What question did this study set out to answer?

To evaluate smoking cessation patterns and identify clinical factors determining smoking cessation in patients with established coronary heart disease.

March 30, 2020BMC Cardiovascular DisordersOpen Access

Factors associated with smoking cessation in patients with coronary heart disease: a cohort analysis of the German subset of EuroAspire IV survey

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Why the study?

Tobacco smoking is a major risk factor for coronary heart disease, motivating an evaluation of smoking cessation patterns and associated factors in patients with established CHD.

Does participation in a cardiac rehabilitation program improve smoking cessation rates in patients with established coronary heart disease who were smokers at the index event?

Population

104 CHD patients who were current smokers at index event in Germany

Comparison

Smoking quitters vs non-quitters

Design

Cohort analysis

Follow-up

Median 3.5 years

Authors

DGDavid GoettlerUniversity of Würzburg MWMartin WagnerTufts Medical Center HFHermann FallerCross-Cutting Cardiology

Discussion

Member takes

Implication

May support cardiac rehab referral for smokers post-CHD; leaves open whether association is causal.

Key Points

To evaluate smoking cessation patterns and identify clinical factors determining smoking cessation in patients with established coronary heart disease.
Analyzed N=469 coronary heart disease patients from the German EuroAspire IV cohort, following 104 active smokers identified at the index event.
Assessed clinical status and smoking habits across three stages: medical record review at index event, an in-person interview 6 to 36 months post-event, and a telephone follow-up 2 years later.
Identified independent predictors of smoking status after a median observation period of 3.5 years using multivariable logistic regression analysis.
After a median follow-up of 3.5 years, 62.5% of baseline smokers (65 of 104) successfully quit smoking.
Cardiac rehabilitation attendance was significantly higher among quitters than non-quitters (83.1% vs 48.7%, p < 0.001), while depressed mood was less common in quitters (17.2% vs 35.9%, p = 0.03).
Multivariable logistic regression demonstrated that attending cardiac rehabilitation was independently associated with successful smoking cessation (OR 5.19; 95% CI, 1.87 to 14.46; p = 0.002).

Structured PICO

Does participation in a cardiac rehabilitation program improve smoking cessation rates in patients with established coronary heart disease who were smokers at the index event?

Population

104 adults (aged 18-79) with established coronary heart disease (CABG, PCI, AMI, or AMIsch) who were current smokers at the time of their index event, from the German subset of the EuroAspire IV survey. Mean age 59.1 years, 15.4% female.

Intervention

Participation in a cardiac rehabilitation program (attending at least half of recommended sessions) after the index CHD event

Comparator

Non-participation in a cardiac rehabilitation program

Outcome

Smoking status (cessation) at the telephone-based follow-up interview, median 3.5 years after the index eventpatient reported

Attending a cardiac rehabilitation program after a cardiovascular event is strongly associated with long-term smoking cessation, highlighting its value for secondary prevention.

Cite This Study

Goettler et al. (2020) studied this question.

synapsesocial.com/papers/6a7e4bea1fdb7ee677c76ab9 https://doi.org/10.1186/s12872-020-01429-w

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March 30, 2020BMC Cardiovascular DisordersOpen Access

Factors associated with smoking cessation in patients with coronary heart disease: a cohort analysis of the German subset of EuroAspire IV survey

View Full Paper

Ask AI

Bookmark

Why the study?

Tobacco smoking is a major risk factor for coronary heart disease, motivating an evaluation of smoking cessation patterns and associated factors in patients with established CHD.

Does participation in a cardiac rehabilitation program improve smoking cessation rates in patients with established coronary heart disease who were smokers at the index event?

Population

104 CHD patients who were current smokers at index event in Germany

Comparison

Smoking quitters vs non-quitters

Design

Cohort analysis

Follow-up

Median 3.5 years

Authors

DGDavid GoettlerUniversity of Würzburg MWMartin WagnerTufts Medical Center HFHermann FallerCross-Cutting Cardiology

Discussion

Member takes

Implication

May support cardiac rehab referral for smokers post-CHD; leaves open whether association is causal.

Key Points

To evaluate smoking cessation patterns and identify clinical factors determining smoking cessation in patients with established coronary heart disease.
Analyzed N=469 coronary heart disease patients from the German EuroAspire IV cohort, following 104 active smokers identified at the index event.
Assessed clinical status and smoking habits across three stages: medical record review at index event, an in-person interview 6 to 36 months post-event, and a telephone follow-up 2 years later.
Identified independent predictors of smoking status after a median observation period of 3.5 years using multivariable logistic regression analysis.
After a median follow-up of 3.5 years, 62.5% of baseline smokers (65 of 104) successfully quit smoking.
Cardiac rehabilitation attendance was significantly higher among quitters than non-quitters (83.1% vs 48.7%, p < 0.001), while depressed mood was less common in quitters (17.2% vs 35.9%, p = 0.03).
Multivariable logistic regression demonstrated that attending cardiac rehabilitation was independently associated with successful smoking cessation (OR 5.19; 95% CI, 1.87 to 14.46; p = 0.002).

Structured PICO

Does participation in a cardiac rehabilitation program improve smoking cessation rates in patients with established coronary heart disease who were smokers at the index event?

Population

Intervention

Participation in a cardiac rehabilitation program (attending at least half of recommended sessions) after the index CHD event

Comparator

Non-participation in a cardiac rehabilitation program

Outcome

Smoking status (cessation) at the telephone-based follow-up interview, median 3.5 years after the index eventpatient reported

Attending a cardiac rehabilitation program after a cardiovascular event is strongly associated with long-term smoking cessation, highlighting its value for secondary prevention.

Cite This Study

Goettler et al. (2020) studied this question.

synapsesocial.com/papers/6a7e4bea1fdb7ee677c76ab9 https://doi.org/10.1186/s12872-020-01429-w

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