Usefulness of a history of tobacco and alcohol use in predicting multiple heart failure readmissions among veterans∗∗The data collection for this study was carried out by the primary investigator at the Greater Los Angeles VA Medical Center while she was employed there as a Research Nurse.

Evangelista, Lorraine S.; Doering, Lynn V.; Dracup, Kathleen

doi:10.1016/s0002-9149(00)01238-8

Cited by 55 publications

(11 citation statements)

References 20 publications

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“…After performing a title and abstract review, 365 studies were excluded resulting in 153 studies that underwent full-text review. Finally, nine studies (five cohort [20][21][22][23][24] , two cross-sectional 14,25 , and two recent cohort 26,27 ) were included in the review (Figure 1). Table 1 summarizes the articles and their findings.…”

Section: Overview Of the Included Studiesmentioning

confidence: 99%

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Association between persistent smoking after a diagnosis of heart failure and adverse health outcomes: A systematic review and meta-analysis

Son

Lee

2020

Tob. Induc. Dis.

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INTRODUCTION Heart failure (HF) is associated with increased mortality worldwide. Adverse health outcomes in HF are commonly attributed to poor adherence to self-care, including smoking cessation. Smoking is the major modifiable risk factor for HF. Patients have been observed to continue smoking even after diagnosis with HF. Despite the possible association between persistent smoking and adverse health outcomes among HF populations, no consensus has been reached. We aimed to review the literature to determine the association between smoking status after HF diagnosis and adverse health outcomes. METHODS A systematic literature search was performed in PubMed, PsycINFO, Web of Science, and Embase. Hand searching was also performed. In total, 9 articles (n=70461) were included in the review for meta-analysis, including seven cohort studies and two cross-sectional studies. Quality was assessed using the modified version of the Newcastle-Ottawa Scale. RESULTS Approximately 16% of HF patients continued smoking after HF diagnosis. Persistent smoking increased the hazard ratio (HR) of mortality by 38.4% (HR=1.384; 95% CI: 1.139-1.681) and readmission by 44.8% (HR=1.448; 95% CI: 1.086-1.930). Our review also found that persistent smoking was associated with poor health status, ventricular tachycardia, and arterial stiffness. CONCLUSIONS This review highlights the importance of assessment for any history of smoking before and after HF diagnosis. There is a need for smoking cessation programs to be established as crucial components of care for patients with HF. More studies are needed to investigate the possible mechanisms underlying relations among smoking patterns and health consequences.

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Section: Overview Of the Included Studiesmentioning

confidence: 99%

“…The mean age range of the study participants was 59.4 to 77.3 years. The duration of HF was reported in two studies as 5.73 years 20 and more than 6 months 26 , respectively. The severity of HF was verified by LVEF and BNP values, and NYHA functional class.…”

Section: Characteristics Of Hf Patients Included In This Reviewmentioning

confidence: 99%

Association between persistent smoking after a diagnosis of heart failure and adverse health outcomes: A systematic review and meta-analysis

Son

Lee

2020

Tob. Induc. Dis.

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“…[18] Among 753 Veterans Administration patients admitted for CHF, current alcohol use increased by nearly 6-fold the odds of readmission within one year. [28] For patients admitted to a Level 1 trauma center, alcohol intoxication increased the chances of repeat admissions by 150%. [29] 2.3.3 Outcomes Among patients admitted to the same trauma center, chronic alcohol abuse was associated with twice the risk of complications, such as pneumonia and other infections.…”

Section: Readmissionsmentioning

confidence: 99%

“…[28] Smoking is associated with higher readmission rates for myocardial infarction, [37] hemophilus influenza pneumonia in patients with chronic lung disease, [38] schizophrenia, [39] and complications of hysterectomy, [40] arthoscopic meniscectomy, [41] ventral hernia repair [42] and lower extremity arterial bypass. [43] 2.4.4 Surgical outcomes A study comparing surgical outcomes for 82,304 smokers and a matched comparison group found that smoking increases the odds of pneumonia by 109%, unplanned intubation by 87%, mechanical ventilation by 53%, cardiac arrest by 57%, myocardial infarction by 80%, stroke by 73%, superficial incisional infections by 42%, deep incisional infections by 30%, organ space infections by 38%, septic shock by 55%, and death by 38%.…”

Section: Readmissionsmentioning

confidence: 99%

The business case for hospital-based Behavioral Screening and Intervention

Brown¹

2015

JHA

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Under the Affordable Care Act, hospitals are challenged to avoid growing penalties for adverse outcomes, including readmissions, and to adapt to value-based purchasing, where parent organizations will ultimately regard hospital revenues as costs. Hospitals are responding by implementing quality improvement programs, strengthening coordination of care around and after discharge, and enhancing chronic disease management, but many hospitals continue to suffer penalties. An additional response could be to systematically conduct screening and intervention for "upstream" behavioral risks and disorders -smoking, unhealthy drinking and depression -which are associated with admissions, inferior medical and surgical outcomes, readmissions, and ample costs. By increasing smoking quit rates, reducing binge drinking and enhancing depression outcomes, Behavioral Screening and Intervention (BSI) could improve outcomes for various chronic diseases, prevent acute disease and injury, decrease hospital admissions and readmissions, avert surgical complications, and improve hospitals' bottom lines. This article discusses how hospitals could implement BSI and potential benefits, barriers and limitations.

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“…Os desfechos de IAM e AVE estão também diretamente associados ao tabagismo (EVANGELISTA;DOERING;DRACUP, 2000;ALMEIDA et al, 2013;EVANGELISTA et al, 2017;VIANA et al, 2018).…”

Section: Características Clinicas Variáveis Ecocardiográficas E Eletunclassified

Perfil epidemiológico, aptidão cardiopulmonar e qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca

Silva¹

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Usefulness of a history of tobacco and alcohol use in predicting multiple heart failure readmissions among veterans∗∗The data collection for this study was carried out by the primary investigator at the Greater Los Angeles VA Medical Center while she was employed there as a Research Nurse.

Cited by 55 publications

References 20 publications

Association between persistent smoking after a diagnosis of heart failure and adverse health outcomes: A systematic review and meta-analysis

Association between persistent smoking after a diagnosis of heart failure and adverse health outcomes: A systematic review and meta-analysis

The business case for hospital-based Behavioral Screening and Intervention

Perfil epidemiológico, aptidão cardiopulmonar e qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca

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