RT Journal Article
SR Electronic
T1 Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay: experience through 2010
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP 471
OP 472
DO 10.1136/tobaccocontrol-2012-050954
VO 23
IS 6
A1 Ernesto Marcelo Sebrié
A1 Edgardo Sandoya
A1 Eduardo Bianco
A1 Andrew Hyland
A1 K Michael Cummings
A1 Stanton A Glantz
YR 2014
UL http://tobaccocontrol.bmj.com/content/23/6/471.abstract
AB Background Comprehensive smoke-free laws have been followed by drops in hospitalisations for acute myocardial infarction (AMI), including in a study with 2 years follow-up for such a law in Uruguay. Methods Multiple linear and negative binomial regressions for AMI admissions (ICD-10 code 121) from 37 hospitals for 2 years before and 4 years after Uruguay implemented a 100% nationwide smoke-free law. Results Based on 11 135 cases, there was a significant drop of −30.9 AMI admissions/month (95% CI −49.8 to −11.8, p=0.002) following implementation of the smoke-free law. The effect of the law did not increase or decrease over time following implementation (p=0.234). This drop represented a 17% drop in AMI admissions following the law (IRR=0.829, 95% CI 0.743 to 0.925, p=0.001). Conclusions Adding two more years of follow-up data confirmed that Uruguay's smoke-free law was followed by a substantial and sustained reduction in AMI hospitalisations.