ArticleBMC health services research2024
Hospital length of stay and readmission after elective surgery: a comparison of current and former smokers with non-smokers.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient outcomes after implementation of transitional care protocols in elective neurosurgery: a systematic review and meta-analysis.Neurosurgical review · 2024Pooled it
- Pilot Trial of a Behavioral Economics-Informed Clinical Decision Support Alert to Improve Inpatient Tobacco Use Treatment Rates.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Trial
- Impact of Smoking Status on Early Outcomes and Healthcare Utilization Following Primary Total Knee Arthroplasty: A Retrospective Cohort Study.The Journal of arthroplasty · 2026Article
- Machine learning models incorporating somatic and mental comorbidities for prolonged length-of-stay prediction in a maximum care university hospital.BMC medical informatics and decision making · 2025Article
- Surgical outcomes of smoking and nonsmoking women with lung adenocarcinoma.Journal of thoracic disease · 2025Article
- A mixed methods study exploring barriers and facilitators to secondary-care nurses discussing smoking cessation with patients: phase 1 of the Think Quit Study.BMC nursing · 2025Article
- Gulf region smoking mortality trends and forecasts: A 30-year systematic evaluation of tobacco-attributable deaths.Tobacco induced diseases · 2025Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to investigate differences between non-smokers, ex-smokers and current smokers in hospital length of stay (LOS), readmission (seven and 28 days) and cost of readmission for patients admitted for elective surgery.
methodsA retrospective cohort study of administrative inpatient data from 24, 818 patients admitted to seven metropolitan hospitals in Western Australia between 1 July 2016 and 30 June 2019 for multiday elective surgery was conducted. Data included smoking status, LOS, procedure type, age, sex and Indigenous status. LOS for smoking status was compared using multivariable negative binomial regression. Odds of readmission were compared for non-smokers and both ex-smokers and current smokers using separate multivariable logistic regression models.
resultsMean LOS for non-smokers (4.7 days, SD=5.7) was significantly lower than both ex-smokers (6.2 days SD 7.9) and current smokers (6.1 days, SD=8.2). Compared to non-smokers, current smokers and ex-smokers had significantly higher odds of readmission within seven (OR=1.29; 95% CI: 1.13, 1.47, and OR=1.37; 95% CI: 1.19, 1.59, respectively) and 28 days (OR=1.35; 95% CI: 1.23, 1.49, and OR=1.53; 95% CI: 1.39, 1.69, respectively) of discharge. The cost of readmission for seven and 28-day readmission was significantly higher for current smokers compared to non-smokers (RR=1.52; 95% CI: 1.1.6, 2.0; RR=1.39; 95% CI: 1.18, 1.65, respectively).
conclusionAmong patients admitted for elective surgery, hospital LOS, readmission risk and readmission costs were all higher for smokers compared with non-smokers. The findings indicate that provision of smoking cessation treatment for adults undergoing elective surgery is likely to produce multiple benefits.
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