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Published on: March 27, 2018
Impact of coronary artery bypass graft surgery in smoking cessation
Rosa Cecília Pietrobon1, Juarez Neuhaus Barbisan
1Instituto de Cardiologia do Rio Grande do Sul/ Fundação Universitária de Cardiologia, Porto Alegre, RS, Brasil.
Insights
Following coronary artery bypass graft surgery, a high percentage of patients successfully quit smoking. This demonstrates that heart surgery is a significant factor in achieving smoking cessation.
Area of Science:
- Cardiology
- Public Health
- Addiction Medicine
Background:
- Tobacco use is a major modifiable risk factor for cardiovascular disease.
- Limited research exists on smoking cessation rates in patients undergoing heart surgery.
Purpose of the Study:
- To determine the frequency of smoking cessation in patients who underwent coronary artery bypass graft surgery.
Main Methods:
- A cohort study included 203 adult patients undergoing coronary artery bypass graft surgery between January 2006 and March 2007.
- Patients were interviewed about pre- and postoperative smoking habits.
- Smokers were assessed for nicotine dependence using the Fagerström Nicotine Dependence Test and followed for 60 and 90 days post-surgery.
Main Results:
- The study group had a mean age of 62 years, with 66% being male.
- Prior to surgery, 71.9% of patients were smokers.
- A high cessation rate was observed: 93.15% and 93.84% of patients remained non-smokers at 60 and 90 days post-surgery, respectively.
Conclusions:
- Coronary artery bypass graft surgery serves as a significant determinant for smoking cessation.
- The findings highlight the potential for surgical interventions to positively impact smoking cessation behaviors in cardiac patients.
Background:
Tobacco use is an important modifiable risk factor for cardiovascular disease. Few studies have investigated the frequency of smoking cessation among patients submitted to heart surgery.
Objective:
To determine the frequency of smoking cessation in patients submitted to coronary artery bypass graft surgery.
Methods:
In this cohort study, 203 consecutive patients, aged above 18, submitted to coronary artery bypass graft surgery in the period from January 2006 to March 2007, were interviewed in relation to the use of cigarettes in the pre- and postoperative period. Smokers were stratified according to the levels of nicotine dependence with the use of Fagerström Nicotine Dependence Test. They were followed as outpatients during 60 and 90 days for the occurrence of smoking.
Results:
The mean age of the group was 62 +/- 10 years, and 134 (66%) were male. Before surgery, 146 (71.9%) patients were smokers. A significant number of patients stopped smoking in the postoperative period: 136 (93.15%) and 137 (93.84%) on days 60 and 90, respectively, remained not smoking after surgery.
Conclusion:
Coronary artery bypass graft surgery is an important determinant of smoking cessation.
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