Francisco Carrión-Valero1, Joan Quiles-Izquierdo2, Carmen González-Monte3, Francisco Taberner-Alberola4, José A Lluch-Rodrigo2, Francisco J Chorro5, José M Martín-Moreno6. 1. Pneumology Service, Hospital Clínico Universitario, Valencia, Spain; Department of Medicine, Universitat de Valencia, Valencia, Spain. Electronic address: fcarrionva@gmail.com. 2. Dirección General de Salut Pública, Conselleria de Sanitat Universal i Salut Pública, Valencia, Spain. 3. Hospital Pare Jofré, Valencia, Spain. 4. Clinical Documentation Service, Hospital Clínico Universitario, Valencia, Spain. 5. Department of Medicine, Universitat de Valencia, Valencia, Spain; Cardiology Service, Hospital Clínico Universitario, Valencia, Spain. 6. Department of Public Health, Universitat de València, Valencia, Spain; University Clinical Hospital, Valencia, Spain.
Abstract
OBJECTIVE: To assess the association between a comprehensive smoking ban and hospitalization rates for acute myocardial infarction (AMI). METHODS: An observational study was conducted to assess changes in hospital admission rates for AMI in the Autonomous Community of Valencia, Spain (population 5 million), during the period 1995-2013. Law 28/2005 prohibited smoking in all enclosed spaces (public and private), and Law 42/2010 extended the ban to bars and restaurants as well as children's playgrounds and access areas of schools and hospitals. Data on hospital admissions were obtained from the Hospital Discharge Database (CMBD) of the Autonomous Community. Annual hospital admission rates per 100000 population for AMI (ICD-9-CM code 410) for men and women were calculated. RESULTS: Adjusted hospital admission rates per 100000 population for AMI decreased markedly from 141.1 in 2005 to 119.2 in 2007, with a further reduction to 102.9 in 2013. Reductions in hospital admission were recorded in both men and women, but the downward trends were stronger in women. CONCLUSION: The Spanish comprehensive smoking ban was associated with a marked reduction in the adjusted rate of hospital admissions due to AMI in the Autonomous Community of Valencia. This decrease in the number of persons requiring in-patient care due to AMI is important from both a health care and a societal perspective.
OBJECTIVE: To assess the association between a comprehensive smoking ban and hospitalization rates for acute myocardial infarction (AMI). METHODS: An observational study was conducted to assess changes in hospital admission rates for AMI in the Autonomous Community of Valencia, Spain (population 5 million), during the period 1995-2013. Law 28/2005 prohibited smoking in all enclosed spaces (public and private), and Law 42/2010 extended the ban to bars and restaurants as well as children's playgrounds and access areas of schools and hospitals. Data on hospital admissions were obtained from the Hospital Discharge Database (CMBD) of the Autonomous Community. Annual hospital admission rates per 100000 population for AMI (ICD-9-CM code 410) for men and women were calculated. RESULTS: Adjusted hospital admission rates per 100000 population for AMI decreased markedly from 141.1 in 2005 to 119.2 in 2007, with a further reduction to 102.9 in 2013. Reductions in hospital admission were recorded in both men and women, but the downward trends were stronger in women. CONCLUSION: The Spanish comprehensive smoking ban was associated with a marked reduction in the adjusted rate of hospital admissions due to AMI in the Autonomous Community of Valencia. This decrease in the number of persons requiring in-patient care due to AMI is important from both a health care and a societal perspective.
Keywords:
Admissão de doentes; Cessação tabágica/legislação e jurisprudência; Enfarte do miocárdio/prevenção e controlo; Health policy; Myocardial infarction/prevention & control; Patient admission; Política de saúde; Smoking cessation/legislation & jurisprudence; Smoking/prevention & control; Tabagismo/prevenção e controlo
Authors: Meng Chu; Zhiyan Liu; Xinzhu Fang; Yajun Wu; Huannan Liu; Xuan Zhao; Tianxiao Zhang; Qian Wu; Fang Tan Journal: Front Public Health Date: 2022-06-21