The effectiveness of smoking cessation interventions in smokers with cerebrovascular disease: a systematic review

Abstract

ObjectiveThe main objective of this study was to determine the effectiveness of smoking cessation interventions (SCIs) for increasing cessation rates in smokers with cerebrovascular disease.DesignSystematic review. Two independent reviewers searched information sources and assessed studies for inclusion/exclusion criteria.Eligibility criteria for included studiesRandomised control trials, conducted prior to the 22 May 2012 investigating SCIs in smokers with cerebrovascular disease, were included. No age or ethnicity limitations were applied in order to be as inclusive as possible.MethodsWe followed the PRISMA statement approach to identify relevant randomised control studies. Due to the variability of interventions used in the reported studies, a meta-analysis was not conducted.ResultsOf 852 identified articles, 4 articles fit the inclusion criteria describing the outcome in 354 patients. The overall cessation rate with an SCI was 23.9% (42 of 176) while without one was 20.8% (37 of 178).ConclusionsThere are a limited number of reported intervention studies that explore this area of secondary stroke prevention. Furthermore, of those intervention studies that were found, only two implemented evidence-based approaches to smoking cessation. A meta-analysis was not conducted because of the variability of interventions in the reported studies. Larger studies with homogeneous interventions are needed to determine how effective SCIs are in increasing cessation in smokers with established cerebrovascular disease.

Patterns of transcranial doppler flow velocities in recent ischemic stroke patients

“…[ 14 ] This may explain the association. Another possibility is smoking which is often associated with a diffuse vascular process[ 15 ] and this may also result in blunted flow velocities.…”

The clinical significance and reliability of self-reported smoking status in patients with intracranial aneurysms: A review

“…Several studies have been completed on smoking cessation rates following acute ischemic stroke or TIA, demonstrating a mean 31.3% quit rate, with a follow-up time ranging from three months to five years [56]. Brunner and colleagues evaluated the effectiveness of minimal versus intensive smoking cessation counseling following TIA or ischemic stroke, and found 37.8% and 42.9% quit rates at six months, respectively.…”

The effect of a hospital-based smoking cessation intervention on the continuous abstinence rate from smoking over 12 months in patients with cerebral infarction

“…뇌졸중 환자의 재발 방지를 위한 금연 중재의 장기간 효 과를 평가한 연구는 외국에서는 보고되었지만 (Papadakis et al, 2011;Brunner Frandsen, Sørensen, Hyldahl, Henriksen, & Bak, 2012, Edjoc, Reid, & Sharma, 2012 …”