Document Detail


Carbon monoxide assessment of smoking in chronic obstructive pulmonary disease.
MedLine Citation:
PMID:  2589127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic Obstructive Pulmonary Disease (COPD) is a major, often fatal, drain on health-care resources. Most cases of COPD result from Tobacco Dependence, and smoking cessation slows COPD's progression. But there is very little information on treating Tobacco Dependence in COPD patients. In preparation for clinical trials using monetary payments to motivate reduced smoking, as assessed by breath carbon monoxide (CO) levels in COPD patients, we have addressed three issues. First, surveying 182 advanced COPD patients, we found that CO levels above 8 parts per million (ppm) were strongly associated with a self-report of current smoking, and that CO levels correlated neither with COPD severity, nor with age: about one-third of these patients were currently smoking. Second, among 12 still-smoking COPD patients serially observed for 8 h. CO half-life averaged about 6.5 h. Third, 8 patients reinforced with lottery tickets for CO reductions significantly reduced CO levels during 2 test weeks, mainly by deferring smoking before scheduled CO measurements.
Authors:
T J Crowley; A E Andrews; J Cheney; G Zerbe; T L Petty
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Addictive behaviors     Volume:  14     ISSN:  0306-4603     ISO Abbreviation:  Addict Behav     Publication Date:  1989  
Date Detail:
Created Date:  1989-12-22     Completed Date:  1989-12-22     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7603486     Medline TA:  Addict Behav     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  493-502     Citation Subset:  IM    
Affiliation:
Addiction Research and Treatment Service, University of Colorado School of Medicine, Denver 80262.
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MeSH Terms
Descriptor/Qualifier:
Air Pollution / adverse effects
Breath Tests*
Carbon Monoxide / pharmacokinetics*
Female
Follow-Up Studies
Forced Expiratory Volume
Humans
Lung Diseases, Obstructive / blood*,  therapy
Male
Middle Aged
Oxygen Inhalation Therapy
Smoking / blood*,  therapy
Grant Support
ID/Acronym/Agency:
DA 03961/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
630-08-0/Carbon Monoxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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