The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey

Background. No specific time frames are specified in the guidelines for smoking cessation for patients preparing for cardiovascular intervention. Current smoking is an adverse prognostic factor according to the Russian and foreign legal documents, but the recommendations do not specify the timing of...

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Autores principales:	Evgeny D. Bazdyrev, Natalia A. Galimova, Olga L. Barbarash
Formato:	article
Lenguaje:	EN RU
Publicado:	Concilium Medicum 2021
Materias:	coronary artery disease smoking smoking cessation cardiovascular intervention Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/04582237288f4472bcf8881817609f30
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spelling	oai:doaj.org-article:04582237288f4472bcf8881817609f302021-12-01T22:07:01ZThe necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey2221-71852658-570710.26442/22217185.2021.1.200757https://doaj.org/article/04582237288f4472bcf8881817609f302021-05-01T00:00:00Zhttps://cardiosomatics.orscience.ru/2221-7185/article/viewFile/56983/pdfhttps://doaj.org/toc/2221-7185https://doaj.org/toc/2658-5707Background. No specific time frames are specified in the guidelines for smoking cessation for patients preparing for cardiovascular intervention. Current smoking is an adverse prognostic factor according to the Russian and foreign legal documents, but the recommendations do not specify the timing of smoking cessation, even though it could help minimize postoperative complications and improve the prognosis. Aim. To analyze doctors' opinions on the necessity and timing of smoking cessation for patients before scheduled cardiovascular surgery. Material and methods. 320 specialists 250 (78.1%) general practitioners and 70 (21.9%) surgeons, were surveyed, each participant had at least 10 years of experience performing preoperative program before coronary artery bypass graft surgeries or other interventions and providing postoperative rehabilitation. The questionnaire included seven questions reflecting the doctors' opinion on the feasibility, timing and limiting factors of smoking cessation in patients referred for planned coronary artery bypass graft surgery. Results. Most of the respondents 218 (68.1%) people would recommend patients to stop smoking during preoperative period; fewer specialists 102 (31.9%), would advise them to quit smoking after surgery. The majority of respondents, 166 (76.2%) doctors, believe that patients should quit smoking 2 months before the operation. A third of respondents said it would be appropriate to stop smoking after surgical treatment: 31 (30.4%) specialists recommended it immediately after the operation; 43 (42.1%) within the first month. The majority of respondents noted an increased risk of patients health deterioration, such as: increased cough according to 200 (62.5%) specialists; sputum secretion 85 (26.6%); shortness of breath 25 (7.8%); and 10 (3.1%) doctors mentioned the risk of developing withdrawal syndrome and anxiety. All of those are the reasons why experts consider not recommending patient to stop smoking during preoperative period. Conclusion. Doctors, involved in the caring for and management of cardiac surgery patients, do not have unanimous opinion on the time frames of smoking cessation.Evgeny D. BazdyrevNatalia A. GalimovaOlga L. BarbarashConcilium Medicumarticlecoronary artery diseasesmokingsmoking cessationcardiovascular interventionDiseases of the circulatory (Cardiovascular) systemRC666-701Diseases of the endocrine glands. Clinical endocrinologyRC648-665ENRUКардиоСоматика, Vol 12, Iss 1, Pp 34-40 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	coronary artery disease smoking smoking cessation cardiovascular intervention Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	coronary artery disease smoking smoking cessation cardiovascular intervention Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665 Evgeny D. Bazdyrev Natalia A. Galimova Olga L. Barbarash The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
description	Background. No specific time frames are specified in the guidelines for smoking cessation for patients preparing for cardiovascular intervention. Current smoking is an adverse prognostic factor according to the Russian and foreign legal documents, but the recommendations do not specify the timing of smoking cessation, even though it could help minimize postoperative complications and improve the prognosis. Aim. To analyze doctors' opinions on the necessity and timing of smoking cessation for patients before scheduled cardiovascular surgery. Material and methods. 320 specialists 250 (78.1%) general practitioners and 70 (21.9%) surgeons, were surveyed, each participant had at least 10 years of experience performing preoperative program before coronary artery bypass graft surgeries or other interventions and providing postoperative rehabilitation. The questionnaire included seven questions reflecting the doctors' opinion on the feasibility, timing and limiting factors of smoking cessation in patients referred for planned coronary artery bypass graft surgery. Results. Most of the respondents 218 (68.1%) people would recommend patients to stop smoking during preoperative period; fewer specialists 102 (31.9%), would advise them to quit smoking after surgery. The majority of respondents, 166 (76.2%) doctors, believe that patients should quit smoking 2 months before the operation. A third of respondents said it would be appropriate to stop smoking after surgical treatment: 31 (30.4%) specialists recommended it immediately after the operation; 43 (42.1%) within the first month. The majority of respondents noted an increased risk of patients health deterioration, such as: increased cough according to 200 (62.5%) specialists; sputum secretion 85 (26.6%); shortness of breath 25 (7.8%); and 10 (3.1%) doctors mentioned the risk of developing withdrawal syndrome and anxiety. All of those are the reasons why experts consider not recommending patient to stop smoking during preoperative period. Conclusion. Doctors, involved in the caring for and management of cardiac surgery patients, do not have unanimous opinion on the time frames of smoking cessation.
format	article
author	Evgeny D. Bazdyrev Natalia A. Galimova Olga L. Barbarash
author_facet	Evgeny D. Bazdyrev Natalia A. Galimova Olga L. Barbarash
author_sort	Evgeny D. Bazdyrev
title	The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
title_short	The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
title_full	The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
title_fullStr	The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
title_full_unstemmed	The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
title_sort	necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey
publisher	Concilium Medicum
publishDate	2021
url	https://doaj.org/article/04582237288f4472bcf8881817609f30
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The necessity and timing of smoking cessation before scheduled cardiovascular interventions – doctors' survey

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