Evidence map›Paper›PMID 28877684›Full record

ArticleBMC cardiovascular disorders2017

Medical and sociodemographic factors predict persistent smoking after coronary events.

Elise Sverre, Jan Erik Otterstad, Erik Gjertsen, Lars Gullestad, Einar Husebye, Toril Dammen, Torbjørn Moum, John Munkhaugen

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02309255 (The NOR-COR), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02309255 completednot on this map

The NOR-COR (NORwegian CORonary) Study: Identification of CHD Patients With Poor Adherence to Secondary Prevention and Their Perceived Needs for Follow-up

TypeobservationalSponsorVestre Viken Hospital TrustRan2014 to 2015Enrolled975ConditionsSecondary Coronary PreventionArmsno intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Elise SverreDepartment of Medicine, Drammen Hospital, PB 800, 3004, Drammen, Norway. elisbj@vestreviken.no.ORCID 0000-0002-1519-9759
Jan Erik OtterstadDepartment of Medicine, Vestfold Hospital, Tønsberg, Norway.
Erik GjertsenDepartment of Medicine, Drammen Hospital, PB 800, 3004, Drammen, Norway.
Lars GullestadDepartment of Cardiology, Oslo University Hospital Rikshospitalet, The Faculty of Medicine, University of Oslo, Oslo, Norway.
Einar HusebyeDepartment of Medicine, Drammen Hospital, PB 800, 3004, Drammen, Norway.
Toril DammenDepartment of Behavioural Sciences in Medicine, University of Oslo, Oslo, Norway.
Torbjørn MoumDepartment of Behavioural Sciences in Medicine, University of Oslo, Oslo, Norway.
John MunkhaugenDepartment of Medicine, Drammen Hospital, PB 800, 3004, Drammen, Norway.
Drammen Hospital · NOUniversity of Oslo · NOOslo University Hospital · NOSykehuset i Vestfold · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the determinants of persistent smoking after a coronary event constitutes the basis of modelling interventions of smoking cessation in secondary prevention programs. We aim to identify the potentially modifiable medical, sociodemographic and psychosocial factors, comprising the study factors, associated with unfavourable risk factor control after CHD events.

methodsA cross-sectional explorative study used logistic regression analysis to investigate the association between study factors and smoking status in 1083 patients hospitalized with myocardial infarction and/or coronary revascularization. Hospital record data, a self-report questionnaire, clinical examination and blood samples were applied.

resultsAt the index hospitalization, 390 patients were smoking and at follow-up after 2-36 months 167 (43%) of these had quit, while 230 reported persistent smoking. In adjusted analyses, unemployed or disability benefits (Odds ratio (OR) 4.1), low education (OR 3.5), longer smoking duration (OR 2.3) and not having ST-elevation myocardial infarction (STEMI) as index event (OR 2.3) were significantly associated with persistent smoking. Psychosocial factors at follow-up were not associated with persistent smoking. Smokers reported high motivation for cessation, with 68% wanting help to quit. Only 42% had been offered nicotine replacement therapy or other cessation aids. Smokers rated use of tobacco as the most important cause of their coronary disease (6.8 on a 1-10 Likert scale).

conclusionsLow socioeconomic status, prior duration of smoking, and not having STEMI as index event were associated with persisting smoking. Persistent smokers in this study seem to have an acceptable risk perception and were motivated to cease smoking, but needed assistance through cessation programs including prescription of pharmacological aids.

trial registrationRegistered at ClinicalTrials.gov: NCT02309255 , registered retrospectively.

Indexed as

Socioeconomic FactorsTobacco Use Cessation DevicesAgedCardiac RehabilitationCoronary DiseaseCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansLogistic ModelsMaleMiddle AgedMotivationMultivariate AnalysisMyocardial RevascularizationNorwayCoronary heart disease (CHD)Medical risk factorsPsychosocial risk factorsSecondary preventionSmokingSmoking cessationSociodemographic factors

Identifiers

PMID28877684
PMCPMC5588720
OpenAlexW2750649415

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.