TY - JOUR AU - Chiang, Han-Liang AU - Chia, Yuan-Yi AU - Lin, Huey-Shyan AU - Chen, Chen-Hsiu PY - 2016 DA - 2016/03/29 TI - The Implications of Tobacco Smoking on Acute Postoperative Pain: A Prospective Observational Study SP - 9432493 VL - 2016 AB - Background. The clinical importance of cigarette smoking on acute postoperative pain perception is not fully understood. Methods. To determine whether smokers who underwent major surgery need more postoperative opiate than do nonsmokers. We prospectively enrolled 407 male and 441 female participants who underwent in-hospital surgery. Current-smokers were compared with nonsmokers and past-smokers about opiate use during the first 72 h after surgery. Results. A greater proportion of males had more smoking history than females. The average age of male current-smokers is smaller than both nonsmokers and past-smokers. The surgical type (upper abdomen, lower abdomen, extremities, spine, and others) and duration of surgery have no differences between current-smokers, past-smokers, and nonsmokers. Statistically, the male current-smokers required more opiate analgesics during the first 72 h following surgery compared with the male nonsmokers and past-smokers; furthermore, the male current-smokers reported higher pain intensity when moving and at rest on day 1 after surgery. Conclusions. In this study, the male current-smokers required more morphine in the first 72 h after surgery than did the nonsmokers and past-smokers. Furthermore, smoking was more prevalent among the males than the females. Health care providers must be aware of the potential for increased narcotic requirements in male current-smokers. SN - 1203-6765 UR - https://doi.org/10.1155/2016/9432493 DO - 10.1155/2016/9432493 JF - Pain Research and Management PB - Hindawi Publishing Corporation KW - ER -