Guidelines for the Treatment of Smoking in Hospitalized Patients

Ruiz, Carlos A. Jiménez; Orive, José Ignacio de Granda; Reina, Segismundo Solano; Miranda, Juan Antonio Riesco; Martínez, Eva de Higes; Lledó, José Francisco Pascual; Rueda, Marcos García; Blasco, Jose Javier Lorza; Costa-Miñana, Jaime Signes; Azcona, Borja Valencia; Laguna, Cristina Villar; Fernández, Mercedes

doi:10.1016/j.arbr.2017.05.008

Cited by 12 publications

(7 citation statements)

References 26 publications

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“…, 168 In one study, 169 the authors found a 25% prevalence of smoking among inpatients at a smoke-free hospital, and 55% of the patients who were smokers experienced withdrawal symptoms during their hospital stay. In a systematic review, 170 the prevalence of smoking among inpatients was found to range from 15% to 27%.…”

Section: Smoking and Respiratory Diseasesmentioning

confidence: 99%

“…Smoking cessation programs involving teams trained in dealing with smokers have good cost-effectiveness ratios 174 . Follow-up for at least six months after discharge improves outcomes and increases the chance of successful abstinence 170 175 , 176 Intensive intervention combined with pharmacological treatment for smoking cessation in patients with respiratory disease, started during hospitalization, is effective, with a high level of evidence 22 …”

Section: Smoking and Respiratory Diseasesmentioning

confidence: 99%

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Update on the approach to smoking in patients with respiratory diseases

et al. 2019

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Smoking is the leading cause of respiratory disease (RD). The harmful effects of smoking on the respiratory system begin in utero and influence immune responses throughout childhood and adult life. In comparison with “healthy” smokers, smokers with RD have peculiarities that can impede smoking cessation, such as a higher level of nicotine dependence; nicotine withdrawal; higher levels of exhaled carbon monoxide; low motivation and low self-efficacy; greater concern about weight gain; and a high prevalence of anxiety and depression. In addition, they require more intensive, prolonged treatment. It is always necessary to educate such individuals about the fact that quitting smoking is the only measure that will reduce the progression of RD and improve their quality of life, regardless of the duration and severity of the disease. Physicians should always offer smoking cessation treatment. Outpatient or inpatient smoking cessation treatment should be multidisciplinary, based on behavioral interventions and pharmacotherapy. It will thus be more effective and cost-effective, doubling the chances of success.

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Section: Smoking and Respiratory Diseasesmentioning

confidence: 99%

Section: Smoking and Respiratory Diseasesmentioning

confidence: 99%

Update on the approach to smoking in patients with respiratory diseases

et al. 2019

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“…However, few such patients undergo smoking cessation treatment and most of those who do relapse shortly after discharge from the hospital. 3 , 4 …”

mentioning

confidence: 99%

“…Although the study protocol did not include the use of medications, Campos et al 5 and the current guidelines 3 , 4 recommend the use of nicotine replacement therapy to reduce cravings and to increase abstinence rates after discharge from the hospital.…”

mentioning

confidence: 99%

Opening windows of opportunity for smoking cessation treatment

Castellano

2018

J. bras. pneumol.

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“…Se puede usar en parches, chicles o spray bucal. Su uso ha demostrado ser seguro 4,6,7 . recientemente el estudio eViTa 5 evaluó el uso de vareniclina en paciente fumadores hospitalizados por síndrome coronario agudo.…”

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Tabaquismo e Infarto agudo al Miocardio

Fernández

2017

Rev. chil. enferm. respir.

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Smoking and acute myocardial infarctionThe most important measure to prevent a new acute coronary event in a smoking patient is cessation of smoking. To achieve this goal, brief counseling should be conducted according to the Las enfermedades relacionadas con el consumo de tabaco son una de las principales causas de ingresos hospitalarios, de éstas, las enfermedades cardiovasculares están dentro de las más importantes.un 25% de todas las muertes evitables entre los fumadores, son causadas por enfermedades cardiovasculares. Las personas expuestas al humo de segunda mano tienen un aumento de 20 a 30 por ciento en el riesgo de morbilidad y mortalidad causada por una enfermedad coronaria 1 . Posterior a un evento cardiovascular como un infarto agudo al miocardio con o sin supradesnivel ST en el ecG, un cuadro de angina inestable o un procedimiento de revascularización coronaria, se deben considerar una serie de medidas de prevención secundaria. dentro de éstas, se plantea como meta la completa cesación del hábito tabáquico. Tanto las guías americanas, como las europeas de manejo de síndrome coronario agudo recomiendan: evaluar el uso de tabaco, recomendar fuertemente al paciente y familiares el dejar de fumar y a evitar el humo de segunda mano. entregar consejería, terapia farmacológica e ingresar a un programa de cesación de tabaco 2 . Varios meta-análisis en pacientes posterior a un síndrome coronario agudo han mostrado que la cesación tabáquica reduce en aproximadamente un 50% mortalidad futura en este grupo de pacientes, constituyéndose en una de las medidas más poderosas de prevención secundaria 3,4 . La hospitalización de un paciente fumador, es un evento que constituye una gran oportunidad para aplicar medidas de cesación de tabaquismo. es un momento en que el paciente se replantea su estilo de vida y está abierto a cambios hacia hábitos más saludables. dentro de las estrategias a seguir durante la hospitalización están, la aBc-d, el ingreso a un programa de rehabilitación cardiaca y el uso de terapia farmacológica para la cesación del taba-

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Guidelines for the Treatment of Smoking in Hospitalized Patients

Cited by 12 publications

References 26 publications

Update on the approach to smoking in patients with respiratory diseases

Update on the approach to smoking in patients with respiratory diseases

Opening windows of opportunity for smoking cessation treatment

Tabaquismo e Infarto agudo al Miocardio

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