Prevalencia de consumo de tabaco: en pacientes tratados en el hospital de día y consulta de enfermería de reumatología / Prevalence of snuff in patients treated in hospital consultation day and rheumatology nursing

Objetivos. Evaluar la prevalencia del consumo de tabaco de los pacientes con artropatías inflamatorias tratados en nuestro servicio. Realizar educación antitabáquica con la finalidad de reducir al máximo el número de fumadores activos. Método. Se realizó una encuesta de consumo de tabaco a los pacientes con artropatías inflamatorias tratados en el servicio de Reumatología. Variables evaluadas: demográficas, diagnóstico, tratamiento actual y hábito tabáquico. En los pacientes fumadores y exfumadores: edad inicio tabaco, número de cigarrillos día, tiempo exposición al tabaco y si eran fumadores activos antes del diagnóstico de su enfermedad. Asimismo, se preguntó a todos los pacientes si tenían información de que el tabaco era un factor de riesgo para su enfermedad, EN PACIENTES TRATADOS EN EL HOSPITAL DE DÍA Y CONSULTA DE ENFERMERÍA DE REUMATOLOGÍA y a los fumadores activos si querían dejar de fumar. Se realizó educación antitabáquica. Resultados. Se incluyeron 198 pacientes. El diagnóstico más prevalente fue la artritis reumatoide (58.1 %). La mayoría estaban tratados con terapia biológica. El 50 % de los pacientes no era fumador, el 31 % exfumador y el 19 % fumador activo. El 92 % de los pacientes fumadores y el 89 % de los exfumadores fumaba antes del diagnóstico de la enfermedad. El 35 % refería haber recibido información sobre el riesgo del hábito tabáquico y el 81 % de los fumadores activos quería dejar de fumar. Conclusiones. Un 19 % de pacientes con artropatías inflamatorias visitados en la Unidad de Artritis son fumadores activos. La mayoría de los pacientes han sido receptivos a la educación antitabáquica. Los resultados justifican la indicación de realizar consejo antitabáquico de forma sistémica y estructurada (AU)

Objectives. To assess the prevalence of tobacco consumption in patients with inflammatory arthritis treated in our department and to raise awareness against tobacco in order to reduce the maximum number of active smokers. Method. A tobacco consumption survey was conducted to patients with inflammatory arthritis treated at the department of Rheumatology. Variables assessed: demographics, diagnosis, treatment, and current smoking. In smokers and former smokers patients: onset age of smoking, number of cigarettes per day, time exposure to tobacco and if they were active smokers before the diagnosis of their disease. All patients were also asked if received information about tobacco as a risk factor for inflammatory disease; and current to the active smokers if they wanted to stop. Awareness activities against tobacco were conducted. Results. Patients were included 198. The most prevalent diagnosis was rheumatoid arthritis (58.1 %). Most patients were treated with biological therapy. Fifty percent of patients were nonsmokers, 31 % former smokers and 19 % active smokers. Ninety-two percent of smokers and 89 % former smokers already smoked before diagnosis of the disease. Thirty-five percent of all patients had received information about the risks of tobacco. Eighty percent of current smokers wanted to stop smoking. Conclusions. Active smoking was reported in 19 % of patients with inflammatory arthropathies visited in our Arthritis. Department patients were willing to receive tobacco education. These results indicate the need to provide advice against tobacco in a systematic and structured manner (AU)

[Thrombocytosis in juvenile rheumatoid arthritis]. / Trombocitosis en artritis reumatoide juvenil.

To find out the possible relationship between thrombocytosis and JRA, 2 to 11 platelet counts (every 1 to 6 months) were performed in each of 26 patients with active JRA, and were compared with figures for hemoglobin, WBC, sedimentation rate and articular index. Thrombocytosis was found in 88% of the cases. There was positive correlation, with statistical significance, among thrombocytosis, anemia, and sedimentation rate. Significant relationship was also found among thrombocytosis, the presence of articular inflammation and leukocytosis. There was no parallelism between platelets types of the disease. We conclude that in active JRA, thrombocytosis is a frequent finding in relation with anemia and the inflammatory activity of the disease.