Short-term economic and health benefits of smoking cessation - Myocardial infarction and stroke
Short-term economic and health benefits of smoking cessation - Myocardial infarction and stroke
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DOI：
10.1161/01.cir.96.4.1089
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发表时间：
1997-08-19
期刊：
影响因子：
37.8
通讯作者：
Glantz, SA
中科院分区：
文献类型：
--
作者：
Lightwood, JM;Glantz, SA
大多数关于戒烟的经济效益的分析考虑的是长期影响，这通常不是公共和私人政策制定者感兴趣的。这些分析未能说明从急性心肌梗死（AMI）和中风风险的快速下降中短期成本节约的时间过程。方法和结果我们估计了戒烟后AMI和中风风险下降的时间过程，并模拟了吸烟率绝对减少1%对吸烟者数量和短期死亡率的影响。与预防急性心肌梗死和中风相关的长期直接医疗费用。在第一年，AMI的住院治疗将减少924 +/- 679（平均值+/- SD），卒中的住院治疗将减少538 +/- 508，从而立即节省44 +/-2600万美元。一项每年将吸烟率降低1%的7年计划将使AMI住院人数减少63840 +/- 15521人，卒中住院人数减少34261 +/- 9133人，总成本节省32.0 +/- 0.59亿美元，并将防止大约13100例在人们到达医院之前发生的AMI导致的死亡。创建一个新的非吸烟者减少预期的医疗费用与AMI和中风的第一年由47美元，并在未来7年由853美元（每年折扣2.5%）。结论虽然青少年吸烟的一级预防是重要的，减少成人吸烟支付更直接的红利，无论是在健康改善和成本节约。
Background Most analyses of the economic benefits of smoking cessation consider long-term effects, which are often not of interest to public and private policy makers. These analyses fail to account for the time course of the short-run cost savings from the rapid decline in risk of acute myocardial infarction (AMI) and stroke.Methods and Results We estimate the time course of the fall in risk of AMI and stroke after smoking cessation and simulate the impact of a 1% absolute reduction in smoking prevalence on the number of and short-term direct medical costs associated with the prevented AMIs and strokes. In the first year, there would be 924 +/- 679 (mean +/- SD) fewer hospitalizations for AMI and 538 +/- 508 for stroke, resulting in an immediate savings of $44 +/- 26 million. A 7-year program that reduced smoking prevalence by 1% per year would result in a total of 63840 +/- 15521 fewer hospitalizations for AMI and 34261 +/- 9133 fewer for stroke, resulting in a total savings of $3.20 +/- 0.59 billion in costs, and would prevent approximate to 13100 deaths resulting from AMI that occur before people reach the hospital. Creating a new nonsmoker reduces anticipated medical costs associated with AMI and stroke by $47 in the first year and by $853 during the next 7 years (discounting 2.5% per year).Conclusions Although primary prevention of smoking among teenagers is important, reducing adult smoking pays more immediate dividends, both in terms of health improvements and cost savings.