Abstract:
BACKGROUND AND OBJECTIVE:To assess the cessation and relapse rates of smoking, and analyze the associated variables in a 12-month follow-up study at a smoking cessation unit. SUBJECTS AND METHOD:Patients from the Area de Salud 19 of the Conselleria de Sanitat of the Generalitat Valenciana, coming to a smoking cessation unit. VARIABLES:sociodemographic, smoking habits, smoking social context, psychiatric or medical problems, use of other substances, and treatment. Treatment was administered either individually or in group, and with or without pharmacological support. Type of pharmacological treatment: nicotine replacement therapy and/or bupropion. Evaluation of smoking cessation and relapse: at the end of the treatment, and at follow-up months 1, 3, 6, 9, and 12. Criteria to accept cessation were: it had to be uninterrupted, referred as such by the patient and corroborated by relatives or other witnesses, and supported by a co-oxymetry level < or = 6 ppm. STATISTICAL ANALYSES:description of quantitative and qualitative variables, evaluation of the relationship between relapse rate and follow-up time when it happens by means of Kaplan-Meier curves, Cox regression, construction of curves of prediction of cessation for subjects with different patterns in the independent variables, and estimations of risk of relapse between any 2 subjects, according to those patterns. RESULTS:255 subjects (46.7% males); 41.8 (10.8) years of mean age (standard deviation); 25 years of mean duration of the smoking habit; a mean of 2 to 3 previous attempts of cessation smoking, mean duration of the longest period of cessation 6 to 7 months; smoking habit 26.5 (12.1) mean of cigarrettes per day, the average nicotine dependency was moderate, and the average co-oxymetry levels high. Of all the subjects included, 53.3% received single therapy (60% together with pharmacological treatment) and 46.7% had group therapy (18.4% also with pharmacological treatment). Pharmacological treatment was 14.9% nicotine replacement therapy, 17.3% bupropion, and 7.1% both. At the end of the treatment, 42.7% of the subjects kept smoking and, at the end of the follow-up period only 11.4% remained abstinent. Median cessation extent was one month. VARIABLES associated to the extent of the cessation: type of therapy (individual or in a group), pharmacological support, and previous daily amount of cigarrette consume. CONCLUSIONS:There were high relapse rates, that depended on the previous amount of consume and on the treatment applied. Both group therapy and pharmacological treatment are significantly useful in order to obtain the best results in long-term cessation rates.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Pascual-Lledó JF,De la Cruz-Amorós E,Bustamante-Navarro R,Buades-Sánchez MR,Contreras-Santos C,Castillo-Aguilar Cdoi
10.1157/13087715subject
Has Abstractpub_date
2006-04-29 00:00:00pages
601-6issue
16eissn
0025-7753issn
1578-8989pii
S0025-7753(06)72031-0journal_volume
126pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract:BACKGROUND:Diabetes mellitus is an important cause of mortality and morbidity in western nations with high costs for both patients and health care systems. MATERIAL AND METHODS:Based on the latest epidemiological studies and in combination with Spanish demographic data the direct health care costs of known diabetes me...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1997-09-13 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The objective is to identify the features associated with next year hospital admissions among elderly dependent patients living at home (EDLH) and visited by primary care teams at their home setting. PATIENTS AND METHOD:Longitudinal cohort study of a sample of EDLH patients admitted to a home ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2012.01.030
更新日期:2012-11-03 00:00:00
abstract:BACKGROUND:Elevated blood urea nitrogen to serum albumin (BUN/ALB) ratio had been identified as an independent risk factor related to mortality in community-acquired and hospital-acquired pneumonia. This study aimed to investigate whether this clinical index can predict the clinical outcomes of E. coli bacteraemia. MA...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2020.06.060
更新日期:2020-10-12 00:00:00
abstract:BACKGROUND AND OBJECTIVE:For the treatment of obesity, an adecuate control of associated cardiovascular risk factors (CRF) is fundamental. The objective of this study was to assess the relationship between body mass index (BMI) and CRF, and the effect of a weight loss program on overweight subjects. PATIENTS AND METHO...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(03)73997-9
更新日期:2003-10-18 00:00:00
abstract::Pituitary apoplexy (PA) is currently considered as one of the causes of empty sella (ES). However, in most reported cases the diagnosis of PA was based on anamnesis. A prospective study of three patients diagnosed during the PA episode was carried out. Periodical evaluations of hormone concentrations and cerebral comp...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1991-06-15 00:00:00
abstract:BACKGROUND:It is estimated that 5-10% of breast cancers have an hereditary origin, germline mutations of BRCA1 and BRCA2 genes causing a predisposition. In the present study we analyzed BRCA1 and BRCA2 mutations in moderate to high risk breast cancer patients in order to find out the types and frequency of these mutati...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(02)73450-7
更新日期:2002-10-12 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The correct management of patients with chronic renal disease depends on an early diagnosis. The aim of this study was to evaluate the usefulness, in the daily clinical practice, of the weight/creatinine formula as an indirect measurement of glomerular filtration. PATIENTS AND METHOD:1,025 amb...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(03)73751-8
更新日期:2003-04-12 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To assess the relationship between reputation of hospitals, as determined by specialists' opinion, and their scientific production. MATERIAL AND METHOD:A questionnaire was sent to a sample of members of the Spanish Societies of Cardiology, Digestive Diseases, Neurology and Otorhinolaryngology....
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13089112
更新日期:2006-05-27 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Pulmonary arterial hypertension associated with systemic lupus erythematosus (PAH-SLE) is a rare disease with a low incidence rate. In this study, PAH related genes and genetic modifiers were characterised molecularly in patients with PAH-SLE. PATIENTS AND METHODS:Three patients diagnosed with...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2018.01.023
更新日期:2018-08-10 00:00:00
abstract:BACKGROUND AND OBJECTIVE:There is contradictory evidence as to whether the pleiotropic effects of statins improve morbidity/mortality rates in coronary artery bypass grafting with extracorporeal circulation, as they reduce the protein plasma levels in the acute phase. PATIENTS AND METHOD:This randomized prospective st...
journal_title:Medicina clinica
pub_type: 杂志文章,随机对照试验
doi:10.1157/13121102
更新日期:2008-05-31 00:00:00
abstract::Primary hyperparathyroidism (PH) is now considered a common condition. Its frequency and the deleterious long-term effects of hypercalcemia make a correct diagnosis mandatory. We attempted to evaluate the usefulness of the indexes of parathyroid function and hormone measurements more commonly used in the diagnosis of ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1989-04-08 00:00:00
abstract:BACKGROUND:To relate the renal hemodynamic changes, as assessed by Doppler ultrasonography,with the development of ascites, renal function, and endogenous vasoactive systems in patients with liver cirrhosis. PATIENTS AND METHODS:60 cirrhotic patients were studied prospectively, 31 of these compensated and 29 with asci...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)71906-9
更新日期:2001-04-28 00:00:00
abstract::Hepatocellular carcinoma (HCC) is the most common primary liver neoplasm and one of the most common causes of death in patients with cirrhosis of the liver. In parallel, with recognition of the clinical relevance of this cancer, major new developments have recently appeared in its diagnosis, prognostic assessment and ...
journal_title:Medicina clinica
pub_type: 实务指引
doi:10.1016/j.medcli.2020.09.022
更新日期:2021-01-15 00:00:00
abstract:BACKGROUND:It is not settled whether aspirin (ASA) failure may be predicted in stroke and transient ischemic attack (TIA) patients. The risk of ASA failure may be predicted by analyzing the epidemiological traits of patients with stroke or TIA. PATIENTS AND METHODS:We evaluated retrospectively 695 stroke or TIA patien...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::A 75 year-old male presented with hyperkalemia unexplained by a moderate renal insufficiency, low basal levels of aldosterone and renin with a subnormal response to walking and saline depletion, and normal glucocorticoid function. The hyperkalemia was corrected by fluorocortisone administration. The concept of hypoald...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-11-10 00:00:00
abstract::The use of physical and pharmacological restraint is controversial but is currently accepted as inevitable. It is indicated for controlling behavioral disorders and psychomotor agitation that put patients and third parties at risk. Its indication should be medical, and we should opt for the least restrictive measure. ...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/S0025-7753(14)70068-5
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:The aim of this study was to know the opinion of the professionals (physicians and nursing staff) of intensive medicine concerning aspects such as informed consent, family participation in health care decisions, the possibility of not undertaking resuscitation manoeuvers and limiting care in determined cases...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1994-04-16 00:00:00
abstract::Hereditary angioedema (HAE) is due to a deficit of the C1 inhibitor (C1 INH) of a dominant autosomic inheritance. Seven patients are presented from a family with HAE, four of whom with poor prognosis due to the frequency and site of the angioedema. Prophylaxis was obtained with long-term danazol since antifibrinolytic...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-03-14 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To evaluate the risk factors of complications in lower limbs in diabetic patients. PATIENTS AND METHODS:We evaluated 270 patients with diabetes followed in Hospital la Paz from 2000 to 2008.We measured the ankle-brachial index (ABI), toe-brachial index (TBII), and toe blood pressure (BP). We d...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2010.05.032
更新日期:2011-04-09 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Parkinsonism is a group of neurological disorders characterized by extrapiramidal signs. Often, the differential diagnosis between parkinsonism, essential tremor and drug-induced parkinsonism is difficult. The aim of the study was to evaluate the utility of (123I)-FP-CIT SPECT in patients with ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(04)74224-4
更新日期:2004-03-13 00:00:00
abstract:BACKGROUND:B-mode ultrasonography is a simple and valid method to evaluate subclinical atherosclerosis of the major superficial arteries. The aim of this study was toknow by this technique the prevalence of carotid atherosclerosisin patients with coronary disease and related factors. PATIENTS AND METHOD:In 232patients...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)71864-7
更新日期:2001-03-31 00:00:00
abstract:BACKGROUND:A high prevalence of osteoporosis has been described in patients before and after cardiac transplantation. But clinical factors involved in previous bone loss in this condition are not well known. The purpose has been to study bone mineral density (BMD) in patients subject to cardiac transplantation, analyzi...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(00)71430-8
更新日期:2000-05-27 00:00:00
abstract:BACKGROUND:Hip fractures are a major source of mortality and morbidity among the elderly. The aim of the present study is to try to identify predictors of death and of non-deambulation during the period of acute treatment. PATIENTS AND METHODS:Consecutive prospective study of 459 patients older than 65 years admitted ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1998-05-23 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To analyze the serum levels of immunoglobulin G (IgG) subclasses in a broad range of elderly patients with bronchiectasis. PATIENTS AND METHOD:Data were collected from all patients who had a high-resolution chest computerized axial tomography diagnosis of bronchiectasis in our center. We gathe...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13111419
更新日期:2007-10-20 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To analyze the effects of an aquatic biodance based therapy on sleep quality, anxiety, depression, pain and quality of life in fibromyalgia patients. PATIENTS AND METHOD:Randomized controlled trial with 2 groups. Fifty-nine patients were assigned to 2 groups: experimental group (aquatic biodan...
journal_title:Medicina clinica
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.medcli.2012.09.036
更新日期:2013-12-07 00:00:00
abstract:BACKGROUND:Recent studies have suggested that women with ischemic heart disease receive lesser therapeutic care than males. The aim of this study was to verify the hypothesis that sex is an independent predictive factor in therapeutic care upon admission in patients with acute myocardial infarction. METHODS:Secondary ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1994-03-19 00:00:00
abstract:BACKGROUND:"Stroke Code" is a system for the rapid identification, pre-notification and transport of acute ischemic stroke patients. The objective of this study was to evaluate the impact of delay reduction for thrombolytic therapy in these patients. SUBJECTS AND METHODS:We evaluated acute ischemic stroke patients adm...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1999-10-23 00:00:00
abstract::Pulmonary thromboembolism (PE) is a common cause of morbidity and mortality in patients with cancer. Having cancer is an independent risk factor for death in the general series of patients with PE and is included as a variable in the prognostic scales of acute symptomatic PE. This fact limits the discriminatory power ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/S0025-7753(15)30016-6
更新日期:2015-01-01 00:00:00
abstract::Alcohol causes different hematologic alterations on each of the three bone marrow cellular series. Its effect on the red series leads to the appearance of megaloblastic disturbances, erythroblastic vacuolization, iron metabolism abnormalities, and hemolytic syndromes. Megaloblastic disturbances may arise as a conseque...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1979-02-25 00:00:00
abstract:BACKGROUND:The use of monoclonal antibodies against tumoral antigens marked with radioactive isotopes is the basis of immunoscintigraphy. The specificity of the technique is high owing to its intrinsic characteristics. METHODS:40 patients with colorectal cancer who were awaiting surgery were evaluated by immunoscintig...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1991-03-02 00:00:00