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Adult nursing
Smoking cessation interventions are cost-effective in people affected by stroke
  1. Rosa Suñer-Soler
  1. Universitat de Girona, Girona, Spain
  1. Correspondence to Dr Rosa Suñer-Soler, Universitat de Girona, Girona, 17600, Spain; rosa.sunyer{at}

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Commentary on: Wechsler PM, Liberman AL, Restifo D, Abramson EL, Navi BB, Kamel H, Parikh NS. Cost-Effectiveness of Smoking Cessation Interventions in Patients With Ischemic Stroke and Transient Ischemic Attack. Stroke. 2023 Apr;54(4):992-1000. doi: 10.1161/STROKEAHA.122.040356. Epub 2023 Mar 3.

Implications for practice and research

  • Measures to promote smoking cessation should go beyond brief counselling to include intensive counselling with pharmacotherapeutic support, such as varenicline, which are cost-effective.

  • Future research is needed to study to what extent the results obtained here are reproducible in other healthcare settings.


Smoking cessation in stroke survivors is associated with a reduction in vascular events and death.1 Despite this, less than half of stroke survivors stop smoking2 although if the stroke affects the insular cortex, cessation is easier.3 Clinical practice often fails …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.