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Master Thesis

Intérêt de la réalisation régulière de spirométrie et de test au monoxyde de carbone dans le sevrage tabagique en médecine générale

Abstract : Objective: To evaluate the effectiveness of smoking cessation on the use of a maximum of tools available in general medicine. Methods: This is a monocentric prospective interventional thesis, randomized against control group for 3 months. Sixty-three major smoking patients were included. Patients were randomized to arm 0 without intervention, and arm 1 with intervention with spirometry, Tiffeneau report, pulmonary age, and carbon monoxide tests. The statistical analyzes compared the two groups on a smoking questionnaire on day 0 and day 90. Smoking cessation was confirmed by a carbon monoxide test. Results: 52.4% were women, 47.14 years old, who had smoked 28.54 years. 98.4% wanted to stop smoking on day 0, especially for the health benefit. In arm 1, on day 0, 27.6% had a pathological Tiffeneau and 48.3% had a pulmonary age older than biological age. At day 90, 13 patients (28.9%) weaned their smoking, 8 (42.1%) in the intervention group versus 5 (19.2%) in the other arm, with no statistically significant difference, p = 0.196 . 22 patients decreased their consumption. 18 patients were lost to follow-up. The spirometry and carbon monoxide test performed on all patients on day 90 triggered a craving for smoking cessation in 84.2% of them. Conclusion: This study, combining the tools of modern general medicine, does not establish a causal link between intervention and smoking cessation but increases the role of the general practitioner in its management. It encourages studies on a larger scale.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02493859
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Submitted on : Friday, February 28, 2020 - 11:30:28 AM
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Emmanuel Aguinaga. Intérêt de la réalisation régulière de spirométrie et de test au monoxyde de carbone dans le sevrage tabagique en médecine générale. Médecine humaine et pathologie. 2019. ⟨dumas-02493859⟩

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