Eficacia de una intervención para dejar de fumar en pacientes con infarto de miocardio

Smoking Cessation Interventions for Hospitalized Smokers

“…6, 9, 10, 12-14, 18, 19, 21, 23, 25, 27, 28, 30, 32, 38-40 The result of this subgroup analysis resembled the main analysis. There was a significant effect on quitting in the pooled analysis of 11 studies testing the most intensive intervention (intensity 4, OR 1.81, 95% CI 1.53-2.15) 6, 9, 10, 12, 14, 18, 21, 23, 25, 30, 32 , but not for studies testing less intensive interventions (Table 2B).…”

“…25, 33-36, 38-40 There was no benefit in the pooled analysis of these studies (OR 1.08, 95% CI 0.89 to 1.29). Similarly, no statistically significant benefit was found in a pooled analysis of 6 studies that tested an inpatient intervention with contacts continuing for up to 1 month after discharge (intensity 3) 11, 13-15, 19, 20 (OR 1.09, 95% CI 0.91 to 1.31). There was substantial heterogeneity (I 2 = 53%) in the results of 18 studies that tested the highest intensity intervention (intensity 4), consisting of inpatient counselling that continued for more than 1 month after discharge.…”

“…41 Twenty-seven of 33 studies validated subjects’ self-reports of quitting at the follow-up assessment. Biochemical validation of smoking status was done in 26 studies, by expired air carbon monoxide in 13, 6, 9, 10, 12, 17, 19, 28, 29, 31-33, 36, 38 and by plasma, salivary, or urinary cotinine in 15 studies. 12-16, 21-27, 34, 37, 38 One study used corroboration by significant other as the only validation method.…”