Volume 29, Issue 4 (Iran South Med J 2026)
Iran South Med J 2026, 29(4): 195-206 |
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Merajikhah A, Imani B, Khazaei S, Bouraghi H. Biological Consequences of Exposure to Surgical Smoke in Operating Room Person-nel: A Cross‑Sectional Study on Surgical and Anesthesia Teams at Selected Hospi-tals in Hamadan. Iran South Med J 2026; 29 (4) :195-206
URL: http://ismj.bpums.ac.ir/article-1-2642-en.html
URL: http://ismj.bpums.ac.ir/article-1-2642-en.html
1- Department of Operating Room, Sabzevar University of Medical Sciences, Sabzevar, Iran
2- Department of Operating Room, School of Paramedical Sciences, Hamadan University of Medical Sciences, Hama-dan, Iran ,Behzadiman@umsha.ac.ir
3- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Health Information Technology, School of Paramedical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Operating Room, School of Paramedical Sciences, Hamadan University of Medical Sciences, Hama-dan, Iran ,
3- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Health Information Technology, School of Paramedical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract: (21 Views)
Background: Surgical smoke generated during surgical procedures contains hazardous biological particles that can pose significant health risks to the operating room personnel.
Materials and Methods: This descriptive-analytical study included 371 personnel from the surgical and anesthesia teams selected using census sampling. Subsequently, data were collected using a researcher-made questionnaire assessing surgical smoke complications, which was developed based on a systematic review. The validity and reliability of the questionnaire were assessed and confirmed by a panel of13 qualified subject-matter experts and professors. Descriptive statistics (mean, standard deviation, frequency, percentage) were used for quantitative and qualitative data, the chi-square test was applied to examine the relationships between quantitative and qualitative variables, and logistic regression was used to investigate the relationships between surgical smoke and demographic information using SPSS software version 26.
Results: No significant relationship was observed between work experience and throat lump, pneumonia, and perception of unpleasant odor while a significant relationship was observed between work experience and other complications (P<0.005). This study found no significant relationship between occupation and sneezing, throat lump, pneumonia, bronchiolitis, emphysema, headache, watery eyes, and vomiting. Additionally, no significant relationship was observed between gender and foul hair odor, watery eyes, laryngitis, sore throat, throat lump, and pneumonia. The surgical team experienced more complications than the anesthesia team. The regression model revealed a direct relationship between surgical smoke complications and work experience, and an inverse relationship with education, type of occupation, and age.
Conclusion: The prevalence of complications increased with increasing work experience, whereas higher education was associated with a reduction in surgical smoke complications. The surgical team experienced more complications than the anesthesia team. Implementation of protective measures such as proper ventilation systems, smoke evacuation, appropriate masks, and staff training is recommended.
Materials and Methods: This descriptive-analytical study included 371 personnel from the surgical and anesthesia teams selected using census sampling. Subsequently, data were collected using a researcher-made questionnaire assessing surgical smoke complications, which was developed based on a systematic review. The validity and reliability of the questionnaire were assessed and confirmed by a panel of13 qualified subject-matter experts and professors. Descriptive statistics (mean, standard deviation, frequency, percentage) were used for quantitative and qualitative data, the chi-square test was applied to examine the relationships between quantitative and qualitative variables, and logistic regression was used to investigate the relationships between surgical smoke and demographic information using SPSS software version 26.
Results: No significant relationship was observed between work experience and throat lump, pneumonia, and perception of unpleasant odor while a significant relationship was observed between work experience and other complications (P<0.005). This study found no significant relationship between occupation and sneezing, throat lump, pneumonia, bronchiolitis, emphysema, headache, watery eyes, and vomiting. Additionally, no significant relationship was observed between gender and foul hair odor, watery eyes, laryngitis, sore throat, throat lump, and pneumonia. The surgical team experienced more complications than the anesthesia team. The regression model revealed a direct relationship between surgical smoke complications and work experience, and an inverse relationship with education, type of occupation, and age.
Conclusion: The prevalence of complications increased with increasing work experience, whereas higher education was associated with a reduction in surgical smoke complications. The surgical team experienced more complications than the anesthesia team. Implementation of protective measures such as proper ventilation systems, smoke evacuation, appropriate masks, and staff training is recommended.
Original: Original |
Subject:
Public Health
Received: 2026/02/15 | Accepted: 2026/08/17 | Published: 2026/09/26
Received: 2026/02/15 | Accepted: 2026/08/17 | Published: 2026/09/26
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