[Smoking cessation rate in cardiovascular patients after percutaneous coronary intervention]
Li-jun Zhang1, Jin-ming Yu, Jie Huang
1Clinical Research Institute, Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China.
Insights
More than half of cardiovascular patients successfully quit smoking after percutaneous coronary intervention (PCI). Factors like age and physician recommendations influence smoking cessation success in these patients.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Context:
- Cardiovascular disease (CVD) patients undergoing percutaneous coronary intervention (PCI) represent a critical population for smoking cessation interventions.
- Smoking remains a significant risk factor for adverse cardiovascular events post-PCI.
- Understanding cessation rates and influencing factors is crucial for improving patient outcomes.
Purpose:
- To determine the smoking cessation rate among cardiovascular patients following PCI.
- To identify factors associated with successful smoking cessation in this patient group.
Summary:
- A cross-sectional survey of 1241 patients across 14 Chinese hospitals revealed a 55.4% smoking cessation success rate one year after PCI.
- Older age and higher motivation were associated with increased likelihood of quitting.
- Increased daily cigarette consumption correlated with a higher attempt rate but lower success rate.
Impact:
- Findings highlight the potential for significant smoking cessation in post-PCI patients.
- Identifies key demographic and behavioral factors (age, smoking history, motivation, physician advice) that can be targeted for enhanced cessation support.
- Provides evidence for tailored smoking cessation strategies in cardiovascular care settings.
Objective:
To investigate the smoking cessation rate and its related factors in cardiovascular patients after percutaneous coronary intervention.
Methods:
A cross-sectional survey of 1241 outpatients or inpatients fulfilling the inclusion criteria was conducted at 14 hospitals across China.
Results:
The survey population mainly consisted of middle-aged male patients with an average age of (59.9 ± 10.7) years old. Their median time after surgery was 1.5 years. Among them, 77.4% tried to quit smoking while 55.4% succeed. The elder men were more likely to try to quit smoking and succeed eventually (OR values: 1.02 vs 1.03). The higher number of cigarettes smoked daily, the greater possibility of trying to quit smoking (OR = 1.03), but less likely to quit smoking eventually (OR = 0.97). Furthermore the years of smoking and cessation motivation had impacts on the cessation behaviors as well.
Conclusion:
Smoking cessation was achieved in more than half of the patients at one year after PCI. Age, years of smoking, daily number of cigarettes, concurrent diseases and physician recommendations are the influencing factors of smoking cessation.
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