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

Abstract 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 contact...

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Main Authors: Jaana Takala, Iida Vähätalo, Leena E. Tuomisto, Onni Niemelä, Pinja Ilmarinen, Hannu Kankaanranta
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:npj Primary Care Respiratory Medicine
Online Access:https://doi.org/10.1038/s41533-022-00309-4
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author Jaana Takala
Iida Vähätalo
Leena E. Tuomisto
Onni Niemelä
Pinja Ilmarinen
Hannu Kankaanranta
author_facet Jaana Takala
Iida Vähätalo
Leena E. Tuomisto
Onni Niemelä
Pinja Ilmarinen
Hannu Kankaanranta
author_sort Jaana Takala
collection DOAJ
description Abstract 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 doaj.art-784a3193f3ee4f4fa96be6f3b95d06cd2022-12-22T03:26:22ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102022-10-0132111110.1038/s41533-022-00309-4Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up studyJaana Takala0Iida Vähätalo1Leena E. Tuomisto2Onni Niemelä3Pinja Ilmarinen4Hannu Kankaanranta5Department of Internal Medicine, Seinäjoki Central HospitalDepartment of Respiratory Medicine, Seinäjoki Central HospitalDepartment of Respiratory Medicine, Seinäjoki Central HospitalDepartment of Laboratory Medicine, Seinäjoki Central HospitalDepartment of Respiratory Medicine, Seinäjoki Central HospitalDepartment of Respiratory Medicine, Seinäjoki Central HospitalAbstract 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.https://doi.org/10.1038/s41533-022-00309-4
spellingShingle Jaana Takala
Iida Vähätalo
Leena E. Tuomisto
Onni Niemelä
Pinja Ilmarinen
Hannu Kankaanranta
Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study
npj Primary Care Respiratory Medicine
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
url https://doi.org/10.1038/s41533-022-00309-4
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