Tobacco dependence, the most important cardiovascular risk factor: treatment in the Czech Republic

Title:

Tobacco dependence, the most important cardiovascular risk factor: treatment in the Czech Republic

Creator:

Králíková, E., Alexandra Pánková, Lenka Štěpánková, Zvolská, K., Vladislava Felbrová, Stanislava Kulovaná, Zbyněk Bortlíček, Mojmír Blaha, and Fraser, K.

Identifier:

https://cdk.lib.cas.cz/client/handle/uuid:e6fe456f-4727-4669-9c3d-f41bfd163025
uuid:e6fe456f-4727-4669-9c3d-f41bfd163025
issn:0862-8408

Subject:

Fyziologie člověka a srovnávací fyziologie, odvykání kouření, smoking cessation, tobacco dependence, cardiovascular risk, 14, and 612

Type:

article, články, model:article, and TEXT

Format:

print, bez média, and svazek

Description:

Smoking is the most important cardiovascular (CV) risk factor. Stopping smoking halves the CV risk. Every clinician should provide a brief intervention with smokers. Intensive treatment should be available to those who need it. There are 37 Centers for Tobacco Dependence in the Czech Republic, which offer treatment including a psychobehavioral intervention and pharmacotherapy (varenicline, nicotine, bupropion). Czech physicians, pharmacists and nurses are regularly educated about smoking cessation. We describe the results of intensive treatment offered by our centers. Treatment includes screening (1 h), an intervention (2 h), and follow-up visits during the next 12 months. Among 3532 patients, 34.3 % had CO-validated abstinence at 12-months (including 489 patients who attended the screening visit + only the 12-month follow up visit). Among patients who underwent the intervention, the abstinence rate was 38.2 %. The majority of patients who underwent the intervention (N=2470) used some form of pharmacotherapy. After one year, the abstinence rate was 43.4 %, compared to 15.9 % (N=573) without pharmacotherapy. Only 28 % of patients came on the recommendation of a physician. Despite the decrease in CV risk following smoking cessation and the effectiveness of treatment, centers are underutilized., E. Králíková, A. Kmeťová, L. Štěpánková, K. Zvolská, V. Felbrová, S. Kulovaná, Z. Bortlíček, M. Blaha, K. Fraser., and Obsahuje bibliografii

Language:

English

Rights:

http://creativecommons.org/licenses/by-nc-sa/4.0/
policy:public

Source:

Physiological research | 2014 Volume:63 | Number:Suppl 3

Harvested from:

CDK

Metadata only:

false