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Previous issue date: 2012-08-20 / Introduction : The older smokers often are not encouraged to quit smoking, because the erroneous idea that it is too late for such intervention. Currently, this situation needs to be reviewed, owing to the increase in life expectancy and the improved quality of life. Objective : to compare smoking cessation rates, using a cutoff of 60 years. Methodology : In a cohort study design, smokers (n=987) were submitted to the same cognitive behavioral therapy associated with pharmacotherapy at the Smoking Cessation Clinic of Hospital Sao Lucas, in Porto Alegre, Brazil from July 2004 to June 2009. The smoking cessation rates were evaluated at 2, 6 and 12 months. Abstinence was confirmed by exhaled exhaled carbon monoxide<10ppm. Volunteers were grouped according to age <60y and >60years old. Results : The abstinence rates (?SD) for the <60 years group were 57.1% (?1.9), 46.8% (? 2.1) and 43.5% (? 2.7) at 2, 6 and 12 months of follow-up, respectively. The rates for the >60 years group were 67,4% (? 4,3), 52,3% (?5,4) e 53,3% (? 5,4), respectively. The difference was not statistically significant using Cox regression (adjusted HR 0.90; 95%CI 0.66 1.22; p=0.48). Conclusions : In this routine clinical care setting, the smoking cessation treatment determined similar abstinence rates in both smokers age groups. / Introdu??o : Muitas vezes os fumantes idosos n?o s?o encorajados a abandonar o tabagismo, devido ? id?ia errada de que ? tarde demais para tais interven??es. Atualmente esta situa??o precisa ser revisada, tendo em vista o aumento da expectativa de vida e a melhora da qualidade de vida da popula??o. Objetivo : Comparar as taxas de cessa??o do tabagismo, usando ponto de corte de 60 anos. Metodologia: Trata-se de um estudo coorte, no qual os fumantes (n = 987) foram submetidos ao mesmo regime de terapia cognitivo-comportamental associada ? farmacoterapia no Ambulat?rio de Cessa??o do Tabagismo do Hospital S?o Lucas, em Porto Alegre, Brasil, de julho de 2004 a junho de 2009. As taxas de cessa??o do tabagismo foram avaliadas em 2, 6 e 12 meses. A abstin?ncia foi confirmada por teste de mon?xido de carbono exalado <10ppm. Os volunt?rios foram agrupados por idade <60 e ≥60 anos. Resultados : As taxas de abstin?ncia (?DP) no grupo <60 anos foram 57,1% (? 1,9), 46,8% (?2,1) e 43,5% (?2,7) aos 2, 6 e 12 meses de seguimento, respectivamente. As taxas para o grupo ≥60 anos foram 67,4% (?4,3), 52,3% (?5,4) e 53,3% (?5,4), respectivamente. A diferen?a n?o foi estatisticamente significativa com a regress?o de Cox (HR ajustado 0,90, IC95% 0,66-1,22, P=0,48). Conclus?o : Neste contexto do atendimento cl?nico de rotina, o tratamento para cessa??o do tabagismo determinou taxas de abstin?ncia semelhantes em ambos os grupos et?rios de fumantes.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1705 |
| Date | 20 August 2012 |
| Creators | Martins, Edna Thais Jeremias |
| Contributors | Chatkin, Jos? Miguel |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 600, -8624664729441623247 |
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