24524600
OBJECTIVE	To evaluate the effects and clinical prognosis of out-patient department-based smoking cessation services for coronary heart disease ( CHD ) patients .
METHODS	A total of 140 smoking patients diagnosed with coronary heart disease in our cardiovascular department were randomly divided into the intensive smoking cessation clinic follow-up group ( intervention group , patients were informed on the importance and methods to quit smoking at the first visit and reminded for that at months interval for 6 months , n = 70 ) and the conventional treatment group ( control group , n = 70 ) .
METHODS	After 6 months , the smoking status , cardiovascular event rates , drug usage , out-patient medical costs and quality of life were compared between the two groups .
RESULTS	Age , gender , concomitant diseases , drug usage were similar between the two groups at baseline ( all P > 0.05 ) .
RESULTS	After 6 months , smoking quit rate [ 34.2 % ( 24/70 ) vs. 5.7 % ( 4/70 ) , P < 0.01 ] , drug use rates : lipid-lowering drugs [ 95.3 % ( 67/70 ) vs. 80.4 % ( 56/70 ) ] , blockers [ 82.4 % ( 57/70 ) vs. 41.3 % ( 28/70 ) ] , and ACEI/ARB [ 61.4 % ( 43/70 ) vs. 34.4 % ( 24/70 ) ] were significantly higher in the intervention group than in the control group , while total cardiovascular event rates [ 21.4 % ( 15/70 ) vs. 47.1 % ( 33/70 ) , P < 0.01 ] and out-patient medical costs ( 3789.3 RMB vs. 4984.2 RMB , P < 0.01 ) were significantly lower in the intervention group than in the control group .
RESULTS	The quality of life scores derived from MYO health survey questionnaire was significantly higher in the intervention group than in the control group ( P < 0.01 ) .
RESULTS	The top three reasons responsible for continuous smoking for all patients failed to quit smoking were : ( 1 ) others smoked more than me and still alive and healthy [ 90.3 % ( 56/62 ) ] ; ( 2 ) smoking helped me to keep relaxed and reduce trouble in daily work and life [ 70.9 % ( 44/62 ) ] ; ( 3 ) smoking was essential while chatting and drinking with friends [ 66.1 % ( 41/62 ) ] .
RESULTS	The overall satisfactory rate to this smoking cessation program was 42.8 % and the satisfactory rate was up to 50.0 % by patients .
CONCLUSIONS	Intensive outpatient smoking cessation follow-up program can significantly improve the smoking cessation rates , the guideline drug use rate and the quality of life while reduce medical costs for coronary heart disease patients .

