Tobacco smoking portends worse functional outcomes after acetabular fracture

IF 2.1 3区医学 Q2 ORTHOPEDICS Archives of Orthopaedic and Trauma Surgery Pub Date : 2025-04-17 DOI:10.1007/s00402-025-05863-3

Natasha M. Simske, Isabella M. Heimke, Alexander Rascoe, Heather A. Vallier

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Abstract

Introduction

Modifiable patient-related factors contribute to morbidity and functional outcomes after acetabular fracture. This study will investigate the relationship between tobacco smoking and patient-reported functional outcomes after acetabular fracture.

Materials and methods

A retrospective cohort study of 770 patients with 782 acetabulum fractures was performed following operative (n = 535, 68%) or non-operative (n = 247, 32%) management. Musculoskeletal Function Assessment (MFA) scores were assessed a minimum of 12-months after injury in 37.5% of patients.

Results

Tobacco smoking was pervasive with 44% current users and 14% former users. Current tobacco smokers had higher associated MFA scores, when compared to former and never smokers (42.7 vs. 36.5 and 26, p < 0.001). On linear regression analysis, history of tobacco smoking (current or former) was a risk factor for higher, worse outcomes on the MFA (B = 9.86, p = 0.02).

Conclusions

Current or former tobacco smoking was predictive of worse patient-reported functional outcomes scores after acetabular fracture.

Level of evidence

Level III, Prognostic.

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吸烟预示着髋臼骨折后更差的功能结局

可改变的患者相关因素影响髋臼骨折后的发病率和功能结局。本研究将探讨吸烟与髋臼骨折后患者报告的功能结果之间的关系。材料与方法对770例782例髋臼骨折患者进行回顾性队列研究，分别采用手术（535例，占68%）和非手术（247例，占32%）治疗。37.5%的患者在受伤后至少12个月评估肌肉骨骼功能评估（MFA）评分。结果吸烟普遍存在，目前吸烟者占44%，曾经吸烟者占14%。与戒烟者和从不吸烟者相比，当前吸烟者的相关MFA评分更高（42.7比36.5和26，p < 0.001）。在线性回归分析中，吸烟史（现在或以前）是MFA较高、较差结局的危险因素（B = 9.86, p = 0.02）。结论当前或既往吸烟可预测髋臼骨折后患者报告的功能预后评分较差。证据等级：III级，预后。

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来源期刊

Archives of Orthopaedic and Trauma Surgery 医学-外科

CiteScore

4.30

自引率

13.00%

发文量

424

审稿时长

2 months

期刊介绍： "Archives of Orthopaedic and Trauma Surgery" is a rich source of instruction and information for physicians in clinical practice and research in the extensive field of orthopaedics and traumatology. The journal publishes papers that deal with diseases and injuries of the musculoskeletal system from all fields and aspects of medicine. The journal is particularly interested in papers that satisfy the information needs of orthopaedic clinicians and practitioners. The journal places special emphasis on clinical relevance. "Archives of Orthopaedic and Trauma Surgery" is the official journal of the German Speaking Arthroscopy Association (AGA).