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Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study

Smoking among asthmatics is common and associates with poorer asthma control, more rapid lung function decline and higher health care costs in dose-dependent manner. No previous real-life studies exist, however, on how smoking status and pack-years are documented in scheduled asthma contacts in prim...

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Autores principales: Takala, Jaana, Vähätalo, Iida, Tuomisto, Leena E., Niemelä, Onni, Ilmarinen, Pinja, Kankaanranta, Hannu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587006/
https://www.ncbi.nlm.nih.gov/pubmed/36271085
http://dx.doi.org/10.1038/s41533-022-00309-4
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author Takala, Jaana
Vähätalo, Iida
Tuomisto, Leena E.
Niemelä, Onni
Ilmarinen, Pinja
Kankaanranta, Hannu
author_facet Takala, Jaana
Vähätalo, Iida
Tuomisto, Leena E.
Niemelä, Onni
Ilmarinen, Pinja
Kankaanranta, Hannu
author_sort Takala, Jaana
collection PubMed
description Smoking among asthmatics is common and associates with poorer asthma control, more rapid lung function decline and higher health care costs in dose-dependent manner. No previous real-life studies exist, however, on how smoking status and pack-years are documented in scheduled asthma contacts in primary health care (PHC) during long-term follow-up, and how often patients are advised to quit smoking. In this real-life 12-year follow-up study, we showed that out of all scheduled PHC asthma contacts (n = 603) smoking was mentioned only in 17.2% and pack-years only in 6.5%. Smoking data was not recorded even once in 70.9% of never smokers, 64.7% of ex-smokers and 27.3% of current smokers. Smoking including pack-years were mentioned more often if nurse took part on the scheduled contact. For current smokers, smoking cessation was recommended only in 21.7% of their scheduled contacts. Current smokers used more antibiotics and had more unscheduled health care contacts during follow-up.
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spelling pubmed-95870062022-10-23 Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study Takala, Jaana Vähätalo, Iida Tuomisto, Leena E. Niemelä, Onni Ilmarinen, Pinja Kankaanranta, Hannu NPJ Prim Care Respir Med Article Smoking among asthmatics is common and associates with poorer asthma control, more rapid lung function decline and higher health care costs in dose-dependent manner. No previous real-life studies exist, however, on how smoking status and pack-years are documented in scheduled asthma contacts in primary health care (PHC) during long-term follow-up, and how often patients are advised to quit smoking. In this real-life 12-year follow-up study, we showed that out of all scheduled PHC asthma contacts (n = 603) smoking was mentioned only in 17.2% and pack-years only in 6.5%. Smoking data was not recorded even once in 70.9% of never smokers, 64.7% of ex-smokers and 27.3% of current smokers. Smoking including pack-years were mentioned more often if nurse took part on the scheduled contact. For current smokers, smoking cessation was recommended only in 21.7% of their scheduled contacts. Current smokers used more antibiotics and had more unscheduled health care contacts during follow-up. Nature Publishing Group UK 2022-10-21 /pmc/articles/PMC9587006/ /pubmed/36271085 http://dx.doi.org/10.1038/s41533-022-00309-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Takala, Jaana
Vähätalo, Iida
Tuomisto, Leena E.
Niemelä, Onni
Ilmarinen, Pinja
Kankaanranta, Hannu
Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
title Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
title_full Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
title_fullStr Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
title_full_unstemmed Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
title_short Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
title_sort documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9587006/
https://www.ncbi.nlm.nih.gov/pubmed/36271085
http://dx.doi.org/10.1038/s41533-022-00309-4
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