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Improving smoking c...
Improving smoking cessation after myocardial infarction by systematically implementing evidence-based treatment methods
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- Leosdottir, Margret (författare)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital
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- Wärjerstam, Sanne (författare)
- Department of Cardiology, Skane University Hospital, Malmö, Sweden
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- Michelsen, Halldora Ögmundsdottir (författare)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Helsingborg Hospital
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- Schlyter, Mona (författare)
- Department of Cardiology, Skane University Hospital, Malmö, Sweden
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- Hag, Emma (författare)
- Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
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- Wallert, John (författare)
- Karolinska Institute,Karolinska Institutet
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- Larsson, Matz, 1955- (författare)
- Lund University,Lunds universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Clinical Health Promotion Centre, Lund University, Lund, Sweden; The Heart, Lung and Physiology Clinic, Örebro University Hospital, Örebro, Sweden,Kliniskt Centrum för Hälsofrämjande Vård,Forskargrupper vid Lunds universitet,Lund University Research Groups
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(creator_code:org_t)
- 2022-01-12
- 2022
- Engelska.
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Ingår i: Scientific Reports. - : Nature Portfolio. - 2045-2322. ; 12:1
- Relaterad länk:
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https://doi.org/10.1...
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https://www.nature.c...
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- We compared the odds of smoking cessation at 2-months post-myocardial infarction (MI), before and after implementing routines optimizing use of evidence-based smoking cessation methods, with start during admission. The following routines were implemented at six Swedish hospitals: cardiac rehabilitation nurses offering smokers consultation during admission, optimizing nicotine replacement therapy and varenicline prescription, and contacting patients by telephone during the 1st week post-discharge. Using logistic regression, odds for smoking cessation at 2-months before (n smokers/n admitted = 188/601) and after (n = 195/632) routine implementation were compared. Secondary outcomes included adherence to implemented routines and assessing the prognostic value of each routine on smoking cessation. After implementation, a larger proportion of smokers (65% vs. 54%) were abstinent at 2-months (OR 1.60 [1.04-2.48]). Including only those counselled during admission (n = 98), 74% were abstinent (2.50 [1.42-4.41]). After implementation, patients were more often counselled during admission (50% vs. 6%, p < 0.001), prescribed varenicline (23% vs. 7%, p < 0.001), and contacted by telephone post-discharge (18% vs. 2%, p < 0.001). Being contacted by telephone post-discharge (adjusted OR 2.74 [1.02-7.35]) and prescribed varenicline (adjusted OR 0.39 [0.19-0.83]) predicted smoking cessation at 2-months. In conclusion, readily available methods for aiding smoking cessation can be implemented effectively in routine practice, with beneficial effects for post-MI patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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