TY - JOUR
T1 - Documentation of smoking in scheduled asthma contacts in primary health care
T2 - a 12-year follow-up study
AU - Takala, Jaana
AU - Vähätalo, Iida
AU - Tuomisto, Leena E.
AU - Niemelä, Onni
AU - Ilmarinen, Pinja
AU - Kankaanranta, Hannu
N1 - Funding Information:
Mrs Aino Sepponen, RN, is gratefully acknowledged for her help through all the stages of this work. This study was supported by the Tampere Tuberculosis Foundation (Tampere, Finland), The Research Foundation of the Pulmonary Diseases (Helsinki, Finland), the Foundation of Finnish Anti-Tuberculosis Association (Helsinki, Finland), the Pihkahovi Foundation (Ylihärmä, Finland), the Ida Montini Foundation (Kerava, Finland), the Allergy Research Foundation (Helsinki, Finland), the Järviseutu Foundation (Vimpeli, Finland), the Medical Research Fund of Seinäjoki Central Hospital (Seinäjoki, Finland), and the Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital (VTR, Tampere, Finland). None of the sponsors had any involvement in the planning, execution, drafting, or write-up of this study.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/10
Y1 - 2022/10
N2 - 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.
AB - 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.
U2 - 10.1038/s41533-022-00309-4
DO - 10.1038/s41533-022-00309-4
M3 - Article
C2 - 36271085
AN - SCOPUS:85140259092
SN - 2055-1010
VL - 32
JO - Npj Primary Care Respiratory Medicine
JF - Npj Primary Care Respiratory Medicine
IS - 1
M1 - 44
ER -
