Department of Cardiology, Sisli Hamidiye Etfal Education and Research Hospital, Sisli, Istanbul, Turkey.
Cardiolgy Department, Taksim Gaziosmanpasa Education and Research Hospital, Istanbul, Turkey.
J Public Health (Oxf). 2018 Dec 1;40(4):806-812. doi: 10.1093/pubmed/fdx138.
Although smoking is an established risk factor for coronary artery disease, smoking cessation efforts, as part of a lifestyle change, have been disappointing so far. Therefore, assessing current smoking trends and identifying patients who are at risk of smoking continuation is of paramount importance. In this study, our aim was to assess current smoking rates after coronary revascularization as of 2017, and to define factors that potentially affect smoking cessation.
Overall, 350 patients who had undergone coronary revascularization, either by percutaneous coronary intervention or bypass surgery were included in this cross-sectional, observational study. Patients were queried for various sociodemographic characteristics and smoking habits. Disease related data were obtained from the hospital archives.
The overall smoking rate was 57% after coronary revascularization. Age, bypass surgery and the occurrence of in-hospital adverse events were found to be independent predictors of smoking cessation in multivariate analysis.
Despite efforts, smoking rates after coronary intervention remain substantially high. Therefore, a multidisciplinary approach to smoking cessation that incorporates cardiac rehabilitation programs and medications should be implemented in clinical practice.
尽管吸烟是冠心病的既定危险因素，但作为生活方式改变的一部分，戒烟努力迄今为止一直令人失望。因此，评估当前的吸烟趋势并确定有继续吸烟风险的患者至关重要。在这项研究中，我们的目的是评估截至 2017 年冠状动脉血运重建后的当前吸烟率，并确定可能影响戒烟的因素。
本横断面观察性研究共纳入 350 名接受冠状动脉血运重建的患者，包括经皮冠状动脉介入治疗或旁路手术。对患者进行各种社会人口统计学特征和吸烟习惯的询问。疾病相关数据从医院档案中获得。
冠状动脉血运重建后总的吸烟率为 57%。多变量分析发现，年龄、旁路手术和住院期间不良事件的发生是戒烟的独立预测因素。
尽管进行了努力，但经冠状动脉介入治疗后的吸烟率仍然很高。因此，应在临床实践中实施包括心脏康复计划和药物在内的多学科戒烟方法。
