ArticleClinical research in cardiology : official journal of the German Cardiac Society2012
Smoking restrictions and hospitalization for acute coronary events in Germany.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Evaluation of Population-Level Tobacco Control Interventions and Health Outcomes: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption.The Cochrane database of systematic reviews · 2016Pooled it
- Association between smoke-free legislation and hospitalizations for cardiac, cerebrovascular, and respiratory diseases: a meta-analysis.Circulation · 2012Pooled it
- Acute (but not chronic) smoking paradoxically protects the endothelium from ischemia and reperfusion: insight into the "smoking paradox".Clinical research in cardiology : official journal of the German Cardiac Society · 2013Trial
- Difference in mobilization of progenitor cells after myocardial infarction in smoking versus non-smoking patients: insights from the BONAMI trial.Stem cell research & therapy · 2013Trial
- Health economic evaluation of health promotion and disease prevention in Germany: a scoping review.Health economics review · 2026Review
- The impact of Shanghai's comprehensive smoke-free legislation on hospitalization and mortality rates of ischemic heart disease: An interrupted time series analysis.Tobacco induced diseases · 2025Article
- Association of national smoke-free policies with per-capita cigarette consumption and acute myocardial infarction mortality in Europe.Journal of epidemiology and community health · 2024Article
- Effects of a Smoke-Free Policy in Xi'an, China: Impact on Hospital Admissions for Acute Ischemic Heart Disease and Stroke.Frontiers in public health · 2022Article
- [Trends in dental and oral health status in Germany between 1997 and 2014].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021Article
- Interrupted time series study found mixed effects of the impact of the Bavarian smoke-free legislation on pregnancy outcomes.Scientific reports · 2021Article
- [Smoke-free Germany 2040: a discussion paper].Deutsche medizinische Wochenschrift (1946) · 2020Review
- Impact of a comprehensive tobacco control policy package on acute myocardial infarction and stroke hospital admissions in Beijing, China: interrupted time series study.Tobacco control · 2020Article
- Individual and social predictors of smoking and obesity: A panel study in Germany.SSM - population health · 2020Article
- Article
- Do acute coronary events affect lipid management and cholesterol goal attainment in Germany? : Results from the Dyslipidemia International study II.Wiener klinische Wochenschrift · 2018 · on this mapObservational
- Tobacco-free policies at worksites in Kansas.BMC public health · 2017Article
- [Where is the performance review?].Der Radiologe · 2016Article
- Association of restaurant smoking ban and the incidence of acute myocardial infarction in Finland.BMJ open · 2016Article
- Assessing the effects of the Spanish partial smoking ban on cardiovascular and respiratory diseases: methodological issues.BMJ open · 2015Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
Abstract
aimsTo study the effects of smoking restrictions in Germany on coronary syndromes and their associated costs. METHODS AND
resultsAll German states implemented laws partially restricting smoking in the public and hospitality sectors between August 2007 and July 2008. We conducted a before-and-after study to examine trends for the hospitalization rate for angina pectoris and acute myocardial infarction (AMI) for an insurance cohort of 3,700,384 individuals 30 years and older. Outcome measures were hospitalization rates for coronary syndromes, and hospitalization costs. Mean age of the cohort was 56 years, and two-thirds were female. Some 2.2 and 1.1% persons were hospitalized for angina pectoris and AMI, respectively, during the study period from January 2004 through December 2008. Law implementation was associated with a 13.3% (95% confidence interval 8.2, 18.4) decline in angina pectoris and an 8.6% (5.0, 12.2) decline in AMI after 1 year. Hospitalization costs also decreased significantly for the two conditions-9.6% (2.5, 16.6) for angina pectoris and 20.1% (16.0, 24.2) for AMI at 1 year following law implementation. Assuming the law caused the observed declines, it prevented 1,880 hospitalizations and saved 7.7 million Euros in costs for this cohort during the year following law implementation.
conclusionsPartial smoking restrictions in Germany were followed by reductions in hospitalization for angina pectoris and AMI, declines that continued through 1 year following these laws and resulted in substantial cost savings. Strengthening the laws could further reduce morbidity and costs from acute coronary syndromes in Germany.
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