{"id":5865,"date":"2025-04-18T19:56:38","date_gmt":"2025-04-18T17:56:38","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/amelioration-du-soutien-a-larret-du-tabac-necessaire-aux-patients-chirurgicales-a-travers-leurope-disent-les-experts\/"},"modified":"2025-04-18T19:56:38","modified_gmt":"2025-04-18T17:56:38","slug":"amelioration-du-soutien-a-larret-du-tabac-necessaire-aux-patients-chirurgicales-a-travers-leurope-disent-les-experts","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/amelioration-du-soutien-a-larret-du-tabac-necessaire-aux-patients-chirurgicales-a-travers-leurope-disent-les-experts\/","title":{"rendered":"Am\u00e9lioration du soutien \u00e0 l’arr\u00eat du tabac n\u00e9cessaire aux patients chirurgicales \u00e0 travers l’Europe, disent les experts"},"content":{"rendered":"
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Les fumeurs et les personnes qui ont r\u00e9cemment d\u00e9missionn\u00e9 sont plus susceptibles de faire face \u00e0 des complications apr\u00e8s avoir eu une op\u00e9ration que les non-fumeurs, r\u00e9v\u00e8le une nouvelle \u00e9tude.<\/p>\n

Les experts disent qu’il y a un besoin urgent d’une action cibl\u00e9e pour encourager les gens \u00e0 arr\u00eater de fumer avant de subir une chirurgie \u00e9lective, apr\u00e8s la recherche paneurop\u00e9enne, a r\u00e9v\u00e9l\u00e9 que 19,5% des patients en chirurgie \u00e9lective sont des fumeurs actuels.<\/p>\n

Les chercheurs ont d\u00e9couvert des taux de tabagisme plus \u00e9lev\u00e9s chez les patients plus jeunes (18\u201340 ans: 26,8%) et les patients masculins (22,1%). Les adultes en bonne sant\u00e9 sans conditions \u00e0 long terme pr\u00e9sentaient \u00e9galement des taux de tabagisme plus \u00e9lev\u00e9s (24,6%).<\/p>\n

Publier leurs r\u00e9sultats dans La sant\u00e9 r\u00e9gionale de Lancet – Europe<\/i>les chercheurs de l’Universit\u00e9 de Birmingham, travaillant avec le Starsurg Collaborative, r\u00e9v\u00e8lent que les fumeurs actuels et les ex-fumeurs r\u00e9cents (ceux qui quittent dans les six semaines \u00e0 un an avant la chirurgie) sont confront\u00e9s \u00e0 des chances plus \u00e9lev\u00e9es de complications postop\u00e9ratoires par rapport aux patients qui n’avaient jamais fum\u00e9.<\/p>\n

L’auteur principal, le Dr Sivesh Kamarajah, de l’Universit\u00e9 de Birmingham, a d\u00e9clar\u00e9: \u00abNos r\u00e9sultats mettent en \u00e9vidence la forte pr\u00e9valence du tabagisme chez les patients chirurgicaux \u00e9lectifs, en particulier chez les personnes plus jeunes et plus saines. \u00c9tant donn\u00e9 que nous savons que ces patients sont plus susceptibles que les non-fumeurs de subir des complications postop\u00e9ratoires n\u00e9cessitant des jours de lit suppl\u00e9mentaires, le co\u00fbt potentiel du NHS est \u00e9norme.\u00a0\u00bb<\/p>\n

\u00ab\u00a0Cela pr\u00e9sente une occasion unique pour les prestataires de soins de sant\u00e9 de mettre en place des strat\u00e9gies efficaces de sevrage tabagique, l’am\u00e9lioration des r\u00e9sultats chirurgicaux \u00e0 court terme et de la sant\u00e9 \u00e0 long terme. L’int\u00e9gration de programmes solides pour aider les gens \u00e0 arr\u00eater de fumer dans les syst\u00e8mes chirurgicaux \u00e9lectifs peut conduire \u00e0 des soins pr\u00e9ventifs plus efficaces dans l’ensemble du syst\u00e8me de sant\u00e9.\u00a0\u00bb<\/p>\n

Les chercheurs ont analys\u00e9 les donn\u00e9es de 16 327 patients dans 442 h\u00f4pitaux dans 29 pays europ\u00e9ens. L’\u00e9tude a \u00e9t\u00e9 men\u00e9e dans le cadre de l’\u00e9tude de cohorte Cascade, impliquant une analyse compl\u00e8te du statut tabagique et son impact sur les complications postop\u00e9ratoires chez les patients subissant une chirurgie abdominale \u00e9lective.<\/p>\n

\u00ab\u00a0Nous avons trouv\u00e9 des taux de complications \u00e9lev\u00e9s jusqu’\u00e0 un an apr\u00e8s avoir arr\u00eat\u00e9 de fumer, ce qui est surprenant et remet en question la convention actuelle\u00a0\u00bb, a ajout\u00e9 le Dr Kamarajah.<\/p>\n

\u00ab\u00a0Les mauvais r\u00e9sultats \u00e0 court terme parmi les fumeurs actuels expose le besoin urgent de renforcer les voies de sevrage tabagique pour les soins chirurgicaux \u00e9lectifs planifi\u00e9s, o\u00f9 les temps d’attente peuvent se situer jusqu’\u00e0 trois \u00e0 six mois avant la chirurgie.\u00a0\u00bb<\/p>\n

Le tabagisme reste un facteur de risque de premier plan dans le monde, contribuant \u00e0 plus de 10% de tous les d\u00e9c\u00e8s et pr\u00e8s de 142 millions d’ann\u00e9es de vie perdues chaque ann\u00e9e. Malgr\u00e9 des mesures de sant\u00e9 publique concert\u00e9e, l’Europe conserve la pr\u00e9valence r\u00e9gionale du tabagisme la plus \u00e9lev\u00e9e, avec 36% des hommes et 20% des femmes qui fument activement.<\/p>\n

Dans les soins de sant\u00e9, les activit\u00e9s \u00e9lectives en soins secondaires, y compris la chirurgie planifi\u00e9e, repr\u00e9sentent un cadre critique mais sous-enlev\u00e9 pour des interventions pr\u00e9ventives telles que le sevrage tabagique. Les lignes directrices existantes recommandent un sevrage tabagique jusqu’\u00e0 six semaines avant la chirurgie pour r\u00e9duire le risque de complications; Cependant, ces directives sont largement bas\u00e9es sur des \u00e9tudes men\u00e9es il y a plus d’une d\u00e9cennie.<\/p>\n

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Les fumeurs et les personnes qui ont r\u00e9cemment d\u00e9missionn\u00e9 sont plus susceptibles de faire face<\/p>\n","protected":false},"author":1,"featured_media":3626,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[3660,171,4942,1187,1098,153,49,3795,1869,616,18,154,1350],"class_list":["post-5865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-addictions","tag-amelioration","tag-aux","tag-chirurgicales","tag-disent","tag-experts","tag-larret","tag-les","tag-leurope","tag-necessaire","tag-patients","tag-soutien","tag-tabac","tag-travers","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nAm\u00e9lioration du soutien \u00e0 l'arr\u00eat du tabac n\u00e9cessaire aux patients chirurgicales \u00e0 travers l'Europe, disent les experts - RVH-Synergie.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rvh-synergie.org\/actualites\/amelioration-du-soutien-a-larret-du-tabac-necessaire-aux-patients-chirurgicales-a-travers-leurope-disent-les-experts\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Am\u00e9lioration du soutien \u00e0 l'arr\u00eat du tabac n\u00e9cessaire aux patients chirurgicales \u00e0 travers l'Europe, disent les experts - 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