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Intense Cessation Treatment Proves Successful in High-Risk Smokers

arbon monoxide levels were obtained. Patients who reported having not smoked during the previous evaluation period and who were confirmed by a negative expired carbon monoxide were classified as “abstinent.” Those patients who were confirmed as not smoking by their expired carbon monoxide at every visit were classified as “continuously abstinent.”

Compared with the usual care group, patients in the intensive treatment group had significantly higher quit rates at all follow-up time intervals. At the two-year follow-up, 39 percent of the intensive treatment group was continuously abstinent, compared with only 9 percent of the usual care group. Additionally, treatment was shown to reduce the risk of hospitalization by nearly half. Researchers also found that those in the control group were four times as likely to die than were patients in the intervention group.

“Cessation of smoking results in an almost immediate improvement in the risk of heart attack,” said Dr. Mohiuddin, “and our study proves that intense smoking cessation treatment in high-risk patients is successful and that it saves lives.”

“Smoking clearly links patients with cardiovascular disease to adverse outcomes,” said Mark J. Rosen, MD, FCCP, President of the American College of Chest Physicians. “It's never too late to quit smoking and all patients who smoke should work with their doctors to find the quit method that works best for them.”

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