Impact of tobacco cessation clinic based “brief advice” on quitting among patients of a tertiary cardiac care hospital in Bangladesh

Introduction. Smoking is a leading cause of morbidity and mortality globally and it is a significant modifiable risk factor for cardiovascular disease (CVD) and other chronic diseases. Efforts to encourage and support smokers to quit are critical to prevent premature smoking-associated morbidity and mortality. Hospital settings are seldom equipped to help patients to quit smoking thus missing out a valuable opportunity to support patients at risk of smoking complications. We report the impact of a smoking cessation clinic we have established in a tertiary care hospital setting to serve patients with CVD. Methods. Patients received behavioural and pharmacological treatments and were followed up for a minimum of 6 months (mean 541 days, SD 197 days). The main study outcome is ≥50% reduction in number of cigarettes smoked at followup. Results. One hundred and eighty-six patients completed ≥6 months followup. More than half of the patients (52.7%) achieved ≥50% smoking reduction at follow up. Establishment of a plan to quit smoking and use of nicotine replacement therapy (NRT) were significantly associated with smoking reduction at followup. Conclusions. A hospital-based smoking cessation clinic is a beneficial intervention to bring about smoking reduction in approximately half of the patients.

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Evaluation of cessation services provided at a tobacco cessation clinic in a teaching dental hospital

Indian Journal of Dental Research ◽

10.4103/ijdr.ijdr_541_19 ◽

2020 ◽

Vol 31 (6) ◽

pp. 852

Author(s):

Abhishek Mehta ◽

Sofiya Ahmed ◽

Aditi Verma ◽

Ratika Kumar

Keyword(s):

Tobacco Cessation ◽

Dental Hospital ◽

Cessation Clinic

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Drug utilization study in intensive cardiac care unit of tertiary care hospital

Indian Journal of Pharmacy and Pharmacology ◽

10.18231/j.ijpp.2020.007 ◽

2020 ◽

Vol 7 (1) ◽

pp. 34-38

Author(s):

Siddharth S Athawale ◽

◽

Madhuri D Kulkarni ◽

Keyword(s):

Drug Utilization ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cardiac Care ◽

Care Hospital ◽

Drug Utilization Study ◽

Cardiac Care Unit

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Abstract 12497: Long Transport Distances to a Tertiary Cardiac Arrest Center Does Not Affect Survival in Patients With Out-of-Hospital Cardiac Arrest

Circulation ◽

10.1161/circ.144.suppl_2.12497 ◽

2021 ◽

Vol 144 (Suppl_2) ◽

Author(s):

Sivagowry Moerk ◽

Carsten Stengaard ◽

Morten Thingemann Boetker ◽

steffen christensen ◽

Mariann Tang ◽

...

Keyword(s):

Logistic Regression ◽

Cardiac Arrest ◽

Urban Areas ◽

University Hospital ◽

Cardiac Care ◽

Care Hospital ◽

System Delay ◽

Extracorporeal Cardiopulmonary Resuscitation ◽

Hospital Cardiac Arrest ◽

Center Distance

Introduction: Patients with out-of-hospital cardiac arrest (OHCA) are increasingly transported to tertiary cardiac arrest centers, when the arrest is presumed to be of cardiac origin. For some patients, centralization has led to longer transport distances to advanced care resulting in prolonged prehospital system delays, which may affect outcome. Hypothesis: Longer transport distance to center for patients with OHCA reduces 30-day survival. Methods: Central Denmark Region covers rural and urban areas of 13 000 square kilometers and has a population of approximately 1.3 million inhabitants. Aarhus University Hospital functions as the tertiary cardiac care hospital with access to 24/7 cardiac catherization service and extracorporeal cardiopulmonary resuscitation. Distance to center varies greatly among citizens in the region; with longest distance exceeding 170 km. This observational retrospective study included all patients with OHCA referred to Aarhus University Hospital from 2015 to 2018. Kaplan-Meier curves were conducted to evaluate association between distance and mortality. The odds of 30-day mortality were generated using logistic regression. Results: A total of 807 patients with OHCA were referred to center. Distance to center was < 25km (22%), 25 to 50km (40%), 50 to 100km (20%) and > 100km (18%), respectively. The median prehospital system delay from collapse to arrival at center was 70 minutes [IQR, 55-90 minutes]. Logistic regression did not demonstrate an association between 30-day mortality and increasing distance to center (distance < 25 km as reference, 25 to 50km: OR 0.83, 95% CI [0.58-1.20], 50 to 100km: OR 0.96, 95% CI [0.62-1.47] and >100km: OR 1.20, 95% CI [0.77-1.88]). Conclusions: In OHCA patients with long transport distances to a tertiary cardiac center, survival was similar in patients with short distance to center. Centralization of post cardiac care is feasible in the setting of long transport distances.

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