A Systematic Review and Meta-analysis on the Prevalence of Smoking Cessation in Cardiovascular Patients After Participating in Cardiac Rehabilitation

Sadeghi, Masoumeh; Shabib, Ghadir; Masoumi, Gholamreza; Amerizadeh, Atefeh; Shahabi, Javad; Heidari, Ramin; Roohafza, Hamdreza

doi:10.1016/j.cpcardiol.2020.100719

Cited by 20 publications

(13 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may be due to the lower endurance of effort in smokers [ 41 ]. A review and meta-analysis of 18 studies (12 articles) [ 42 ] demonstrated that 53% of smoking patients with cardiovascular diseases quit smoking after participating in the CR program, which indicated that CR was effective in eliminating tobacco exposure. According to another analysis [ 43 ], 58% of the beneficial effects of CR can be attributed to the modification of cardiovascular risk factors, and about half of the 28% reduction in mortality related to cardiovascular disease can be attributed to a reduction in major risk factors, especially smoking.…”

Section: Discussionmentioning

confidence: 99%

Influence of Risk Factors on Exercise Tolerance in Patients after Myocardial Infarction—Early Cardiac Rehabilitation in Poland

Bryndal

Głowiński

Grochulska

2022

JCM

View full text Add to dashboard Cite

(1) Background: Prognosis in patients with cardiovascular diseases is significantly influenced by lifestyle and the control of risk factors. Patients after myocardial infarction require special care and promptly introduced cardiac rehabilitation. The primary aim of this study was to identify risk factors and their influence on exercise tolerance before and after cardiac rehabilitation (CR) provided under the Coordinated Specialist Care Programme—Infarct (CSC-Infarct). (2) Methods: The study was carried out at the Cardiac Rehabilitation Centre of Slupsk Specialist Hospital on a group of 112 patients aged 35–87 (62.78 ± 10.09 years) after myocardial infarction (MI), participating in CSC-Infarct. An exercise test (treadmill ECG test), the 6 min walk test (6MWT), echocardiography, blood test (total cholesterol, HDL, LDL, TG), measurement of diastolic pressure ratio (DPr), waist-to-hip ratio (WHR), and BMI were performed in participants on the first and last day of CR. Rating of perceived exertion was assessed with Borg’s scale. (3) Results: The overweight variable had the strongest effect on the increased value of initial: HR rest, HR max, and HR 1 min after exercise compared to subjects with normal BMI. DPr values before and after CR were also higher in overweight patients. Scores of 6MWT were higher in smokers compared to non-smokers. The final MET value was significantly higher in non-diabetic subjects. Hyperlipidaemia was associated with a higher initial HR max and initial HR 1 min after exercise. DPr before CR was also higher. The initial and final MET values were lower in hypertensive patients. Borg’s rating of perceived exertion measured after the final exercise test was also higher in hypertensive patients. Hypertension influenced the initial and final 6MWT scores, which were significantly higher in normotensive patients. (4) Conclusions: CR within CSC-infarction in patients after myocardial infarction improves exercise tolerance. Exercise tolerance in post-MI patients with concomitant risk factors is lower compared to post-MI patients without risk factors.

show abstract

Section: Discussionmentioning

confidence: 99%

Influence of Risk Factors on Exercise Tolerance in Patients after Myocardial Infarction—Early Cardiac Rehabilitation in Poland

Bryndal

Głowiński

Grochulska

2022

JCM

View full text Add to dashboard Cite

show abstract

“…It is important to recognise that patients who manage to quit smoking may relapse. While cardiac rehabilitation has been shown in a recent meta‐analysis that more than half of the smokers quit smoking after cardiac rehabilitation, 64 an analysis of 18 499 surveys in the Tobacco Use Supplement‐Current Population Survey 2010‐2011 cohort in the United States found that 6.8% former smokers reported smoking relapse and this was more common in younger people, those never married, widowed, divorced or separated and those who lived in homes that allowed smoking inside 65 . A much higher rate of relapse more than 50% at 1‐year follow up has been reported by other studies which also suggest that alcohol intake, number of social contacts, younger age at cessation and shorter duration of abstinence were a influencing factor on relapse 66,67 .…”

Section: Discussionmentioning

confidence: 99%

Smoking cessation after acute coronary syndrome: A systematic review and meta‐analysis

Lovatt

Wong

Holroyd

et al. 2021

Int J Clinical Practice

View full text Add to dashboard Cite

Background Smoking cessation is an effective secondary prevention measure after acute coronary syndrome (ACS). We conducted a systematic review with the aim to better understand which patients have a greater propensity to quit smoking and the risk factors for continued smoking after ACS. Methods We searched MEDLINE and EMBASE for studies that evaluated smoking cessation after ACS. The pooled rate of smoking cessation across included studies was performed. Random effects meta‐analysis for different variables and their association with smoking cessation was conducted. Results A total of 39 studies with 11 228 patients were included in this review. The pooled rate of smoking cessation following ACS across 38 studies was 45.0%. Factors associated with greater likelihood of smoking cessation were attendance at cardiac rehabilitation (OR 1.90 95% CI 1.44‐2.51), married/not alone (OR 1.68 95% CI 1.32‐2.13), intention/attempt to quit smoking (OR 1.27 95% CI 1.11‐1.46), diabetes mellitus (OR 1.24 95% CI 1.03‐1.51) and hospitalised duration (OR 1.09 95% CI 1.02‐1.15). Variables associated with a lower likelihood of smoking cessation were depression (OR 0.57 95% CI 0.43‐0.75), chronic obstructive pulmonary disease/lung disease (OR 0.73 95% CI 0.57‐0.93), previous admission with acute myocardial infarction/cardiac admission (OR 0.61 95% CI 0.47‐0.80), cerebrovascular disease/transient ischaemic attack (OR 0.42 95% CI 0.30‐0.58) and unemployment (OR 0.37 95% CI 0.17‐0.80). Conclusions The majority of smokers with an ACS continue to smoke after admission. Patients attending cardiac rehabilitation show increased odds of quitting while people who are depressed and those with chronic lung disease were less likely to quit smoking and should be targeted for intensive smoking cessation interventions.

show abstract

“…So verfolgen über 90 % der deutschen pneumologischen Rehabilitationskliniken eine Rauchfrei-Strategie 63 . Studien zeigen bei strukturierten Tabakentwöhnungsprogrammen im Rahmen der Rehabilitation eine signifikant höhere Rauchstoppquote als in Vergleichsgruppen ohne Intervention 65 66 67 .…”

Section: Tabakentwöhnung In Der Rehabilitationunclassified

Tabakentwöhnung bei hospitalisierten Patienten:innen – Stationär einleiten, ambulant fortführen

et al. 2023

View full text Add to dashboard Cite

ZusammenfassungTabakrauchen ist das größte vermeidbare Gesundheitsrisiko. Die Auswirkungen sind individuell und gesellschaftlich gravierend. Dennoch ist die Prävalenz aktuell Tabakrauchender in Deutschland mit ca. 35 % weiterhin hoch. Sorge bereitet zudem ein zuletzt starker Anstieg aktiv rauchender Jugendlicher (14- bis 17-Jährige, aktuelle Prävalenz ca. 16 %) und junger Erwachsener (18- bis 24-Jährige, aktuelle Prävalenz ca. 41 %). Etwa ein Drittel der stationär behandelten Patienten:innen rauchen. Die Hospitalisierung von aktiven Rauchern:innen in Akut- und Rehakliniken ist als „teachable moment“ ein günstiger Zeitpunkt, eine Tabakentwöhnung einzuleiten. Eine Intervention, die im Krankenhaus beginnt und nach der Entlassung mindestens einen Monat lang fortgesetzt wird, führt zu etwa 40 % zusätzlich entwöhnter Patienten:innen. Sie ist wissenschaftlich gut untersucht, effektiv und kosteneffizient. Die poststationäre Anbindung kann an ein Tabakentwöhnungsprogramm, eine Rehabilitationseinrichtung, ein Internet- oder Telefonangebot erfolgen. Es bestehen in Deutschland strukturierte und qualitätsgesicherte Angebote zur Umsetzung sowohl für den stationären als auch für den ambulanten Bereich. Größtes Hindernis für eine breite Etablierung solcher Angebote ist die fehlende Kostenerstattung. Zwei umsetzbare Wege, dies zu ändern, wären die Einführung eines Zusatzentgelts für den bestehenden OPS 9-501 „Multimodale stationäre Behandlung zur Tabakentwöhnung“ sowie die Etablierung von Qualitätsverträgen nach § 110a SGB V. Ein Ausbau der Tabakentwöhnung in Gesundheitseinrichtungen würde die Rauchprävalenz und die damit einhergehenden Erkrankungen sowie die konsekutiven Kosten nachhaltig reduzieren.

show abstract

A Systematic Review and Meta-analysis on the Prevalence of Smoking Cessation in Cardiovascular Patients After Participating in Cardiac Rehabilitation

Cited by 20 publications

References 47 publications

Influence of Risk Factors on Exercise Tolerance in Patients after Myocardial Infarction—Early Cardiac Rehabilitation in Poland

Influence of Risk Factors on Exercise Tolerance in Patients after Myocardial Infarction—Early Cardiac Rehabilitation in Poland

Smoking cessation after acute coronary syndrome: A systematic review and meta‐analysis

Tabakentwöhnung bei hospitalisierten Patienten:innen – Stationär einleiten, ambulant fortführen

Contact Info

Product

Resources

About