Utilizing exhaled carbon monoxide measurement with self‐declared smoking cessation: enhancing abstinence effectiveness in <scp>T</scp>aiwanese outpatients

Chen, Chiung-Chu; Chang, Chiu-Hsia; Tsai, Yuh-Chyn; Tseng, Chun-Chieh; Tu, Mei-Lien; Wang, Chin‐Chou; Lin, Meng-Chih; Liu, Shih-Feng

doi:10.1111/crj.12096

Cited by 14 publications

(7 citation statements)

References 19 publications

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“…, Chen et al. ) which, in addition, pointed out that exhaled CO measurements may positively influence the success of the smoking cessation through a motivational effect, i.e. by showing immediately to the patient the harmful consequences of exposure to cigarette smoke.…”

Section: Discussionmentioning

confidence: 99%

Effect of smoking cessation on non‐surgical periodontal therapy: results after 24 months

Rosa

Corraini

Inoue

et al. 2014

J Clinic Periodontology

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Section: Discussionmentioning

confidence: 99%

Effect of smoking cessation on non‐surgical periodontal therapy: results after 24 months

Rosa

Corraini

Inoue

et al. 2014

J Clinic Periodontology

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“…Self-reported abstinence was verified during home visits with exhaled carbon monoxide testing using a Bedfont MicroSmokerlyzer™ machine with > 6 ppm as the cutoff indicating a positive smoking result. 24 …”

Section: Methodsmentioning

confidence: 99%

A Smoking Cessation Intervention for Low-Income Smokers in the ED

Mahabee‐Gittens

Stone

et al. 2015

The American Journal of Emergency Medicine

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Background There is a high prevalence of smoking among caregivers who bring their children to the pediatric emergency department (PED), and even higher rates of tobacco smoke exposure (TSE) and related morbidity among their children. The PED visit presents an opportunity to intervene with caregivers, but it is unknown whether they are more likely to quit if their child has a TSE-related illness. We sought to examine a PED-based smoking cessation intervention, and compare outcomes based on children’s TSE-related illness. Methods A single-arm, prospective trial, with baseline, 3 and 6 month assessments. Caregivers whose child had either a TSE-related (n=100) or non TSE-related illness (n=100) were given a brief intervention consisting of counseling, referral to the Quitline, and free NRT. Results Participants were: 91.5% female; 50.5% African American; 100% Medicaid recipients; 30.8 years old; child age mean 5.5; 90% highly nicotine dependent; 60.3% and 75.8% allowed smoking in the home and car, respectively. At follow-up (65% retention): 80% reported quit attempts at 3 months, and 89% between 3 and 6 months. There were significant decreases in number of cigarettes smoked, time to first cigarette, and smoking in the home and car. Quit rates were 12.2% at 3 months, 14.6% at 6 months, and 7.3% at both time points (50% biochemically confirmed). There were no significant differences in outcomes based on children’s illness. Conclusions A brief PED-based smoking cessation intervention resulted in quit attempts and successful quits. However, the presence of a TSE-related illness did not result in different cessation outcomes.

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“…Exhaled carbon monoxide (exhCO) has been used routinely and successfully for monitoring in the context of tobacco smoking cessation [9, 10]. Hence, it is conceivable that it could be used as an index of exposure to other air pollution sources other than tobacco smoking such as ambient air pollution which contains CO. CO rapidly combines with hemoglobin to form carboxyhemoglobin when inhaled; and its concentration in ambient air and duration of exposure are the most important determinants of carboxyhemoglobin saturation [11, 12].…”

Section: Introductionmentioning

confidence: 99%

Exhaled carbon monoxide: a non-invasive biomarker of short-term exposure to outdoor air pollution

et al. 2017

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BackgroundIn urban settings of Africa with rapidly increasing population, traffic-related air pollution is a major contributor to outdoor air pollution (OAP). Although OAP has been identified as a leading cause of global morbidity and mortality, there is however, lack of a simple biomarker to assess levels of exposure to OAP in resource-poor settings. This study evaluated the role of exhaled carbon monoxide (exhCO) as a potential biomarker of exposure to ambient carbon monoxide (ambCO) from OAP.MethodsThis was a descriptive study conducted among male commercial motorcycle riders in Cotonou – the economic capital of Benin. The participants’ AmbCO was measured using a portable carbon monoxide (CO) data logger for 8 h during the period of their shift. ExhCO was measured just before and immediately after their shift (8-h) Participants were asked not to cook or to smoke during the day of the measurements. Linear regression analysis was used to assess the association between ambCO and exhCO for the last 2, 4 and 6 h of their shift.ResultsOf 170 participants who completed the study, their mean ± SD age was 42.2 ± 8.4 years, and their mean ± SD daily income was 7.3 ± 2.7$. Also, 95% of the participants’ used solid fuels for cooking and only 2% had ever smoked. Average exhCO increased by 5.1 ppm at the end of the shift (p = 0.004). Post-shift exhCO was significantly associated to ambCO, this association was strongest for the last 2 h of OAP exposure before exhCO measurement (β = 0.34, p < 0.001).ConclusionExhCO level was associated with recent exposure to ambCO from OAP with measurable increase after 8 h of exposure. These findings suggest that ExhCO may be a potential biomarker of short-term exposure to OAP.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4243-6) contains supplementary material, which is available to authorized users.

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Utilizing exhaled carbon monoxide measurement with self‐declared smoking cessation: enhancing abstinence effectiveness in Taiwanese outpatients

Abstract: Utilizing COExh measurement with self-declared smoking cessation enhanced abstinence effectiveness in Taiwanese outpatients.

Cited by 14 publications

References 19 publications

Effect of smoking cessation on non‐surgical periodontal therapy: results after 24 months

Effect of smoking cessation on non‐surgical periodontal therapy: results after 24 months

A Smoking Cessation Intervention for Low-Income Smokers in the ED

Exhaled carbon monoxide: a non-invasive biomarker of short-term exposure to outdoor air pollution

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