Document Detail

Short-term effects of Italian smoking regulation on rates of hospital admission for acute myocardial infarction.
MedLine Citation:
PMID:  16940340     Owner:  NLM     Status:  MEDLINE    
AIMS: We used the hospital discharge records of Piedmont region (northern Italy) to evaluate whether a national law banning smoking in public resulted in a short-term reduction in hospital admissions for acute myocardial infarction (AMI). METHODS AND RESULTS: Rates of admission for AMI before the ban (October-December 2004) and during the ban (February-June 2005) were analysed. Each period was compared with the corresponding period 12 months before. Among persons aged under 60, the number of admissions for AMI decreased significantly after the introduction of the ban: from 922 cases in February-June 2004 to 832 cases in February-June 2005 (sex- and age-adjusted rate ratio, 0.89; 95% confidence interval, 0.81-0.98). No decrease was seen before the ban. No effect was found among persons aged at least 60. We estimated that the observed reduction in active smoking after the introduction of the ban could account for a 0.7% decrease in admissions for AMI during the study period, suggesting that most of the observed effect (11%) might be due to the reduction of passive smoking. CONCLUSION: Our study, based on a population of about 4 million inhabitants, suggests that smoke-free policies may result in a short-term reduction in admissions for AMI.
Francesco Barone-Adesi; Loredana Vizzini; Franco Merletti; Lorenzo Richiardi
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-08-29
Journal Detail:
Title:  European heart journal     Volume:  27     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-04     Completed Date:  2007-03-29     Revised Date:  2007-12-07    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  England    
Other Details:
Languages:  eng     Pagination:  2468-72     Citation Subset:  IM    
Cancer Epidemiology Unit, CeRMS and Center for Oncologic Prevention Piemonte, University of Turin, Via Santena 7, 10126 Turin, Italy.
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MeSH Terms
Health Policy
Hospitalization / statistics & numerical data*
Italy / epidemiology
Middle Aged
Myocardial Infarction / epidemiology*
Public Facilities / legislation & jurisprudence*
Risk Factors
Smoking / epidemiology,  legislation & jurisprudence*,  prevention & control
Tobacco Smoke Pollution / legislation & jurisprudence*,  prevention & control
Reg. No./Substance:
0/Tobacco Smoke Pollution
Comment In:
Eur Heart J. 2006 Oct;27(20):2385-6   [PMID:  17018548 ]
Eur Heart J. 2007 Sep;28(18):2296; author reply 2296-7   [PMID:  17317698 ]
Eur Heart J. 2007 Feb;28(3):380; author reply 380-1   [PMID:  17259185 ]

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

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