Smoking cessation in European patients with coronary heart disease. Results from the EUROASPIRE IV survey: A registry from the European Society of Cardiology.
Τίτλος | Smoking cessation in European patients with coronary heart disease. Results from the EUROASPIRE IV survey: A registry from the European Society of Cardiology. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Snaterse, M., Deckers J. W., Lenzen M. J., Jorstad H. T., De Bacquer D., Peters R. J. G., Jennings C., Kotseva K., & Reimer W. J. M. Scholt |
Corporate Authors | EUROASPIRE Investigators |
Journal | Int J Cardiol |
Volume | 258 |
Pagination | 1-6 |
Date Published | 2018 05 01 |
ISSN | 1874-1754 |
Λέξεις κλειδιά | Aged, Coronary Disease, Cross-Sectional Studies, Europe, Female, Humans, Male, Middle Aged, Registries, Smoking, Smoking Cessation, Surveys and Questionnaires |
Abstract | OBJECTIVE: We investigated smoking cessation rates in coronary heart disease (CHD) patients throughout Europe; current and as compared to earlier EUROASPIRE surveys, and we studied characteristics of successful quitters.METHODS: Analyses were done on 7998 patients from the EUROASPIRE-IV survey admitted for myocardial infarction, unstable angina and coronary revascularisation. Self-reported smoking status was validated by measuring carbon monoxide in exhaled air.RESULTS: Thirty-one percent of the patients reported being a smoker in the month preceding hospital admission for the recruiting event, varying from 15% in centres from Finland to 57% from centres in Cyprus. Smoking rates at the interview were also highly variable, ranging from 7% to 28%. The proportion of successful quitters was relatively low in centres with a low number of pre- event smokers. Overall, successful smoking cessation was associated with increasing age (OR 1.50; 95% CI 1.09-2.06) and higher levels of education (OR 1.38; 95% CI 1.08-1.75). Successful quitters more frequently reported that they had been advised (56% vs. 47%, p < .001) and to attend (81% vs. 75%, p < .01) a cardiac rehabilitation programme.CONCLUSION: Our study shows wide variation in cessation rates in a large contemporary European survey of CHD patients. Therefore, smoking cessation rates in patients with a CHD event should be interpreted in the light of pre-event smoking prevalence, and caution is needed when comparing cessation rates across Europe. Furthermore, we found that successful quitters reported more actions to make healthy lifestyle changes, including participating in a cardiac rehabilitation programme, as compared with persistent smokers. |
DOI | 10.1016/j.ijcard.2018.01.064 |
Alternate Journal | Int J Cardiol |
PubMed ID | 29544918 |