title: The role of a center for tobacco-dependent in cardiovascular prevention. A retrospective study.
abstract: OBJECTIVE
  Smoking cessation is an essential part of cardiovascular disease (CVD) prevention. At the Center for Tobacco-Dependent (CTD), clients are screened to identify and reduce cardiovascular (CV) risk factors. In our study we have focused on the role of the CTD in reducing global CV risk.
  
  
  METHODS
  1,334 CTD patients aged 25-64 years (52.2% men, mean age 44±12 years, Fagerström Test for Cigarette Dependence 6±2) were included in a retrospective cross-sectional survey. Medical history, blood samples and physical examination were analysed. Blood pressure, weight and exhaled CO were measured at each visit (12-months-follow-up). Patients' CV risk was scored. CO-verified abstinence according to CV risk and prevalence of detected CV risk factors were examined.
  
  
  RESULTS
  Among patients who had attended at least their first visit and a visit after one year, 37.9% (506/1,334) had stopped smoking. Among patients with a SCORE of <5%, the success rate was 44.3% (254/574) and 41.2% for patients at high CV risk (105/255, p=0.41). There was a trend towards a lower success rate among patients with CVD, but this difference was not significant. The smoking cessation rate among low and high CV risk patients at the baseline visit was identical (46.2%, resp. 47.3%, p=0.81). 3.1% (42/1,334) of patients were referred to a specialist for hypertension. 62.5% (223/357), without a prior history, were found to have dyslipidemia.
  
  
  CONCLUSIONS
  High CV risk patients have the same chance to stop smoking as low risk patients.
authors.affiliation: Department of Endocrinology and Metabolism, Charles University and General University Hospital, Prague, Czech Republic. kzvolska@centrum.cz
authors.forename: Kamila
authors.initials: K
authors.lastname: Zvolska
authors.forename: Eva
authors.initials: E
authors.lastname: Kralikova
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kmetova
authors.forename: Lenka
authors.initials: L
authors.lastname: Stepankova
authors.forename: Milan
authors.initials: M
authors.lastname: Blaha
authors.forename: Michal
authors.initials: M
authors.lastname: Sticha
authors.forename: Zbynek
authors.initials: Z
authors.lastname: Bortlicek
authors.forename: Richard
authors.initials: R
authors.lastname: Ceska
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D040242:Risk Reduction Behavior; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D014029:Tobacco Use Disorder / Q000453:epidemiology* / Q000628:therapy