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Improving smoking c...
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Leosdottir, MargretLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital
(författare)
Improving smoking cessation after myocardial infarction by systematically implementing evidence-based treatment methods
- Artikel/kapitelEngelska2022
Förlag, utgivningsår, omfång ...
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2022-01-12
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Nature Portfolio,2022
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:oru-96729
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-96729URI
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https://doi.org/10.1038/s41598-021-04634-5DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:148583123URI
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https://lup.lub.lu.se/record/f07edaa5-124b-467d-9141-1d12c57a3145URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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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.
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Wärjerstam, SanneDepartment of Cardiology, Skane University Hospital, Malmö, Sweden
(författare)
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Michelsen, Halldora ÖgmundsdottirLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Helsingborg Hospital(Swepub:lu)ha1853mi
(författare)
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Schlyter, MonaDepartment of Cardiology, Skane University Hospital, Malmö, Sweden
(författare)
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Hag, EmmaDepartment of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
(författare)
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Wallert, JohnKarolinska Institute,Karolinska Institutet
(författare)
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Larsson, Matz,1955-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(Swepub:lu)ma5873la
(författare)
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Internmedicin - epidemiologiForskargrupper vid Lunds universitet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scientific Reports: Nature Portfolio12:12045-2322
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