Smoking among asthmatics is common and associates with poorer asthma control, more rapid lung function decline and higher health care costs in dose-dependent manner. No previous real-life studies exist, however, on how smoking status and pack-years are documented in scheduled asthma contacts in primary health care (PHC) during long-term follow-up, and how often patients are advised to quit smoking. In this real-life 12-year follow-up study, we showed that out of all scheduled PHC asthma contacts (n = 603) smoking was mentioned only in 17.2% and pack-years only in 6.5%. Smoking data was not recorded even once in 70.9% of never smokers, 64.7% of ex-smokers and 27.3% of current smokers. Smoking including pack-years were mentioned more often if nurse took part on the scheduled contact. For current smokers, smoking cessation was recommended only in 21.7% of their scheduled contacts. Current smokers used more antibiotics and had more unscheduled health care contacts during follow-up.

哮喘患者吸烟很常见，并且与哮喘控制较差、肺功能下降较快和医疗保健费用较高有关，且呈剂量依赖性。然而，以前没有关于在长期随访期间初级卫生保健 (PHC) 计划的哮喘接触者中如何记录吸烟状况和包年数的真实生活研究，以及建议患者戒烟的频率。在这项为期 12 年的真实随访研究中，我们发现在所有预定的 PHC 哮喘接触者中（n = 603) 仅 17.2% 提及吸烟，仅 6.5% 提及包年。70.9% 的从不吸烟者、64.7% 的前吸烟者和 27.3% 的当前吸烟者甚至没有记录一次吸烟数据。如果护士参与预定的接触，则更频繁地提及包括包年在内的吸烟。对于目前的吸烟者，仅在 21.7% 的预定接触者中建议戒烟。目前的吸烟者在随访期间使用了更多的抗生素，并且有更多的计划外医疗保健接触。