Impact of the radial versus femoral access for primary percutaneous intervention on smoking cessation rates: A paradoxus between the health related quality of life and smoking quitting?

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dc.authoridÖzeke, Özcan -- 0000-0002-4770-8159; Gul, Murat -- 0000-0001-6841-1998
dc.contributor.authorDeveci, Bülent
dc.contributor.authorÖzeke, Özcan
dc.contributor.authorGül, Murat
dc.contributor.authorAcar, Burak
dc.contributor.authorÇetin, Elif Hande Ozcan
dc.contributor.authorBurak, Cengiz
dc.contributor.authorÇay, Serkan
dc.contributor.authorTopaloğlu, Serkan
dc.contributor.authorAras, Dursun
dc.contributor.authorİlkay, Erdoğan
dc.date.accessioned13.07.201910:50:10
dc.date.accessioned2019-07-16T09:15:13Z
dc.date.available13.07.201910:50:10
dc.date.available2019-07-16T09:15:13Z
dc.date.issued2018
dc.departmentTıp Fakültesi
dc.description.abstractBackground: Smoking cessation is potentially the most effective secondary prevention measure and improves prognosis after acute ST-segment elevation myocardial infarction (STEMI), but more than half of the patients continue to smoke after STEMI. The awareness of the disease's severity and the short hospital stay at the index STEMI have been found to be associated with persistent smoking after STEMI. Objective: To assess whether the paradoxical relationship between smoking quitting rates and health-related quality of life (QOL) scores in STEMI patients undergoing primary percutaneous intervention (pPCI) by radial (RA) versus femoral approach (FA). Methods: Our population is represented by 138 STEMI patients undergoing pPCI by FA or RA. The smoking cessation rates and QOL scores were evaluated. Results: Patients at RA group (46 patients, 57 +/- 9 years, 87% male) had a higher European Quality of Life-5 Dimensions (EQ-5D) index score at post-PCI first week compared to FA group (92 patients, 57 +/- 8 years, 75% male) [FA: median 0.81 (0.22) vs. RA: 1 (0.22), p = 0.042], although it was similar at baseline [FA: median 1 (0) vs. RA: 1 (0), p = 0.992]. Total hospital length of stay [RA: median 3 (1) day vs. FA: 4 (1), p < 0.001] was significantly reduced in the RA group. Whereas the smoking cessation rates at 1-year post-discharge were 41% in RA group, it was 67% in FA group (p = 0.003). Female sex, pain-to-door time and RA during p-PCI were independent predictors of continued smoking after STEMI. Conclusion: This study shows that the smoking cessation was lower in RA group compared to FA group. The more comfortable conditions of STEMI management related to RA may cause a lower awareness of the disease severity and lower motivation to quit smoking. Therefore, it is important to inquire about smoking status at each clinical encounter, particularly in patients undergoing pPCI by the radial approach. (c) 2018 The Czech Society of Cardiology. Published by Elsevier Sp. z o.o. All rights reserved.
dc.identifier.doi10.1016/j.crvasa.2018.03.006
dc.identifier.endpageE386en_US
dc.identifier.issn0010-8650
dc.identifier.issn1803-7712
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpageE381en_US
dc.identifier.urihttps://doi.org/10.1016/j.crvasa.2018.03.006
dc.identifier.urihttps://hdl.handle.net/20.500.12451/4325
dc.identifier.volume60en_US
dc.identifier.wosWOS:000442902500007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofCor et Vasa
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSmoking Cessation
dc.subjectQuitting
dc.subjectRadial Approach
dc.subjectFemoral Approach
dc.subjectSTEMI
dc.subjectPrimary Percutaneous Coronary Intervention
dc.titleImpact of the radial versus femoral access for primary percutaneous intervention on smoking cessation rates: A paradoxus between the health related quality of life and smoking quitting?
dc.typeArticle

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