Abstract
Objective: Know the characteristics of smoking cessation consultation of a tertiary hospital, in order to adapt its management.
Methods: Retrospective, descriptive study of smoking cessation consultation patients from January 2018 to August 2019. Descriptive analysis will be presented as means, standard deviation and interquartile range.
190 patients were analyzed, 101 women and 89 men, with a mean age of 56.8 ± 9.7; pack-years (PY) of 41.1 (p25: 29; p50: 40; p75: 54.4). 75 patients were diagnosed of COPD, with a moderate obstruction degree. Most patients have a moderate-severe behavioral dependence and a moderate-high motivation for smoking cessation. Everyone was given a motivational interview, 71 (37.4%) received no pharmacological support; 87 (45.8%) varenicline, 24 (12.6%) bupropion, 6 (3.2%) nicotine replacement therapy (NRT), 2 (1.1%) antidepressants. 30 (29.4%) combined therapy.
Of 166 patients who continued the follow-up, 83 (50%) continued smoking; 76 (45.8%) achieved abstinence until the last revision (69 in the maintenance phase, and 7 in the action phase); and 7 (4.2%) had a relapse. 50 (65.8%) of abstinents had received varenicline, 6 (7.9%) bupropion, 2 (2.6%) NRT, 2 (2.6%) antidepressants and 16 (21.1 %) only cognitive behavioral therapy.
Patients in the maintenance phase had a PY >30 (50% of patients), ˂1 previous attempt to quit smoking (66%), a severe-very severe behavioral dependence (69.2%) and with a moderate-high motivation (90%), although without a statistically significant relationship.
Conclusion: Patients with a higher percentage of smoking cessation have a high PY, severe-very severe behavioral dependence, a moderate-high motivation, and mostly have varenicline for treatment.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3047.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020