studied a group of patients at their first outpatient visit after having been referred to hospital. Furthermore, it was our purpose to elucidate patients' motivation to make lifestyle changes in order to reduce surgical risk. Materials and methods: A questionnaire was mailed to all patients with benign diagnoses referred to one of four out- patient clinics and seen during 10 weeks between June and October 2002. The responders' height and weight were measured. The study comprised 538 patients. Results: Nine percent of the patients had an alcohol intake above the recommendations of the Danish National Board of Health. Eighteen percent of the patients had a body mass index (BMI) greater than or equal to 30 kg/m2 , and 33% were smokers. Half of the patients had none of the risk factors. For each risk factor, more than 80% of the patients were willing to make a lifestyle change if help for such a change were provided by the hospital. Motivation was unrelated to gender, age (under or over 60 years of age) or decision whether to have surgery or not. The non-response rate was 56%. Discussion: In this population, we found risk factor prevalences at the level of those of the general population. A vast majority of patients with high risk factors were motivated to make a lifestyle change. This study supports the hypothesis that lifestyle intervention should be offered systematically to patients referred to hospital for elective benign surgery.