Smoking status and smoking cessation intervention among U.S. adults hospitalized for asthma exacerbation

Bittner, Jane C.; Hasegawa, Kohei; Probst, Beatrice D.; Mould‐Millman, Nee‐Kofi; Silverman, Robert A.; Camargo, Carlos A.

doi:10.2500/aap.2016.37.3952

Cited by 13 publications

(6 citation statements)

References 12 publications

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“…Active smokers could be provided with smoking cessation interventions, or at least be offered simple advice, and then be referred to treatment resources, such as telephone lines, websites or specialty treatment programs. This opportunity is so far underutilized in clinical practice [ 4 , 126 ]. Passive exposure to tobacco should not be dismissed.…”

Section: Smoking Cessation In Asthma Patientsmentioning

confidence: 99%

Asthma and Tobacco Smoking

Bellou

Gogali

Κostikas

2022

JPM

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Asthma is a prevalent chronic pulmonary condition with significant morbidity and mortality. Tobacco smoking is implicated in asthma pathophysiology, diagnosis, prognosis and treatment. Smokers display increased prevalence and incidence of asthma, but a causal association cannot be claimed using existing evidence. Second-hand smoking and passive exposure to tobacco in utero and early life have also been linked with asthma development. Currently, approximately one-fourth of asthma patients are smokers. Regular smokers with asthma might display accelerated lung function decline and non-reversible airflow limitation, making their distinction from chronic obstructive pulmonary disease patients challenging. Asthma patients who smoke typically have uncontrolled disease, as shown by increased symptoms, more exacerbations and impaired quality of life. On the other hand, smoking cessation improves lung function and asthma severity. Thus, asthma patients and their caregivers should be actively questioned about their smoking status at each medical encounter, and smoking cessation ought to be strongly encouraged both for patients with asthma and their close contacts. Smokers with asthma should be provided with comprehensive smoking cessation interventions on top of other anti-asthma medications.

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Section: Smoking Cessation In Asthma Patientsmentioning

confidence: 99%

Asthma and Tobacco Smoking

Bellou

Gogali

Κostikas

2022

JPM

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“…5,[125][126][127] Smoking also increases exacerbations, severity, hospitalizations, and mortality of asthma. 5,125,[127][128][129][130][131] Asthma associated with smoking demonstrates poorer control, impaired response to corticosteroid therapy, accelerated decline in lung function, and increased rate of healthcare utilization. 123,124,128 There is a comparable causal relationship between exposure to environmental tobacco smoke (ETS) and asthma in nonsmoking adults and children.…”

Section: Asthmamentioning

confidence: 99%

Cigarette Smoke Particle-Induced Lung Injury and Iron Homeostasis

Ghio¹,

Pavlisko²,

Roggli³

et al. 2022

COPD

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It is proposed that the mechanistic basis for non-neoplastic lung injury with cigarette smoking is a disruption of iron homeostasis in cells after exposure to cigarette smoke particle (CSP). Following the complexation and sequestration of intracellular iron by CSP, the host response (eg, inflammation, mucus production, and fibrosis) attempts to reverse a functional metal deficiency. Clinical manifestations of this response can present as respiratory bronchiolitis, desquamative interstitial pneumonitis, pulmonary Langerhans' cell histiocytosis, asthma, pulmonary hypertension, chronic bronchitis, and pulmonary fibrosis. If the response is unsuccessful, the functional deficiency of iron progresses to irreversible cell death evident in emphysema and bronchiectasis. The subsequent clinical and pathological presentation is a continuum of lung injuries, which overlap and coexist with one another. Designating these non-neoplastic lung injuries after smoking as distinct disease processes fails to recognize shared relationships to each other and ultimately to CSP, as well as the common mechanistic pathway (ie, disruption of iron homeostasis).

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“…Entre el 15 y el 27 % de los pacientes que ingresan en los hospitales españoles son fumadores (Alonso-Colmenero, Diez de, Alvarez y de Oteyza, 2010; Nieto Garcia, Abdel-Kader Martin, Rosado Martin, Carriazo Perez de Guzman y Arias Jimenez, 2003) y el 20,6 % de los casos de EPOC hospitalizados son fumadores activos (Pozo- Rodriguez et al, 2010). En otros países se ha documentado una prevalencia en pacientes asmáticos del 36% (Bittner et al, 2016) y hasta del 54,5 % en los que padecen infección HIV (Fitzgerald et al, 2016). La prevalencia de tabaquismo en la población HIV/ AIDS superior que en la población general condiciona su pronóstico y se ha recomendado empezar el tratamiento del tabaquismo durante sus episodios de hospitalización (Mussulman et al, 2018).…”

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Tabaquismo en pacientes hospitalizados. Una gran oportunidad

et al. 2022

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The objective of this study is to describe the characteristics of smokers admitted to different medical and surgical services in a university hospital and the perception of patients regarding the need for a specialized intervention. The sample comprises a total of 307 patients (mean age of 59.4 years), being 40% (n = 123) nonsmokers, 42.7% (n = 131) ex-smokers, and 17.3% (n = 53) smokers.The average consumption of smokers was 22.2 cigarettes / day and the severity of nicotine dependence evaluated with the Fagerström test exceeded 5 points in more than half of the sample. On the other hand, 77.7% had made at least one previous attempt to quit tobacco use. Almost the entire sample (89.9 %) of smokers and ex-smokers considered it necessary to develop tobacco treatment programs during hospitalization. Finally, the importance of the hospital context is argued as an opportunity to address the cessation of smoking. The data obtained in this study will allow focusing more appropriately on the management of these patients and optimizing resources.

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Smoking status and smoking cessation intervention among U.S. adults hospitalized for asthma exacerbation

Abstract: Our findings showed a persistently high prevalence of smokers among U.S. patients hospitalized for asthma exacerbations and an underutilized opportunity to provide this at-risk population with smoking cessation interventions.

Cited by 13 publications

References 12 publications

Asthma and Tobacco Smoking

Asthma and Tobacco Smoking

Cigarette Smoke Particle-Induced Lung Injury and Iron Homeostasis

Tabaquismo en pacientes hospitalizados. Una gran oportunidad

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