Prescripción de fármacos para la deshabituación tabáquica. Análisis retrospectivo del área de salud de Zamora

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Atencion Primaria Pub Date : 2024-07-23 DOI:10.1016/j.aprim.2024.103049

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Abstract

Objective

To analyze the prescription of drugs to aid smoking cessation and to detect whether there are differences by age or sex.

Design

Retrospective cohort study.

Site

Zamora Health Area.

Participants

Persons with smoking cessation attempts employing drugs funded in the period from 2020 to 2023.

Interventions

Request of pharmaceutical consumption of varenicline, bupropion and cytisine to the Pharmacy Information System of the Regional Health Management of Castilla y León.

Main measurements

Number of quit attempts per person, treatment drug, number of medication containers per attempt, year, age and sex. Descriptive and statistical analysis using SPSS© v. 20.

Results

2581 people tried to quit smoking with drugs, 2206 made one attempt and 375 made several attempts. Mean age was 50.7 years (95% CI: 50.2-51.1). No significant differences were found for age (P=.71) or sex (P=.74). There was a preference for prescribing varenicline over bupropion and low drug compliance, with only one container of medication being collected in about 50% of cases. A total of 1680 attempts were made to quit using cytisine in 2023, equivalent to 55.4% of the total number of treatment drugs used in the four years. The estimated cumulative incidence rate of drug withdrawal attempts in smokers between 18 and 65 years of age was 11.9%.

Conclusions

The drug intervention had a low reach and poor compliance with the recommended treatment. It is essential to emphasize patient follow-up and drug adherence.

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[戒烟药物处方。萨莫拉卫生区的回顾性分析]。

目的分析辅助戒烟药物的处方情况，并检测不同年龄或性别之间是否存在差异：设计：回顾性队列研究。研究地点：萨莫拉卫生区：干预措施：向卡斯蒂利亚-莱昂地区卫生管理部门的药房信息系统申请伐尼克兰、安非他酮和胞二磷胆碱的药品消耗量：主要测量指标：每人尝试戒烟的次数、治疗药物、每次尝试的药物容器数量、年份、年龄和性别。使用 SPSS© v. 20 进行描述性统计分析。结果：2581 人尝试过药物戒烟，其中 2206 人尝试过一次，375 人尝试过多次。平均年龄为 50.7 岁（95% CI：50.2-51.1）。年龄（P=.71）和性别（P=.74）无明显差异。与安非他酮相比，患者更倾向于处方伐尼克兰，而且服药依从性较低，约有 50%的患者只领取了一盒药物。2023 年，共有 1680 人尝试使用胞二磷胆碱戒烟，相当于四年中使用的治疗药物总数的 55.4%。据估计，18 至 65 岁吸烟者尝试戒烟的累计发生率为 11.9%：结论：药物干预的覆盖率较低，建议治疗的依从性较差。强调对患者的随访和坚持服药至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.