TY - JOUR
T1 - Smoking cessation 1 year poststroke and damage to the insular cortex
AU - Suñer-Soler, Rosa
AU - Grau, Armando
AU - Gras, Maria Eugenia
AU - Font-Mayolas, Sílvia
AU - Silva, Yolanda
AU - Dávalos, Antonio
AU - Cruz, Verónica
AU - Rodrigo, Joana
AU - Serena, Joaquín
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Background and Purpose-: Hospitalization as a result of stroke provides an opportunity to stop smoking that is often not taken up. The present study analyzes sociodemographic, psychological, and lesion-related variables to identify associated factors for smoking cessation during the first year after stroke. Methods-: We conducted a prospective longitudinal study with a 1-year follow-up of a cohort of 110 patients with acute stroke who were smokers at the time of diagnosis and were admitted consecutively between January 2005 and July 2007. Results-: On hospital release, 69.1% had given up smoking but at 1 year, only 40% had stopped smoking. Of the 110 patients, 27 (24.5%) had an acute stroke lesion in the insular cortex, of which 19 (70.3%) were nonsmokers at 1 year. Strongly associated factors in giving up smoking were the location of the lesion in the insular cortex (OR, 5.42; 95% CI, 1.95-15.01; P=0.001) and having the intention of giving up before the stroke, comparing precontemplating patients (without intention of giving up in the near future) with contemplating and prepared patients (intention of stopping in the near future; OR, 7.29; 95% CI, 1.89-28.07; P=0.004). Conclusions-: Of patients with stroke who were smokers, only 4 of 10 patients had stopped smoking 1 year after admission. Our Results show that the variables best predicting smoking cessation in patients with a stroke diagnosis 1 year after hospital discharge are insular damage and the prestroke intention to stop. © 2011 American Heart Association. All rights reserved.
AB - Background and Purpose-: Hospitalization as a result of stroke provides an opportunity to stop smoking that is often not taken up. The present study analyzes sociodemographic, psychological, and lesion-related variables to identify associated factors for smoking cessation during the first year after stroke. Methods-: We conducted a prospective longitudinal study with a 1-year follow-up of a cohort of 110 patients with acute stroke who were smokers at the time of diagnosis and were admitted consecutively between January 2005 and July 2007. Results-: On hospital release, 69.1% had given up smoking but at 1 year, only 40% had stopped smoking. Of the 110 patients, 27 (24.5%) had an acute stroke lesion in the insular cortex, of which 19 (70.3%) were nonsmokers at 1 year. Strongly associated factors in giving up smoking were the location of the lesion in the insular cortex (OR, 5.42; 95% CI, 1.95-15.01; P=0.001) and having the intention of giving up before the stroke, comparing precontemplating patients (without intention of giving up in the near future) with contemplating and prepared patients (intention of stopping in the near future; OR, 7.29; 95% CI, 1.89-28.07; P=0.004). Conclusions-: Of patients with stroke who were smokers, only 4 of 10 patients had stopped smoking 1 year after admission. Our Results show that the variables best predicting smoking cessation in patients with a stroke diagnosis 1 year after hospital discharge are insular damage and the prestroke intention to stop. © 2011 American Heart Association. All rights reserved.
KW - cerebral
KW - cessation
KW - cortex
KW - motivation
KW - smoking
KW - stroke
U2 - 10.1161/STROKEAHA.111.630004
DO - 10.1161/STROKEAHA.111.630004
M3 - Article
VL - 43
SP - 131
EP - 136
IS - 1
ER -