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Programa de cesación tabáquica para pacientes quirúrgicos: Nuestra experiencia en el Hospital Privado Universitario de Córdoba.

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Title: Programa de cesación tabáquica para pacientes quirúrgicos: Nuestra experiencia en el Hospital Privado Universitario de Córdoba.
Authors: Eugenia Olmos, María1 mariu_olmos@hotmail.com, Lemos, Pablo2, Bedini, Marianela E.2, Blua, Ariel1, Abrate, Vanesa1, Elías, Marcos1, Cuestas, Érica3, Perrone, Vanesa1, Cesaratto, Favio1, Stechina, Juan1, González, Jacqueline2, Bolomo, Andrea4, María López, Ana1
Source: Revista Experiencia Médica. 2020, Vol. 38 Issue 1, p4-8. 5p.
Abstract (English): Introduction: Smoking increases morbidity and mortality. Helping smokers to quit can save lives and reduce health care costs. The objective of this study was to analyze the results of the implementation of a program for smoking cessation in hospitalized patients for surgery. Material and Methods: analytical cohort study at the Hospital Privado Universitario de Córdoba. The program consisted of counseling, post-discharge follow-up, and nicotine replacement therapy (NRT). Results: Forty-three active smokers aged 58.2 ± 13.6 years were included, with an average consumption of 34.9 ± 23.9 packets of cigarettes per year. Of those who agreed to start the protocol, 61.1% had an indication for NRT. 52.6% quit smoking at 6 months. No relationship was found between smoking cessation with a history of COPD (p = 0.8), necessary dose of NRT (p = 0.613), quantity of daily cigarettes consumed (p = 0.749), nor with time elapsed until the first morning cigarette (p = 0.523). Patients who underwent cardiovascular surgery presented a better response (85.7%) compared to the rest of patients (p = 0.04). Conclusion: Although adherence to the NRT at 3 months was very low, more than half of the total number of patients included in the program stop quit smoking. The program present a higher success In those patients undergoing cardiovascular surgery. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: El tabaquismo incrementa la morbimortalidad. Ayudar a los fumadores a abandonar este hábito podría salvar vidas y reducir los costos en la atención de la salud. El objetivo de este estudio fue analizar los resultados de la implementación de un programa para el abandono tabáquico en pacientes hospitalizados para una cirugía. Materiales y métodos: estudio de cohorte, analítico, en el Hospital Privado Universitario de Córdoba. El programa consistía en consejería, seguimiento posterior al alta y terapia de reemplazo de nicotina (TRN). Resultados: Se incluyeron 43 tabaquistas activos de 58.2 ± 13.6 años de edad, con un consumo promedio de 34.9 ± 23.9 paquetes de cigarrillos por año. De los que aceptaron iniciar el protocolo, 61.1% tuvieron indicación de TRN. Abandonaron el hábito tabáquico el 52.6% a los 6 meses. No se encontró relación entre la cesación tabáquica con antecedente de EPOC (p=0.8), dosis necesaria de TRN (p=0.61), cantidad consumida de cigarrillos diarios (p= 0.74) ni con tiempo transcurrido hasta el primer cigarrillo matutino (p=0.52). Los pacientes sometidos a cirugías cardiovasculares (85.7%) presentaron mejor respuesta comparados a los pacientes de otras cirugías (p= 0.04). Conclusión: Si bien la adherencia a la TRN a los 3 meses fue muy baja, más de la mitad del total de pacientes incluidos en el programa abandonaron el hábito tabáquico. Los pacientes sometidos a cirugías cardiovasculares fueron los que más éxito tuvieron. [ABSTRACT FROM AUTHOR]
Copyright of Revista Experiencia Médica is the property of Hospital privado CMC-S.A. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Introduction: Smoking increases morbidity and mortality. Helping smokers to quit can save lives and reduce health care costs. The objective of this study was to analyze the results of the implementation of a program for smoking cessation in hospitalized patients for surgery. Material and Methods: analytical cohort study at the Hospital Privado Universitario de Córdoba. The program consisted of counseling, post-discharge follow-up, and nicotine replacement therapy (NRT). Results: Forty-three active smokers aged 58.2 ± 13.6 years were included, with an average consumption of 34.9 ± 23.9 packets of cigarettes per year. Of those who agreed to start the protocol, 61.1% had an indication for NRT. 52.6% quit smoking at 6 months. No relationship was found between smoking cessation with a history of COPD (p = 0.8), necessary dose of NRT (p = 0.613), quantity of daily cigarettes consumed (p = 0.749), nor with time elapsed until the first morning cigarette (p = 0.523). Patients who underwent cardiovascular surgery presented a better response (85.7%) compared to the rest of patients (p = 0.04). Conclusion: Although adherence to the NRT at 3 months was very low, more than half of the total number of patients included in the program stop quit smoking. The program present a higher success In those patients undergoing cardiovascular surgery. [ABSTRACT FROM AUTHOR]
ISSN:03267474