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Libres de humo: efectividad de un programa de cesación tabáquica en un Centro de Salud Comunitario de la Ciudad Autónoma de Buenos Aires / Smoke-free: effectiveness of a smoking cessation program in a Community Health Center of the Autonomous City of Buenos Aires
Fernandez Avello, Rodrigo J; Furano, Lorena; Umerez, Natalia; Varela, Matías; Vilardo, Mateo.
Affiliation
  • Fernandez Avello, Rodrigo J; Hospital General de Agudos Dr Teodoro Álvarez. Ciudad Autónoma de Buenos Aires. AR
  • Furano, Lorena; Hospital General de Agudos Dr Teodoro Álvarez. Residencia de Medicina Familiar y General. Ciudad Autónoma de Buenos Aires. AR
  • Umerez, Natalia; Hospital General de Agudos Dr Teodoro Álvarez. Residencia de Medicina Familiar y General. Ciudad Autónoma de Buenos Aires. AR
  • Varela, Matías; Hospital General de Agudos Dr Teodoro Álvarez. Residencia de Medicina Familiar y General. Ciudad Autónoma de Buenos Aires. AR
  • Vilardo, Mateo; Hospital General de Agudos Dr Teodoro Álvarez. Residencia de Medicina Familiar y General. Ciudad Autónoma de Buenos Aires. AR
Evid. actual. práct. ambul ; 26(4): e007050, 2023. ilus, tab
Article in Spanish | LILACS, UNISALUD, BINACIS | ID: biblio-1526396
Responsible library: AR2.1
RESUMEN
Introducción. El consumo de tabaco representa un importante desafío para la salud pública debido a su alta incidencia y mortalidad, y es el principal factor de riesgo modificable para desarrollar enfermedades crónicas no transmisibles. La Residencia de Medicina General y Familiar del Hospital General de Agudos Dr. Teodoro Álvarez desarrolló un programa de cesación tabáquica en el Centro de Salud y Acción Comunitaria N◦34, que forma parte desde 2012 del Programa de Prevención y Control del Tabaquismo del Ministerio de Salud del Gobierno de la Ciudad de Buenos Aires, Argentina. Objetivo. Documentar los resultados de la eficacia de este programa y explorar las variables relacionadas con la probabilidad de éxito y recaída. Materiales y métodos. Estudio cuantitativo, de corte transversal analítico, con datos obtenidos de historias clínicas electrónicas entre 2017 y 2020. Fueron incluidos los pacientes que consultaron al menos en dos ocasiones al programa de cesación tabáquica y establecieron un día D al menos 30 días antes del abandono del consumo de tabaco. La eficacia terapéutica fue definida como haber permanecido al menos seis meses sin fumar, y la recaída, como el reinicio de consumo del tabaco luego de haber logrado 24 horas de abstinencia con fecha posterior al día D.Resultados.De 59 pacientes, 24 (40,7 %) lograron la eficacia terapéutica, de los cuales 5 (20,8 %) presentaron recaídas.De los 35 pacientes que no lograron alcanzar la etapa de mantenimiento, 30 (85,7 %) recayeron durante las primeras ocho semanas. El sexo masculino y el consumo de tabaco superior a 20 paquetes-año mostraron una mayor correlación con las recaídas. Conclusiones. El programa presentó una eficacia terapéutica del 40,7 % en el periodo evaluado. Se encontraron asociaciones entre una mayor eficacia terapéutica y ciertas características de los pacientes, pero se requieren más estudios para confirmar esta hipótesis. (AU)
ABSTRACT
Background. Tobacco consumption represents an important challenge for public health due to its high incidence and mortality and is the main modifiable risk factor for developing chronic non-communicable diseases. The General and Family Medicine Residence of the Hospital General de Agudos Dr. Teodoro Álvarez developed a smoking cessation program in Health and Community Action Centre N◦34. Since 2012 it has been part of the Program for the Prevention and Control of Smoking of the Ministry of Health of the Government of Buenos Aires, Argentina. Objective. To document the results of the effectiveness of the program and explore the variables related to the probability of success and relapse. Materials and methods. Quantitative, analytical cross-sectional study, with data obtained from electronic medical records between 2017 and 2020. Patients who consulted the smoking cessation program at least twice and established a D-day 30 days before quitting tobacco consumption were included. Therapeutic efficacy was defined as having remained at least six months without smoking, and relapse, as the resumption of tobacco consumption after having achieved 24 hours of abstinence with a date after day D. Results. Of 59 patients, 24 (40.7 %) achieved therapeutic efficacy, of which 5 (20.8 %) presented relapses. Among the35 patients who failed to reach the maintenance stage, 30 (85.7 %) relapsed during the first eight weeks. Male sex and tobacco consumption of more than 20 pack per year showed a greater correlation with relapses. Conclusions.The program presented a therapeutic efficacy of 40.7 % in the evaluated period. Associations were found between greater therapeutic efficacy and certain patient characteristics but more studies are required to confirm this hypothesis. (AU)
Subject(s)


Full text: Available Collection: National databases Health context: SDG3 - Target 3.8 Achieve universal access to health / SDG3 - Target 3A Strengthen the implementation of the WHO Framework Convention on Tobacco Control / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Protection from Exposure / Tobacco Dependence and Cessation / Goal 9: Noncommunicable diseases and mental health / Goal 6: Information systems for health / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Target 3.5: Prevention and treatment of consumption of psychoactive substances Database: BINACIS / LILACS / UNISALUD Main subject: Tobacco Use Disorder / Treatment Outcome / Smoking Cessation / Tobacco Use Cessation Type of study: Evaluation study / Observational study / Prevalence study / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male Language: Spanish Journal: Evid. actual. práct. ambul Year: 2023 Document type: Article Institution/Affiliation country: Hospital General de Agudos Dr Teodoro Álvarez/AR

Full text: Available Collection: National databases Health context: SDG3 - Target 3.8 Achieve universal access to health / SDG3 - Target 3A Strengthen the implementation of the WHO Framework Convention on Tobacco Control / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Delivery Arrangements / Protection from Exposure / Tobacco Dependence and Cessation / Goal 9: Noncommunicable diseases and mental health / Goal 6: Information systems for health / Target 3.4: Reduce premature mortality due to noncommunicable diseases / Target 3.5: Prevention and treatment of consumption of psychoactive substances Database: BINACIS / LILACS / UNISALUD Main subject: Tobacco Use Disorder / Treatment Outcome / Smoking Cessation / Tobacco Use Cessation Type of study: Evaluation study / Observational study / Prevalence study / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male Language: Spanish Journal: Evid. actual. práct. ambul Year: 2023 Document type: Article Institution/Affiliation country: Hospital General de Agudos Dr Teodoro Álvarez/AR
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