Short- and Mid-term Effects of Acute Coronary Syndromes on Smoking Behaviour, Factors Affecting Smoking Status and the Family Physicians' Role After Discharge

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dc.contributor.authorAlsancak, Aybuke Demir
dc.contributor.authorSengezer, Tijen
dc.contributor.authorAlsancak, Yakup
dc.contributor.authorDincer, Gokhan
dc.contributor.authorKiziltunc, Emrullah
dc.contributor.authorOzkara, Adem
dc.date.accessioned2024-02-23T14:38:08Z
dc.date.available2024-02-23T14:38:08Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Cigarette smoking is one of the most important preventable risk factors for atherosclerotic diseases. This study aims to assess the smoking behaviour after acute coronary syndrome (ACS) and aims to delineate the factors affecting smoking status after discharge. Methods: The Fagerstrom Test for Nicotine Dependence score, the sociodemographic status of patients, types of ACS and applied treatment methods were recorded. The Gensini scoring system was used to evaluate the extent and severity of coronary artery disease. Patients were reached via phone calls in the first, third and sixth month after discharge to assess their smoking status, their reasons for relapse and any recurrences of their diseases. Results: Forty-five percent of patients were treated for ST-elevated myocardial infarction, and 43.2% (n=48) had high or very high levels of dependence. Patients who had early symptoms had a higher rate of quitting smoking (p=0.009). Only 78.4% had thought of quitting smoking after discharge. Seventy-four (66.6%) patients underwent catheter-based interventions. The rates of relapse were 20.8% (n=15), 42.6% (n=32) and 53.9% (n=41) at the end of the first, third and sixth month after discharge, respectively. Gensini scores seemed to be higher among patients who had quit smoking (p<0.05). Patients who have received medical treatment had a higher rate of smoking than before the end of six months (p<0.05). Only 28.8% (n=32) of patients stated that they had received information about smoking cessation from their family physician and 3.6% (n=4) of patients have applied to a smoking cessation unit. Conclusion: Smoking cessation rates of patients who have suffered an ACS were low and rates of cigarette consumption in the following periods tended to increase. Family physicians should take a more active role in this topic in Turkey.en_US
dc.identifier.doi10.4274/imj.galenos.2020.70457
dc.identifier.endpage450en_US
dc.identifier.issn2619-9793
dc.identifier.issn2148-094X
dc.identifier.issue6en_US
dc.identifier.startpage443en_US
dc.identifier.urihttps://doi.org/10.4274/imj.galenos.2020.70457
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16378
dc.identifier.volume21en_US
dc.identifier.wosWOS:000591440100007en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherIstanbul Training & Research Hospitalen_US
dc.relation.ispartofIstanbul Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute Coronary Syndromeen_US
dc.subjectPrimary Careen_US
dc.subjectSmokingen_US
dc.subjectSmoking Cessationen_US
dc.subjectPreventive Cardiologyen_US
dc.titleShort- and Mid-term Effects of Acute Coronary Syndromes on Smoking Behaviour, Factors Affecting Smoking Status and the Family Physicians' Role After Dischargeen_US
dc.typeArticleen_US

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