student research day - Case Western Reserve University School of ...
student research day - Case Western Reserve University School of ...
student research day - Case Western Reserve University School of ...
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Lauren Tuchman<br />
Cardiac Presentations to a County Hospital in Relation to a Statewide Smoking Ban<br />
Lauren Tuchman, Cynthia Newman, BSN, Elaine A Borawski, PhD and Sumita Khatri, MD<br />
Internal Medicine – Pulmonary<br />
MetroHealth Medical Center<br />
Rationale: Secondhand smoke has been associated with acute cardiac diseases. Passage <strong>of</strong> a public and workplace smoking<br />
ban in Ohio provided natural experimental conditions to determine whether timing <strong>of</strong> the ban was associated with reduction<br />
in acute cardiac diseases. We hypothesized that emergency department (ED) visits for acute cardiac complaints would<br />
decrease after implementation <strong>of</strong> the public smoking ban.<br />
Methods: County hospital electronic medical records were queried. Durations queried (May 2005-May 2008) included pre-<br />
ban, post-ban, and an interim period. ED visits for acute myocardial infarction, acute ischemic heart disease, and angina<br />
were abstracted. Age, gender, race, and smoking status were noted. Locations <strong>of</strong> violations <strong>of</strong> the smoking ban were also<br />
available.<br />
Results: Of all patients presenting with acute cardiac complaints, there was a high prevalence <strong>of</strong> smoking (45% among<br />
those reported). The average weekly number <strong>of</strong> visits increased during the time the smoking ban was in effect (mean<br />
increase = 1.44 visits per week, 95%CI 1.05 - 1.83, p
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