Smoking and cardiac rehabilitation participation: Associations with referral, attendance and adherence

PREVENTIVE MEDICINE

卷:80

Article

Gaalema, Diann E.^1,2,3  Cutler, Alexander Y.^1,2  Higgins, Stephen T.^1,2,3  Ades, Philip A.^1,4 

[1] Univ Vermont, Vermont Ctr Behav & Hlth, Burlington, VT 05405 USA

[2] Univ Vermont, Dept Psychiat, Burlington, VT 05405 USA

[3] Univ Vermont, Dept Psychol, Burlington, VT 05405 USA

[4] Univ Vermont, Med Ctr, Div Cardiol, Dept Med, Burlington, VT 05405 USA

关键词: Cardiac rehabilitation;    Smoking;    Smoking cessation;    Referral;    Attendance;    Enrollment;    Participation;    Adherence;    Dropout;   

DOI  :  10.1016/j.ypmed.2015.04.009

来源: Elsevier

【 摘 要 】

Objective: Continued smoking after a cardiac event greatly increases mortality risk. Smoking cessation and participation in cardiac rehabilitation (CR) are effective in reducing morbidity and mortality. However, these two behaviors may interact; those who smoke may be less likely to access or complete CR. This review explores the association between smoking status and CR referral, attendance, and adherence. Methods: A systematic literature search was conducted examining associations between smoking status and CR referral, attendance and completion in peer-reviewed studies published through July 1st, 2014. For inclusion, studies had to report data on outpatient CR referral, attendance or completion rates and smoking status had to be considered as a variable associated with these outcomes. Results: Fifty-six studies met inclusion criteria. In summary, a history of smoking was associated with an increased likelihood of referral to CR. However, smoking status also predicted not attending CR and was a strong predictor of CR dropout. Conclusion: Continued smoking after a cardiac event predicts lack of attendance in, and completion of CR. The issue of smoking following a coronary event deserves renewed attention. (C) 2015 Elsevier Inc. All rights reserved.

【 授权许可】

Free