on May 14, 2009
Published online before print May 14, 2009, doi: 10.1161/STROKEAHA.108.542191
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Submitted on November 7, 2008
From the I Department of Neurology (H.S.-J., D.R.), II Department of Neurology (A.B.), and Department of Pharmacology (P.Z., P.B.), Institute of Psychiatry and Neurology, Warsaw, Poland. * To whom correspondence should be addressed. E-mail: bienkow{at}ipin.edu.pl.
Background and Purpose—Predictors of smoking abstinence in stroke survivors remain largely unexplored. The present study addressed the relationship between degrees of nicotine dependence and smoking abstinence 3 months after ischemic stroke. Methods—One hundred smokers with first-ever ischemic stroke were prospectively enrolled to the study. Correlates of nicotine dependence as well as sociodemographic and clinical characteristics were assessed during hospitalization. Smoking status was determined at 3-month follow-up. Results—Significant predictors of smoking abstinence at follow-up included: the Fagerström Test for Nicotine Dependence score, the Barthel Index, the number of smoking household members, and the Geriatric Depression Scale score. Conclusions—Our results suggest that smoking cessation after ischemic stroke can be determined by the interplay of psychobiological and environmental factors.
Accepted on December 8, 2008
Predictors of Smoking Abstinence After First-Ever Ischemic Stroke. A 3-Month Follow-Up
Halina Sienkiewicz-Jarosz MD, PhD;
Key words: ischemic stroke • smoking cessation • predictors