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Macau Periodical Index (澳門期刊論文索引)
- Author
- He, Huijuan；Okoli, Chizimuzo T.C.
- Title
- The associatioin between somoking and secondary or recurrent stroke: a systematic review
- Journal Name
- 澳門護理雜誌
- Pub. Info
- 2019年12月, 第18卷第1-2期, pp. 38-48
- Keyword
- Stroke；Tobacco use；Systematic review；Prevention
- Abstract
- Objective: The obejectives of this study was to examine the association between continued smoking and secondary/recurrent stroke. Methods: Scientific articles pubished prior to February 2018 on smoking and secondary stroke were reviewed. PubMed and China National Knowledge Internet daabases were used for literature searches, using the following key terms: "stroke", "cerebral vascular accident", "smoking", "tobacco use", "smokeless tobacco use", "secondary stroke", "repeat stroke", "second stroke". Results: Nine studies were retrieved and analyzed. All studies included patients with ischemic stroke. The rates of smoking among patients with a recurrent stroke ranged from 14% to 84%. There was a relationship between current smoking and an increased risk for a secondary stroke. No difference was found in the risk for a subsequent stroke between quitters and continued smokers. Conclusions: The findings of this review infer that continued smoking is related to an increased risk for a recurrent/secondry stroke, especially among ischemic stroke patients. The findings stress the important role of nurses in educating patients and other health care providers about the relationship between smoking cessation and stroke prevention. Furthermore, this review highlights the role of nurses to advocate for tobacco control policies and smoking cessation support, which will help reduce the risk of primary or secondary stroke. Paragraph Headings： 1. Background 2. Methods 2.1. Search strategy 2.2. Inclusion and exclusion criteria 2.3. Search outcomes 2.4. Quality appraisal and data synthesis 3. Results 3.1. Description of studies 3.2. Main outcomes 3.2.1. Retrospective/case-control study findings 3.2.2. Prospetive Study findings 4. Discussion 5. Conclusion Tables： 1. Description of selected studies Figures： 1. Flow diagram of the process used to identity articles for the systematic review