Impact of Smoking on Health-Related Quality of Life After Percutaneous Coronary Revascularization

Purpose: The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors. Methods: The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, χ 2 test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program. Results: The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and selfefficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05)． Conclusions: To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.

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Section: 반면 관상동맥질환자의 금연은 사망률과 재발률을 현저히unclassified

Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery

2007

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“…However, in a subset of our patients (nϭ1432) in whom smoking status was assessed at 1 year, no nonsmokers began smoking after the index procedure. 14 …”

Section: Smoking Statusmentioning

confidence: 99%

Impact of Smoking on Clinical and Angiographic Restenosis After Percutaneous Coronary Intervention

et al. 2001

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Background-Recent studies have suggested that smokers may require less frequent repeated revascularization after percutaneous coronary intervention (PCI) compared with nonsmokers. However, the mechanism of this phenomenon is unknown. Methods and Results-We examined the association between smoking and restenosis using pooled data from 8671 patients treated with PCI in 9 multicenter clinical trials. Clinical restenosis was examined in the cohort of 5682 patients who were assigned to clinical follow-up only. Angiographic restenosis was evaluated in the subset of 2989 patients who were assigned to mandatory angiographic restudy. Among those patients assigned to clinical follow-up only, target lesion revascularization (TLR) occurred in 6.6% of smokers and 10.1% of nonsmokers (PϽ0.001). After adjustment for baseline clinical and angiographic differences, the rate of TLR remained significantly lower in smokers with an adjusted relative risk of 0.69 (95% CI, 0.54 to 0.88). Among the angiographic cohort, there were no differences in the rates of angiographic restenosis or follow-up diameter stenosis in either univariate or multivariate analyses. This dissociation between clinical and angiographic restenosis was explained in part by reduced sensitivity to restenosis on the part of smokers and by the greater reluctance of smokers to seek medical attention despite recurrent angina. Conclusions-In patients undergoing contemporary PCI, cigarette smoking is associated with a lower rate of subsequent TLR without affecting angiographic restenosis. These findings have important implications for the follow-up of smokers after PCI and suggest that cross-study comparisons of rates of clinical restenosis must account for the potential confounding effect of smoking.

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“…However, evidence regarding the direct association between lifestyle changes and HRQoL in coronary patients is scarce. Some studies report on the association between HRQoL and smoking cessation, weight loss or physical activity, however to our knowledge, no study had investigated the association of lifestyle changes in coronary patients with various HRQoL measures in a systematic manner (12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

The association between self‐reported lifestyle changes and health-related quality of life in coronary patients: the EUROASPIRE III survey

Smedt

Clays

Annemans

et al. 2013

Eur J Prev Cardiolog

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Background: Patients with coronary heart disease often suffer from an impaired health-related quality of life (HRQoL). A healthier lifestyle not only extends individuals' lengths of life but might also improve their HRQoL. The aim of this study was to explore the relation between self-reported lifestyle changes and HRQoL in European coronary patients. Methods: Data on 8745 coronary patients, from 22 countries, participating in the EUROASPIRE III survey (2006)(2007) were used. These patients hospitalized for coronary artery bypass graft, percutaneous coronary intervention, acute myocardial infarction, or myocardial ischaemia were interviewed and examined at least 6 months and no later than 3 years after their hospital admission to gather information on their HRQoL, self-reported lifestyle changes, and risk factors. Results: Significantly better HRQoL scores were found in ex-smokers compared to current smokers. Patients who made an attempt to increase their physical activity level had a better HRQoL compared to those who had not made an attempt. Furthermore dietary changes were associated with HRQoL, with better outcomes in patients who tried to reduce fat and salt intake and increase fish, fruit, and vegetable intake. The intention to change behaviour was not associated with HRQoL. Conclusions: Better HRQoL scores were found in those coronary patients who adopted a healthier lifestyle. The actual lifestyle changes -smoking cessation, increasing physical activity, and adopting a healthy diet -and not the intention to change are associated with better HRQoL outcomes.

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Impact of Smoking on Health-Related Quality of Life After Percutaneous Coronary Revascularization

Cited by 76 publications

References 33 publications

Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery

Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery

Impact of Smoking on Clinical and Angiographic Restenosis After Percutaneous Coronary Intervention

The association between self‐reported lifestyle changes and health-related quality of life in coronary patients: the EUROASPIRE III survey

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