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Smoking behavior after coronary artery bypass surgery: Quit, relapse, continuing
Fotini Ampatzidou1, Rafail Ioannidis2, Odysseas Drosos3
1Department of Cardiac Surgery, ICU, Papanikolaou General Hospital, Thessaloniki, Greece.
Annals of Cardiac Anaesthesia
|May 3, 2021
Summary
Coronary Artery Bypass Graft (CABG) surgery motivates many patients to quit smoking initially, but sustained cessation is challenging. One year post-CABG, over 40% of patients relapse, highlighting the need for better smoking cessation support.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Background:
- Tobacco smoking is a primary risk factor for coronary artery disease.
- Coronary Artery Bypass Graft (CABG) surgery is a significant intervention for severe coronary artery disease.
Purpose of the Study:
- To evaluate if CABG surgery serves as a motivator for smoking cessation.
- To determine the success rate and relapse patterns of smoking cessation at least one year after CABG surgery.
Main Methods:
- A review of pre-operative characteristics, tobacco exposure, socioeconomic factors, and complications for isolated CABG patients (June 2012-September 2016).
- Phone interviews using a standardized questionnaire with current smokers at the time of surgery.
- Assessment of smoking status one year post-operation.
Main Results:
- Out of 120 patients, 91 (75.8%) initially quit smoking post-CABG.
- One year after surgery, the number of non-smokers decreased to 69 (57.5%) due to relapses.
- Smoking cessation attempts were not supported by professional assistance.
Conclusions:
- CABG patients show a strong desire to quit smoking, evidenced by high initial cessation rates.
- Sustained smoking cessation one year post-CABG is achieved by only 57.5% of patients.
- Factors influencing cessation include employment status, living situation, and presence of COPD.
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