Tobacco smoking is one of the most important risk factors of coronary heart disease (CHD). Hence, smoking cessation is considered pivotal in the prevention of CHD. The current study aimed to evaluate smoking cessation patterns and determine factors associated with smoking cessation in patients with established CHD. The fourth European Survey of Cardiovascular Disease Prevention and Diabetes investigated quality of CHD care in 24 countries across Europe in 2012/13. In the German subset, smoking cessation patterns and clinical characteristics were repetitively assessed a) during index event due to CHD by medical record abstraction, b) as part of a face-to-face interview 6 to 36 months after the index event (i.e. baseline visit), and c) by telephone-based follow-up interview two years after the baseline visit. Logistic regression analysis was performed to search for factors determining smoking status at the time of the telephone interview. Out of 469 participants available for follow-up, 104 (22.2%) had been classified as current smokers at the index event. Of those, 65 patients (62.5%) had quit smoking at the time of the telephone interview, i.e., after a median observation period of 3.5 years (quartiles 3.0, 4.1). Depressed mood at baseline visit and higher education level were less prevalent amongst quitters vs non-quitters (17.2% vs 35.9%, p = 0.03 and 15.4% vs 33.3%, p = 0.03), cardiac rehabilitation programs were more frequently attended by quitters (83.1% vs 48.7%, p < 0.001), and there was a trend for a higher prevalence of diabetes at baseline visit in quitters (37.5% vs 20.5%, p = 0.07). In the final multivariable model, cardiac rehabilitation was associated with smoking cessation (OR 5.19; 95%CI 1.87 to 14.46; p = 0.002). Attending a cardiac rehabilitation program after a cardiovascular event was associated with smoking cessation supporting its use as a platform for smoking cessation counseling and relapse prevention.

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与冠心病患者戒烟相关的因素：德国 EuroAspire IV 调查子集的队列分析

吸烟是冠心病（CHD）最重要的危险因素之一。因此，戒烟被认为是预防冠心病的关键。目前的研究旨在评估戒烟模式，并确定与确诊冠心病患者戒烟相关的因素。第四次欧洲心血管疾病预防和糖尿病调查调查了 2012/13 年欧洲 24 个国家的冠心病护理质量。在德国子集中，重复评估戒烟模式和临床特征 a) 在因 CHD 引起的指数事件期间通过医疗记录摘要，b) 作为指数事件后 6 至 36 个月（即基线）面对面访谈的一部分访问），以及 c）在基线访问两年后通过电话进行后续访谈。进行逻辑回归分析以寻找决定电话访谈时吸烟状况的因素。在可用于随访的 469 名参与者中，104 名 (22.2%) 在索引事件中被归类为当前吸烟者。其中，65 名患者 (62.5%) 在接受电话采访时已戒烟，即在中位观察期 3.5 年后（四分位数 3.0、4.1）。戒烟者与非戒烟者相比，基线访视时的抑郁情绪和高等教育水平较低（17.2% 对 35.9%，p = 0.03 和 15.4% 对 33.3%，p = 0.03），戒烟者参加心脏康复计划的频率更高（ 83.1% 对 48.7%，p < 0.001），基线访视时戒烟者的糖尿病患病率有升高的趋势（37.5% 对 20.5%，p = 0.07）。在最终的多变量模型中，心脏康复与戒烟相关（OR 5.19；95%CI 1.87 至 14.46；p = 0.002）。心血管事件后参加心脏康复计划与戒烟有关，支持将其用作戒烟咨询和预防复吸的平台。