title: [Use of COPD-6 Vitalograph in Primary Care as tool for smoking cessation].
abstract: OBJECTIVE
  
  
  
  OBJECTIVE
  To assess the evolution of smoking cessation process after using a COPD-6 Vitalograph in smokers that came to a primary care practice (PCP) during a three year period (March 2011- February 2013).
  
  
  OBJECTIVE
  To assess if there are any new COPD diagnoses and to compare the smoking cessation outcomes to those of a specific smoking cessation practice (SSCP) from another healthcare centre.
  
  
  METHODS
  Two devices were used: Vitalograph (electronic device measuring the lung function) and the CO-oximeter, in 176 patients (active search of smokers).
  
  
  METHODS
  tobacco pack-years, tobacco dependence (shortened Fagerström test), CO in exhaled breath (in parts per million-ppm), personal history of COPD or cardiovascular disease (CVD). The patients performed three forced exhalations and the Vitalograph registered the lung function (FEV1, FEV6, FEV1/FEV6) and the estimated lung age (ELA). Patient attitude was assessed (phases: pre-contemplation, contemplation, preparation) before and after the test, informing them of the outcomes. Patient progress in the smoking cessation process was also recorded.
  
  
  RESULTS
  A total of 176 smokers were studied in PCP and 33 in SSCP. PCP/SSCP: age: 45.9/51.6 years old (p=042); pack-years 25.5/39.3 (p=0001); patients who quit smoking and used medicines for it 2/9. In PCP: age-ELA 45.9/57.4 (p=0.000). In SSCP: age-ELA 51.6/74.3 (p=000). Smoking habit evolution PCP/SSCP: cessation 24.5%/48.5% (p=004). Difference 24%. CI difference (6.4-42.8%). In PCP new COPD diagnosis in 6 smokers.
  
  
  CONCLUSIONS
  COPD-6 Vitalograph is a fast and easy to use tool in day-to-day practice. The percentage of smoking cessation is better in SSCP, although a high smoking cessation rate was obtained in PCP (active search).
authors.affiliation: Centro de Salud Fuensanta, Valencia, España. Electronic address: fanton250v@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Antón-García
authors.affiliation: Centro de Salud Quart de Poblet, Valencia, España.
authors.forename: D F
authors.initials: DF
authors.lastname: Pruteanu
authors.affiliation: Centro de Salud Fuensanta, Valencia, España.
authors.forename: E
authors.initials: E
authors.lastname: Correcher-Salvador
mesh_terms: D000328:Adult; D002248:Carbon Monoxide / Q000378:metabolism; D004867:Equipment Design; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D008875:Middle Aged; D010092:Oximetry / Q000379:methods; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis*; D012129:Respiratory Function Tests; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D014029:Tobacco Use Disorder / Q000534:rehabilitation
chemical_list: D002248:Carbon Monoxide
keywords: Atención primaria; Deshabituación tabáquica; Primary Care; Smoking cessation; Tabaquismo; Tobacco dependence