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Patient Population

Patients with asthma between the ages of 14 and 19 (inclusive)(There are no exceptions and even never smoked must be added every 12 months)

Smoking Exception code (added in last 12 months)

137k. Refusal to give smoking status

Smoking codes (added in last 12 months)

137.. Tobacco consumption
1371. Never smoked tobacco
1372. Trivial smoker - <1 cig/day
1373. Light smoker - 1-9 cigs/day
1374. Moderate smoker - 10-19 cigs/day
1375. Heavy smoker - 20-39 cigs/day
1376. Very heavy smoker - 40+ cigs/day
1377. Ex-trivial smoker (<1/day)
1378. Ex-light smoker (1-9/day)
1379. Ex-moderate smoker (10-19/day)
137A. Ex-heavy smoker (20-39/day)
137B. Ex-very heavy smoker (40+/day)
137C. Keeps trying to stop smoking
137D. Admitted tobacco cons untrue?
137F. Ex-smoker - amount unknown
137G. Trying to give up smoking
137H. Pipe smoker
137J. Cigar smoker
137K. Stopped smoking
137L. Current non-smoker (v14)
137M. Rolls own cigarettes
137N. Ex pipe smoker
137O. Ex cigar smoker
137P. Cigarette smoker
137Q. Smoking started
137R. Current smoker
137S. Ex smoker
137T. Date ceased smoking
137V. Smoking reduced
137X. Cigarette consumption
137Y. Cigar consumption
137Z. Tobacco consumption NOS
137a. Pipe tobacco consumption
137b. Ready to stop smoking
137c. Thinking about stopping smoking
137d. Not interested in stopping smoking
137e. Smoking restarted
137f. Reason for restarting smoking
137g. Cigarette pack-years(v28)
137h. Minutes from waking to first tobacco consumption
137j. Ex-cigarette smoker
137l. Ex roll-up cigarette smoker
137m. Failed attempt to stop smoking
137n. Total time smoked(v28)
137o. Waterpipe tobacco consumption

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Asthma 004.1 Rationale

Many young people start to smoke at an early age. It is therefore justifiable to ask about smoking on an annual basis in this age group.

Studies of smoking related to asthma are surprisingly few in number. Starting smoking as a teenager increases the risk of persisting asthma. There are very few studies that have considered the question of whether smoking affects asthma severity. One controlled cohort study suggested that exposure to passive smoke at home delayed recovery from an acute attack. There is also epidemiological evidence that smoking is associated with poor asthma control. See Price et al. Clin Exp Allergy 2005; 35: 282-287.

It is recommended that smoking cessation be encouraged as it is good for general health and may decrease asthma severity (Thomson et al. Eur Respir J 2004; 24: 822 833).

Asthma 004.2 Reporting and verification

See indicator wording for requirement criteria.

A number of the "Smoking Habit" codes have been removed from the relevant code clusters from April 2014 as they cannot be used to identify if the patient is a current smoker, an ex-smoker or has never smoked. Accepted codes are available in the associated Business Rules

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Prepared By Jean Keenan