Study of Prevalence and Attitudes on Smoking in Patients on Continuous Home Oxygen Therapy. Toma Study

Jiménez-Ruiz, Carlos A.; de Lucas Ramos, Pilar; Díaz Lobato, Salvador; García Carmona, Teresa; Losada Molina, Concepción; Martínez Verdasco, Antonio; Rodríguez González-Moro, José Miguel; Rodríguez Hermosa, Juan Luís; Solano Reina, Segismundo; Zamora García, Enrique; Droghan, Ali; de la Cruz Labrado, Javier; Ramos García, Inmaculada

doi:10.1016/S1579-2129(10)70125-7

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

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Vol. 46. Issue 11.

Pages 580-586 (January 2010)

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Pages 580-586 (January 2010)

Original Article

DOI: 10.1016/S1579-2129(10)70125-7

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Study of Prevalence and Attitudes on Smoking in Patients on Continuous Home Oxygen Therapy. Toma Study

Estudio de la prevalencia y actitudes sobre tabaquismo en pacientes sometidos a oxigenoterapia crónica domiciliaria. Estudio toma

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Carlos A. Jiménez-Ruiza,

Corresponding author

victorina@ctv.es

Corresponding author.

, Pilar de Lucas Ramosb, Salvador Díaz Lobatoc, Teresa García Carmonad, Concepción Losada Molinae, Antonio Martínez Verdascof, José Miguel Rodríguez González-Morob, Juan Luís Rodríguez Hermosag, Segismundo Solano Reinab, Enrique Zamora Garcíah, Ali Droghani, Javier de la Cruz Labradoi, Inmaculada Ramos Garcíai

a Unidad Especializada en Tabaquismo, Comunidad de Madrid, Spain

b Hospital General Gregorio Marañón, Madrid, Spain

c Hospital Ramón y Cajal, Madrid, Spain

d Hospital Puerta de Hierro, Majadahonda, Madrid, Spain

e Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain

f Hospital La Paz, Madrid, Spain

g Hospital San Carlos, Madrid, Spain

h Hospital de la Princesa, Madrid, Spain

i Carburos-Médica, Air Products, Madrid, Spain

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Abstract

Introduction

The objective of this study was to analyse the prevalence, attitudes and characteristics of smoking in the population of patients subjected to Long Term Home Oxygen Therapy (LTOT) in the Community of Madrid.

Patient and methods

A representative sample of 845 subjects (461 male, 46%) was obtained from a total of 11 174 who fulfilled the inclusion criteria. The mean age was 78.25 years (95% Confidence Interval, CI, 77.55-78.95; SD=10.36). A descriptive cross-sectional study was conducted based on questionnaires as well as CO-oximetry.

Results

Forty-eight subjects were smokers (5.7%; 95% CI, 4.3-7.5) while 438 (51.8%; 95% CI, 48.5-55.2) were ex-smokers. The percentage of active smokers was higher in the 60 years or less subject group (χ2; P<.001). The large majority (75%) of smokers were men, their proportion being significantly higher than that of current non-smokers (χ2; P<.003). The mean score in the Fagerström Test was 3.6. More than 65% of smokers had their first cigarette within 30 min of getting up in the morning, and 45% of these were in a preparation stage. Seventeen percent of these subjects said they had not received advice on quitting smoking.

Conclusions

There is a high rate of smoking in patients on LTOT, with a higher probability of males and younger subjects continuing to smoke. There is a high level of physical dependence on nicotine.

Keywords:

Smoking

Long term home oxygen therapy

Nicotine dependence

Resumen

Introducción

El objetivo de este estudio ha sido analizar la prevalencia, las actitudes y las características del tabaquismo en la población de pacientes sometidos a oxigenoterapia crónica domiciliaria (OCD) en la Comunidad de Madrid.

Pacientes y métodos

De un total de 11.174 sujetos que cumplían los criterios de inclusión, se obtuvo una muestra representativa de 845 sujetos. De ellos 461 (54,6%) eran hombres. La edad media fue de 78,25 años [IC95%: 77,55-78,95; Dt = 10,36]. Se realizó un estudio descriptivo transversal basado en cuestionarios y acompañado de cooximetría.

Resultados

48 sujetos (5,7%; IC95%: 4,3-7,5%) eran fumadores y 438 (51,8%; IC95%: 48,5-55,2%) exfumadores. La tasa de fumadores activos fue más alta en el grupo de sujetos con 60 o menos años (χ2; p < 0,001). El 75% de los fumadores fueron hombres siendo significativamente mayor su proporción que en los no fumadores actuales (χ2; p = 0,003). La puntuación media en el test de Fagerström fue 3,6. Más del 65% de los fumadores consumían el primer cigarrillo a los 30 después de levantarse. El 45% de ellos se encontraban en fase de preparación. Un 17% de estos sujetos refirió no haber recibido consejo de abandono del tabaco.

Conclusiones

Alta tasa de tabaquismo en pacientes en OCD, con mayor probabilidad de persistencia del hábito tabáquico entre los varones y los más jóvenes. El 17% de los fumadores no reconoce haber sido alertado sobre la necesidad de abandonar el tabaco. Alto grado de dependencia física por la nicotina.

Palabras clave:

Tabaquismo

Oxigenoterapia crónica domiciliaria

Dependencia nicotina

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