Results of a Prospective Study of Acute Coronary Syndrome Hospitalization After Enactment of a Smoking Ban in Public Places in Hyogo Prefecture – Comparison With Gifu, a Prefecture Without a Public Smoking Ban –
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- Sato Yukihito
- Department of Cardiology, Hyogo Prefecture Amagasaki General Medical Center
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- Minatoguchi Shinya
- Department of Cardiology, Gifu University Graduate School of Medicine
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- Nishigaki Kazuhiko
- Department of Cardiology, Gifu University Graduate School of Medicine
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- Hirata Ken-ichi
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine
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- Masuyama Tohru
- Cardiovascular Division, Hyogo College of Medicine
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- Furukawa Yutaka
- Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital
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- Uematsu Masaaki
- Cardiovascular Center, Kansai Rosai Hospital
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- Yoshikawa Junichi
- Department of Cardiovascular Medicine, Nishinomiya Watanabe Cardiovascular Center
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- Otsuji Satoru
- Department of Cardiology, Higashi Takarazuka Satoh Hospital
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- Iida Mami
- Department of Cardiology, Gifu Prefectural General Medical Center
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- Fujiwara Hisayoshi
- Department of Cardiology, Hyogo Prefecture Amagasaki General Medical Center
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Abstract
<p>Background:Hyogo Prefecture is the 2nd prefecture in Japan, after Kanagawa, to enact a ban with penal code on smoking in public places, although the restriction is partial.</p><p>Methods and Results:This study included consecutive patients with acute coronary syndrome (ACS) who were admitted to 33 major hospitals in the Hyogo District during the 12 months before implementation of the legislation and during the 24 months thereafter. Consecutive patients with ACS from Gifu Prefecture who were admitted to 20 major hospitals were enrolled as geographical controls. The number of ACS admissions did not change from the years 2012–2015 in both Hyogo District (1,774 in the pre-year, 1,784 in the 1st year, and 1,720 in the 2nd year) and Gifu Prefecture (1,226 in the pre-year, 1,174 in the 1st year, and 1,206 in the 2nd year). However, a clear reduction was observed in the subanalysis for Kobe City (895 in the preceding year, 830 (−7.3%) in the 1st year, and 792 (−11.5%) in the 2nd year), where adherence to the smoking ban was higher than in other Hyogo districts.</p><p>Conclusions:The primary endpoint did not show a significant change. However, the subanalysis showed a significant decrease in ACS admissions in Kobe City. These results suggest that ACS reduction may depend on the degree of adherence to a smoking ban. (Circ J 2016; 80: 2528–2532)</p>
Journal
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- Circulation Journal
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Circulation Journal 80 (12), 2528-2532, 2016
The Japanese Circulation Society
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Details 詳細情報について
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- CRID
- 1390001205107660800
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- NII Article ID
- 130005284995
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- NII Book ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL BIB ID
- 027742871
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- PubMed
- 27829590
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed