Trends and predictors of smoking cessation after percutaneous coronary intervention (from Olmsted County, Minnesota, 1999 to 2010)

Ondrej Sochor, Ryan J. Lennon, Juan Pablo Rodriguez-Escudero, John F. Bresnahan, Ivana T Croghan, Virend Somers, Francisco Lopez-Jimenez, Quinn Pack, Randal J. Thomas

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Smoke-free ordinance implementation and advances in smoking cessation (SC) treatment have occurred in the past decade; however, little is known about their impact on SC in patients with coronary artery disease. We conducted a retrospective cohort study of 2,306 consecutive patients from Olmsted County, Minnesota, who underwent their first percutaneous coronary intervention (PCI) from 1999 to 2009, and assessed the trends and predictors of SC after PCI. Smoking status was ascertained by structured telephone survey 6 and 12 months after PCI (ending in 2010). The prevalence of smoking in patients who underwent PCI increased nonsignificantly from 20% in 1999 to 2001 to 24% in 2007 to 2009 (p = 0.14), whereas SC at 6 months after PCI decreased nonsignificantly from 50% (1999 to 2001) to 49% (2007 to 2009), p = 0.82. The 12-month quit rate did not change significantly (48% in 1999 to 2001 vs 56% in 2007 to 2009, p = 0.38), even during the time periods after the enactment of smoke-free policies. The strongest predictor of SC at 6 months after PCI was participation in cardiac rehabilitation (odds ratio [OR] 3.17, 95% confidence interval [CI] 2.05 to 4.91, p <0.001), older age (OR 1.42 per decade, 95% CI 1.16 to 1.73, p <0.001), and concurrent myocardial infarction at the time of PCI (OR 1.77, 95% CI 1.18 to 2.65, p = 0.006). One-year mortality was lower in the group of smokers compared with never smokers (3% vs 7%, p <0.001). In conclusion, SC rates have not improved after PCI over the past decade in our cohort, despite the presence of smoke-free ordinances and improved treatment strategies. Improvements in delivery of systematic services aimed at promoting SC (such as cardiac rehabilitation) should be part of future efforts to improve SC rates after PCI.

Original languageEnglish (US)
Pages (from-to)405-410
Number of pages6
JournalAmerican Journal of Cardiology
Volume115
Issue number4
DOIs
StatePublished - Feb 15 2015

Fingerprint

Smoking Cessation
Percutaneous Coronary Intervention
Odds Ratio
Confidence Intervals
Smoke
Smoke-Free Policy
Smoking
Withholding Treatment
Telephone
Coronary Artery Disease
Cohort Studies
Retrospective Studies
Myocardial Infarction
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Trends and predictors of smoking cessation after percutaneous coronary intervention (from Olmsted County, Minnesota, 1999 to 2010). / Sochor, Ondrej; Lennon, Ryan J.; Rodriguez-Escudero, Juan Pablo; Bresnahan, John F.; Croghan, Ivana T; Somers, Virend; Lopez-Jimenez, Francisco; Pack, Quinn; Thomas, Randal J.

In: American Journal of Cardiology, Vol. 115, No. 4, 15.02.2015, p. 405-410.

Research output: Contribution to journalArticle

Sochor, Ondrej ; Lennon, Ryan J. ; Rodriguez-Escudero, Juan Pablo ; Bresnahan, John F. ; Croghan, Ivana T ; Somers, Virend ; Lopez-Jimenez, Francisco ; Pack, Quinn ; Thomas, Randal J. / Trends and predictors of smoking cessation after percutaneous coronary intervention (from Olmsted County, Minnesota, 1999 to 2010). In: American Journal of Cardiology. 2015 ; Vol. 115, No. 4. pp. 405-410.
@article{1160b8bc57834393ad12d908b654f2b1,
title = "Trends and predictors of smoking cessation after percutaneous coronary intervention (from Olmsted County, Minnesota, 1999 to 2010)",
abstract = "Smoke-free ordinance implementation and advances in smoking cessation (SC) treatment have occurred in the past decade; however, little is known about their impact on SC in patients with coronary artery disease. We conducted a retrospective cohort study of 2,306 consecutive patients from Olmsted County, Minnesota, who underwent their first percutaneous coronary intervention (PCI) from 1999 to 2009, and assessed the trends and predictors of SC after PCI. Smoking status was ascertained by structured telephone survey 6 and 12 months after PCI (ending in 2010). The prevalence of smoking in patients who underwent PCI increased nonsignificantly from 20{\%} in 1999 to 2001 to 24{\%} in 2007 to 2009 (p = 0.14), whereas SC at 6 months after PCI decreased nonsignificantly from 50{\%} (1999 to 2001) to 49{\%} (2007 to 2009), p = 0.82. The 12-month quit rate did not change significantly (48{\%} in 1999 to 2001 vs 56{\%} in 2007 to 2009, p = 0.38), even during the time periods after the enactment of smoke-free policies. The strongest predictor of SC at 6 months after PCI was participation in cardiac rehabilitation (odds ratio [OR] 3.17, 95{\%} confidence interval [CI] 2.05 to 4.91, p <0.001), older age (OR 1.42 per decade, 95{\%} CI 1.16 to 1.73, p <0.001), and concurrent myocardial infarction at the time of PCI (OR 1.77, 95{\%} CI 1.18 to 2.65, p = 0.006). One-year mortality was lower in the group of smokers compared with never smokers (3{\%} vs 7{\%}, p <0.001). In conclusion, SC rates have not improved after PCI over the past decade in our cohort, despite the presence of smoke-free ordinances and improved treatment strategies. Improvements in delivery of systematic services aimed at promoting SC (such as cardiac rehabilitation) should be part of future efforts to improve SC rates after PCI.",
author = "Ondrej Sochor and Lennon, {Ryan J.} and Rodriguez-Escudero, {Juan Pablo} and Bresnahan, {John F.} and Croghan, {Ivana T} and Virend Somers and Francisco Lopez-Jimenez and Quinn Pack and Thomas, {Randal J.}",
year = "2015",
month = "2",
day = "15",
doi = "10.1016/j.amjcard.2014.11.020",
language = "English (US)",
volume = "115",
pages = "405--410",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Trends and predictors of smoking cessation after percutaneous coronary intervention (from Olmsted County, Minnesota, 1999 to 2010)

AU - Sochor, Ondrej

AU - Lennon, Ryan J.

AU - Rodriguez-Escudero, Juan Pablo

AU - Bresnahan, John F.

AU - Croghan, Ivana T

AU - Somers, Virend

AU - Lopez-Jimenez, Francisco

AU - Pack, Quinn

AU - Thomas, Randal J.

PY - 2015/2/15

Y1 - 2015/2/15

N2 - Smoke-free ordinance implementation and advances in smoking cessation (SC) treatment have occurred in the past decade; however, little is known about their impact on SC in patients with coronary artery disease. We conducted a retrospective cohort study of 2,306 consecutive patients from Olmsted County, Minnesota, who underwent their first percutaneous coronary intervention (PCI) from 1999 to 2009, and assessed the trends and predictors of SC after PCI. Smoking status was ascertained by structured telephone survey 6 and 12 months after PCI (ending in 2010). The prevalence of smoking in patients who underwent PCI increased nonsignificantly from 20% in 1999 to 2001 to 24% in 2007 to 2009 (p = 0.14), whereas SC at 6 months after PCI decreased nonsignificantly from 50% (1999 to 2001) to 49% (2007 to 2009), p = 0.82. The 12-month quit rate did not change significantly (48% in 1999 to 2001 vs 56% in 2007 to 2009, p = 0.38), even during the time periods after the enactment of smoke-free policies. The strongest predictor of SC at 6 months after PCI was participation in cardiac rehabilitation (odds ratio [OR] 3.17, 95% confidence interval [CI] 2.05 to 4.91, p <0.001), older age (OR 1.42 per decade, 95% CI 1.16 to 1.73, p <0.001), and concurrent myocardial infarction at the time of PCI (OR 1.77, 95% CI 1.18 to 2.65, p = 0.006). One-year mortality was lower in the group of smokers compared with never smokers (3% vs 7%, p <0.001). In conclusion, SC rates have not improved after PCI over the past decade in our cohort, despite the presence of smoke-free ordinances and improved treatment strategies. Improvements in delivery of systematic services aimed at promoting SC (such as cardiac rehabilitation) should be part of future efforts to improve SC rates after PCI.

AB - Smoke-free ordinance implementation and advances in smoking cessation (SC) treatment have occurred in the past decade; however, little is known about their impact on SC in patients with coronary artery disease. We conducted a retrospective cohort study of 2,306 consecutive patients from Olmsted County, Minnesota, who underwent their first percutaneous coronary intervention (PCI) from 1999 to 2009, and assessed the trends and predictors of SC after PCI. Smoking status was ascertained by structured telephone survey 6 and 12 months after PCI (ending in 2010). The prevalence of smoking in patients who underwent PCI increased nonsignificantly from 20% in 1999 to 2001 to 24% in 2007 to 2009 (p = 0.14), whereas SC at 6 months after PCI decreased nonsignificantly from 50% (1999 to 2001) to 49% (2007 to 2009), p = 0.82. The 12-month quit rate did not change significantly (48% in 1999 to 2001 vs 56% in 2007 to 2009, p = 0.38), even during the time periods after the enactment of smoke-free policies. The strongest predictor of SC at 6 months after PCI was participation in cardiac rehabilitation (odds ratio [OR] 3.17, 95% confidence interval [CI] 2.05 to 4.91, p <0.001), older age (OR 1.42 per decade, 95% CI 1.16 to 1.73, p <0.001), and concurrent myocardial infarction at the time of PCI (OR 1.77, 95% CI 1.18 to 2.65, p = 0.006). One-year mortality was lower in the group of smokers compared with never smokers (3% vs 7%, p <0.001). In conclusion, SC rates have not improved after PCI over the past decade in our cohort, despite the presence of smoke-free ordinances and improved treatment strategies. Improvements in delivery of systematic services aimed at promoting SC (such as cardiac rehabilitation) should be part of future efforts to improve SC rates after PCI.

UR - http://www.scopus.com/inward/record.url?scp=84921900310&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84921900310&partnerID=8YFLogxK

U2 - 10.1016/j.amjcard.2014.11.020

DO - 10.1016/j.amjcard.2014.11.020

M3 - Article

C2 - 25541324

AN - SCOPUS:84921900310

VL - 115

SP - 405

EP - 410

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 4

ER -