Smoking cessation ups survival for patients undergoing PCI

Smoking cessation ups survival for patients undergoing PCI

(HealthDay)—Smoking cessation is associated with improved survival for patients who undergo percutaneous coronary intervention (PCI), according to a study published in the Nov. 1 issue of The Journal of Cardiology.

Sanneke P.M. de Boer, M.D., from the Erasmus Medical Center in Rotterdam, Netherlands, and colleagues describe the impact of in terms of prolonged life-years gained in a cohort of 856 who underwent PCI in 1980 to 1985. Smoking status at one year was available for 806 patients, and 27 patients who died within one year were excluded from analysis. Patients were followed for 30 years, with a median follow-up of 19.5 years.

The researchers found that the cumulative 30-year survival rate was significantly higher for patients who quit smoking versus persistent smokers (29 versus 14 percent; P = 0.005). Smoking cessation remained an independent predictor of lesser mortality after adjustment for baseline characteristics at the time of PCI (adjusted hazard ratio, 0.57; 95 percent confidence interval, 0.46 to 0.71). The estimated life expectancy was significantly increased for those who quit smoking versus persistent smokers (18.5 versus 16.4 years; P < 0.0001).

"In conclusion, in patients with coronary heart disease who underwent PCI in the late 1980s, cessation resulted in at least 2.1 life-years gained," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Program helps patients quit smoking before surgery

Sep 09, 2013

(HealthDay)—A smoking cessation intervention offered in a preadmission clinic is associated with decreased rates of smoking on the day of surgery and 30 days postoperatively, according to research published ...

Clinical outcomes similar for elderly with PCI, CABG

Aug 27, 2013

(HealthDay)—For older patients with unprotected left main coronary artery disease, clinical outcomes are similar with percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), ...

Increased stroke risk at 30-days post-CABG versus PCI

Aug 21, 2012

(HealthDay) -- The risk of stroke at 30 days is significantly higher in patients who undergo coronary revascularization with coronary artery bypass graft (CABG) surgery compared to those who undergo percutaneous ...

Recommended for you

Use of drug-eluting stents may cut in-hospital mortality

Nov 20, 2014

(HealthDay)—Use of drug-eluting stents (DES) rather than bare-metal stents (BMS) for percutaneous coronary intervention (PCI) is associated with lower rates of in-hospital mortality, according to research ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.