ACHIEVE Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.
Department of Cardiology, Thoraxcenter, Erasmus Medical Centre, Rotterdam, the Netherlands.
Int J Cardiol. 2018 May 1;258:1-6. doi: 10.1016/j.ijcard.2018.01.064.
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.
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.
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.
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.
我们调查了整个欧洲冠心病（CHD）患者的戒烟率；当前戒烟率与早期 EUROASPIRE 调查相比，同时研究了成功戒烟者的特征。
对 EUROASPIRE-IV 调查中因心肌梗死、不稳定型心绞痛和冠状动脉血运重建而住院的 7998 例患者进行了分析。通过测量呼出空气中的一氧化碳来验证自我报告的吸烟状况。
31%的患者报告在因招募事件住院前一个月吸烟，芬兰中心的吸烟率为 15%，塞浦路斯中心的吸烟率为 57%。在采访时，吸烟率也存在很大差异，范围从 7%到 28%。在事件前吸烟人数较少的中心，成功戒烟者的比例相对较低。总的来说，成功戒烟与年龄增加（OR 1.50；95%CI 1.09-2.06）和教育程度提高（OR 1.38；95%CI 1.08-1.75）相关。成功戒烟者更常报告他们接受过戒烟建议（56%比 47%，p < 0.001）和参加过心脏康复计划（81%比 75%，p < 0.01）。
我们的研究表明，在一项针对欧洲 CHD 患者的大型当代调查中，戒烟率存在广泛差异。因此，在考虑 CHD 事件前的吸烟流行率的情况下，应解释患者的戒烟率，并且在比较整个欧洲的戒烟率时需要谨慎。此外，我们发现与持续吸烟者相比，成功戒烟者报告采取了更多的行动来改变健康的生活方式，包括参加心脏康复计划。
