Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?

Background: Lack of awareness among ex-smokers on the benefits of sustaining smoking cessation may be the main cause of their smoking relapse. This study explored health-related quality of life (HRQoL) and hospital admission amongst chronic obstructive pulmonary disease (COPD) patients according to...

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Published in:International Journal of COPD
Main Author: Hassan H.A.; Aziz N.A.; Hassan Y.; Hassan F.
Format: Article
Language:English
Published: Dove Medical Press Ltd. 2014
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900820628&doi=10.2147%2fCOPD.S56637&partnerID=40&md5=5e4897cd54a970076cd5bb5baee0a51a
id 2-s2.0-84900820628
spelling 2-s2.0-84900820628
Hassan H.A.; Aziz N.A.; Hassan Y.; Hassan F.
Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
2014
International Journal of COPD
9

10.2147/COPD.S56637
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900820628&doi=10.2147%2fCOPD.S56637&partnerID=40&md5=5e4897cd54a970076cd5bb5baee0a51a
Background: Lack of awareness among ex-smokers on the benefits of sustaining smoking cessation may be the main cause of their smoking relapse. This study explored health-related quality of life (HRQoL) and hospital admission amongst chronic obstructive pulmonary disease (COPD) patients according to the duration of smoking cessation. Materials and methods: This study recruited COPD patients from a chest clinic who agreed to participate in a medication therapy-adherence program from January to June 2013. They were interviewed during their visits to obtain information regarding their smoking history and HRQoL. They were divided into three groups according to smoking status (sustained quitters, quit ≥5 years; quitters, quit <5 years; and smokers, smoking at least one cigarette/day). The effects of the duration of cessation on HRQoL and hospital admission were analyzed using a multinomial logistic model. Results: A total of 117 participants with moderate COPD met the inclusion criteria, who were comprised of 41 sustained quitters, 40 quitters, and 36 smokers. Several features were similar across the groups. Most of them were married elderly men (aged >64 years) with low-to-middle level of education, who smoked more than 33 cigarettes per day and had high levels of adherence to the medication regimen. The results showed that sustained quitters were less likely to have respiratory symptoms (cough, phlegm and dyspnea) than smokers (odds ratio 0.02, confidence interval 0-0.12; P<0.001). The hospital admission rate per year was increased in quitters compared to smokers (odds ratio 4.5, confidence interval 1.91-10.59; P<0.005). Conclusion: A longer duration of quitting smoking will increase the benefits to COPD patients, even if they experience increased episodic respiratory symptoms in the early period of the cessation. Thus, the findings of this study show the benefits of early smoking cessation. © 2014 Abu Hassan et al. This work is published by Dove Medical Press Limited.
Dove Medical Press Ltd.
11769106
English
Article
All Open Access; Gold Open Access
author Hassan H.A.; Aziz N.A.; Hassan Y.; Hassan F.
spellingShingle Hassan H.A.; Aziz N.A.; Hassan Y.; Hassan F.
Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
author_facet Hassan H.A.; Aziz N.A.; Hassan Y.; Hassan F.
author_sort Hassan H.A.; Aziz N.A.; Hassan Y.; Hassan F.
title Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
title_short Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
title_full Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
title_fullStr Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
title_full_unstemmed Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
title_sort Does the duration of smoking cessation have an impact on hospital admission and health-related quality of life amongst COPD patients?
publishDate 2014
container_title International Journal of COPD
container_volume 9
container_issue
doi_str_mv 10.2147/COPD.S56637
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900820628&doi=10.2147%2fCOPD.S56637&partnerID=40&md5=5e4897cd54a970076cd5bb5baee0a51a
description Background: Lack of awareness among ex-smokers on the benefits of sustaining smoking cessation may be the main cause of their smoking relapse. This study explored health-related quality of life (HRQoL) and hospital admission amongst chronic obstructive pulmonary disease (COPD) patients according to the duration of smoking cessation. Materials and methods: This study recruited COPD patients from a chest clinic who agreed to participate in a medication therapy-adherence program from January to June 2013. They were interviewed during their visits to obtain information regarding their smoking history and HRQoL. They were divided into three groups according to smoking status (sustained quitters, quit ≥5 years; quitters, quit <5 years; and smokers, smoking at least one cigarette/day). The effects of the duration of cessation on HRQoL and hospital admission were analyzed using a multinomial logistic model. Results: A total of 117 participants with moderate COPD met the inclusion criteria, who were comprised of 41 sustained quitters, 40 quitters, and 36 smokers. Several features were similar across the groups. Most of them were married elderly men (aged >64 years) with low-to-middle level of education, who smoked more than 33 cigarettes per day and had high levels of adherence to the medication regimen. The results showed that sustained quitters were less likely to have respiratory symptoms (cough, phlegm and dyspnea) than smokers (odds ratio 0.02, confidence interval 0-0.12; P<0.001). The hospital admission rate per year was increased in quitters compared to smokers (odds ratio 4.5, confidence interval 1.91-10.59; P<0.005). Conclusion: A longer duration of quitting smoking will increase the benefits to COPD patients, even if they experience increased episodic respiratory symptoms in the early period of the cessation. Thus, the findings of this study show the benefits of early smoking cessation. © 2014 Abu Hassan et al. This work is published by Dove Medical Press Limited.
publisher Dove Medical Press Ltd.
issn 11769106
language English
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accesstype All Open Access; Gold Open Access
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