Chest
Original Research: Smoking CessationIntensive Smoking Cessation Intervention Reduces Mortality in High-Risk Smokers With Cardiovascular Disease
Section snippets
Patients
Patients aged 30 to 75 years who were admitted to the coronary care unit at our university-affiliated teaching hospital with a diagnosis of acute coronary syndrome or decompensated heart failure were considered for participation in the study. Daily smokers who had smoked for a minimum of 5 years with a Fagerstrom score of > 7 were eligible to participate.19Smokers were excluded if they did not speak and read the English language. Patients with current alcohol or illicit substance addiction were
Results
During the enrollment period from January 2001 though December 2002, approximately 425 patients who were self-identified current smokers and had acute coronary syndrome or decompensated heart failure were admitted to our coronary care unit. Of these, 330 patients met the inclusion/exclusion criteria. These patients were approached concerning participation in the study. Of these, 209 patients agreed to participate in the trial.
A total of 109 smokers were randomized to receive the intensive
Discussion
The results of our study demonstrate that an intensive smoking cessation intervention in high-risk smokers with cardiovascular disease is not only effective in achieving smoking cessation, but also reduces hospitalizations and total mortality. This study is the first to demonstrate the effectiveness of a structured smoking cessation intervention in high-risk smokers with cardiovascular disease that not only leads to a reduction in smoking but also to an improvement in the rate of occurrence of
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The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).