Smoking and potentially preventable hospitalisation: the benefit of smoking cessation in older ages

Drug and Alcohol Dependence
Bich TranLouisa R Jorm

Abstract

Reducing preventable hospitalisation is a priority for health systems worldwide. This study sought to quantify the contribution of smoking to preventable hospitalisation in older adults and the potential benefits of smoking cessation. Self-reported smoking data for 267,010 Australian men and women aged 45+ years linked with administrative hospital data were analysed using Cox's models to estimate the effects on risk of hospitalisation for congestive heart failure (CHF), diabetes complications, chronic obstructive pulmonary disease (COPD) and angina. The impacts of smoking and quitting smoking were also quantified using risk advancement periods (RAP). The cohort included 7% current smokers, 36% former smokers and 57% never smokers. During an average follow-up of 2.7 years, 4% of participants had at least one hospitalisation for any of the study conditions (0.8% for CHF, 1.7% for diabetes complications, 0.8% for COPD and 1.4% for angina). Compared to never smokers, the adjusted hazard ratio for hospitalisation for any of the conditions for current smokers was 1.89 (95% CI 1.75-2.03), and the RAP was 3.8 years. There were strong dose-response relationships between smoking duration, smoking intensity and cumulative smoking dose on ...Continue Reading

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Citations

Feb 28, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Maya VijayaraghavanMargot Kushel
Apr 28, 2018·Journal of Clinical Nursing·Haya Abu GhazalehMaria Duaso
Oct 20, 2018·European Journal of Preventive Cardiology·Dagfinn AuneElio Riboli
May 26, 2017·The European Respiratory Journal·Lynn JosephsMike Thomas
Nov 10, 2017·Current Opinion in Anaesthesiology·Stephen J ShepherdGuillermo Martinez
Apr 6, 2018·Gerontology & Geriatric Medicine·Heidi D NelsonTeresa A Hillier
Dec 24, 2018·Journal of Addictive Diseases·Jessica A Kulak, Susan LaValley
Mar 8, 2017·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Victoria L StevensEric J Jacobs
Feb 11, 2021·Revista gaúcha de enfermagem·Fernanda Guarilha BoniIsabel Cristina Echer

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