The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation

Basak, Okay; ERGİN, HÜSEYİN

The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation

Hüseyin Ergin, (Köşk Central Family Health Center, Aydın, Turkey)

Okay Başak (Department of Family Medicine, Aydın Adnan Menderes University, School of Medicine, Aydın, Turkey)

Addicta: The Turkish Journal on Addictions

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Yıl: 2021 Cilt: 8 Sayı: 2 Sayfa Aralığı: 102 - 107 Metin Dili: İngilizce İndeks Tarihi: 20-02-2022

The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation

Öz:

The aim of our study was to determine the power of exhaled air CO (E-CO) levels to predict the severity of nicotine dependency and its effect on predicting the one-year smoking cessation success. It also aimed to detect other factors related to smoking cessation success. The smokers who applied to the ADU hospital family medicine and smoking cessation clinic between October 2018 and March 2019 participated in this prospective cohort study, conducted with an analytical design. A significant correlation was found between the E-CO levels and the Fagerstrom Test for Nicotine Dependence (FTND) score, Heaviness of Smoking index (HSI) score, and the amount of smoking per day. The sensitivity of predicting high nicotine dependency based on the FTND score (≥6) at the 8.5 ppm cut-off point for E-CO level was 70.6%, and the specificity was 67.7%. The sensitivity of predicting high nicotine dependency based on the HSI score (≥4) at the 9.5 ppm cut-off point for E-CO level was 68.0%, and specificity was 71.9%. E-CO measurements can be used to determine the level of dependency. Low initial E-CO levels increase smoking cessation success.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

Babaoğlu, E., Karalezli, A., Er, M., Hasanoğlu, H. C., & Öztuna, D. (2016). Exhaled carbon monoxide is a marker of heavy nicotine dependence. Turkish Journal of Medical Sciences, 46(6), 1677-1681. [CrossRef]
Demir, T., Tutluoğlu, B., Koç, N., & Bilgin, L. (2004). One-year follow up results of Smoking Cessation Outpatient Clinic. Tüberküloz ve Toraks, 52(1), 63-68.
Edwards, R. (2004). The problem of tobacco smoking. BMJ, 328(7433), 217-219. [CrossRef]
Fai, S. C., Yen, G. K., & Malik, N. (2016). Quit rates at 6 months in a pharmacist-led smoking cessation service in Malaysia. Canadian Pharmacists Journal : CPJ = Revue des Pharmaciens du Canada : RPC, 149(5), 303-312. [CrossRef]
Gaikwad, R., Bhowate, R., Bajad, P., Gadbail, A. R., Gondivkar, S., Sarode, S. C., Patil, S. (2017). Potential predictor of tobacco cessation among factory workers: a baseline data of worksite tobacco cessation programs in the central part of India. Journal of Contemporary Dental Practice, 18(11), 1071-1077. [CrossRef]
Górecka, D., Bednarek, M., Nowiński, A., Puścińska, E., Goljan-Geremek, A., & Zieliński, J. (2003). Diagnosis of airflow limitation combined with smoking cessation advice increases stop-smoking rate. Chest, 123(6), 1916-1923. [CrossRef]
Groman, E., & Bayer, P. (2000). A combination of exhaled carbon monoxide (CO) measurement and the Fagerström Test for Nicotine
Dependence (FTND) is recommended to complete information on smoking rates in population-based surveys. Sozial- und Praventivmedizin, 45(5), 226-228. [CrossRef] Groman, E., Blauensteiner, D., Kunze, U., & Schoberberger, R. (2000). Carbon monoxide in the expired air of smokers who smoke so-called "light" brands of cigarettes. Tobacco Control, 9(3), 352. [CrossRef]
Hashimoto, R., Tomioka, H., Wada, T., & Yoshizumi, Y. (2020). Outcomes and predictive factors for successful smoking cessation therapy in COPD patients with nicotine dependence. Respiratory Investigation, 58(5), 387-394. [CrossRef]
Kapusta, N. D., Pietschnig, J., Plener, P. L., Blüml, V., Lesch, O. M., & Walter, H. (2010). Does breath carbon monoxide measure nicotine dependence? Journal of Addictive Diseases, 29(4), 493-499. [CrossRef]
Kargın, N.C., & Marakoğlu, K. (2015). Effect of smoking cessation on the respiratory functions. Türkiye Aile Hekimliği Dergisi, 19(3), 130- 135. [CrossRef]
Khuder, S. A., Dayal, H. H., Mutgi, A. B. (1999). Age at smoking onset and its effect on smoking cessation. Addictive Behaviors, 24(5), 673- 677. [CrossRef]
Middleton, E. T., & Morice, A. H. (2000). Breath carbon monoxide as an indication of smoking habit. Chest, 117(3), 758-763. [CrossRef]
Monsó, E., Campbell, J., Tønnesen, P., Gustavsson, G., Morera, J. (2001). Sociodemographic predictors of success in smoking intervention. Tobacco Control, 10(2), 165-169. [CrossRef]
Mutlu, P., Botan Yildirim, B., Acikmese, B. (2016). Results taken from a Smoking Cessation clinic at a second-level State Hospital. Istanbul Medical Journal, 16(4), 145-148. [CrossRef]
Onen, Z. P., Sen, E., Eriş Gülbay, B., Oztürk, A., Akkoca Yıldız, O., Acıcan, T., Saryal, S., Karabıyıkoğlu, G. (2010). Comparing the effectiveness of different treatment modalities on the smoking cessation rates. Tüberküloz ve Toraks, 58(4), 385-392.
Prochaska, J. O., DiClemente, C. C., Velicer, W. F., Ginpil, S., Norcross, J. C. (1985). Predicting change in smoking status for self-changers. Addictive Behaviors, 10(4), 395-406. [CrossRef]
Raherison, C., Marjary, A., Valpromy, B., Prevot, S., Fossoux, H., Taytard, A. (2005). Evaluation of smoking cessation success in adults. Respiratory Medicine, 99(10), 1303-1310. [CrossRef] Shie, H. G., Pan, S. W., Yu, W. K., Chen, W. C., Ho, L. I., Ko, H. K. (2017).
Levels of exhaled carbon monoxide measured during an intervention program predict 1-year smoking cessation: a retrospective observational cohort study. NPJ Primary Care Respiratory Medicine, 27(1), 59-59. [CrossRef]
Halk Sağliği Genel Müdürlüğü. (2020). Sigara bırakma Hizmetleri. Retrieved from https://hsgm.saglik.gov.tr/tr/bagimliliklamucadele -haberler/sigara-birakma-hizmetleri.html.
Simon, J. A., Carmody, T. P., Hudes, E. S., Snyder, E., Murray, J. (2003). Intensive smoking cessation counseling versus minimal counseling among hospitalized smokers treated with transdermal nicotine replacement: a randomized trial. American Journal of Medicine, 114(7), 555-562. [CrossRef]
Solak, A. Z., Telli, C. G., Erdinç, E. (2003). Sigarayı bırakma tedavisinin sonuçları. Toraks Dergisi, 4(1), 73-77.
Türkcan, A., & Çakmak, D. (2004). Sigara bağımlılarında solunum havasında karbonmonoksit düzeyleri. Bağımlılık Dergisi, 5(3), 133-138.
Uzaslan, E. K., Özyardimci, N., Karadağ, M. A., Yüksel, E. G., Gözü, R. O., Ege, E. (2000). The physician's intervention in smoking cessation: results of the five years of smoking cessation clinic. Annals of Medical Sciences, 9(2), 63-69.
World Health Organization. (2018). WHO global report on trends in tobacco smoking 2000-2025. Retrieved from https://www.who.int/ tobacco/publications/surveillance/trends-tobacco-smoking-sec ond-edition/en/ in 2019.
Yaşar, Z., Kar Kurt, O., Talay, F., Kargı, A. (2014). One-year follow-up results of Smoking Cessation outpatient clinic: factors affecting the cessation of smoking. Eurasian Journal of Pulmonology, 16(2), 99- 104. [CrossRef]

APA	ERGİN H, Basak O (2021). The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. , 102 - 107.
Chicago	ERGİN HÜSEYİN,Basak Okay The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. (2021): 102 - 107.
MLA	ERGİN HÜSEYİN,Basak Okay The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. , 2021, ss.102 - 107.
AMA	ERGİN H,Basak O The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. . 2021; 102 - 107.
Vancouver	ERGİN H,Basak O The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. . 2021; 102 - 107.
IEEE	ERGİN H,Basak O "The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation." , ss.102 - 107, 2021.
ISNAD	ERGİN, HÜSEYİN - Basak, Okay. "The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation". (2021), 102-107.

APA	ERGİN H, Basak O (2021). The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. Addicta: The Turkish Journal on Addictions, 8(2), 102 - 107.
Chicago	ERGİN HÜSEYİN,Basak Okay The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. Addicta: The Turkish Journal on Addictions 8, no.2 (2021): 102 - 107.
MLA	ERGİN HÜSEYİN,Basak Okay The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. Addicta: The Turkish Journal on Addictions, vol.8, no.2, 2021, ss.102 - 107.
AMA	ERGİN H,Basak O The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. Addicta: The Turkish Journal on Addictions. 2021; 8(2): 102 - 107.
Vancouver	ERGİN H,Basak O The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation. Addicta: The Turkish Journal on Addictions. 2021; 8(2): 102 - 107.
IEEE	ERGİN H,Basak O "The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation." Addicta: The Turkish Journal on Addictions, 8, ss.102 - 107, 2021.
ISNAD	ERGİN, HÜSEYİN - Basak, Okay. "The Power of Exhaled Air Carbon Monoxide Levels to Predict Nicotine Dependency and Smoking Cessation". Addicta: The Turkish Journal on Addictions 8/2 (2021), 102-107.