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. 2021 Mar 30;14(11):2295–2303. doi: 10.1093/ckj/sfab072

Table 1.

Evaluation of physical dependence

Methods Diagnostic thresholds
  • Fagerström questionnaire:

  • 0–2: no dependence

  • 3–4: low dependence

  • 5–6: moderate dependence

  • 7–8: high dependence

  • 9–10: very high dependence

1. How soon after you wake up do you smoke your first cigarette?
(0) >60 min; (1) 31–60 min; (2) 6–30 min; (3) ≤5min
2. Do you find it difficult to refrain from smoking in places where it is forbidden?
(0) No; (1) Yes
3. Which cigarette would you hate most to give up?
(1) The first in the morning; (0) Any other
4. How many cigarettes per day do you smoke?
(0) ≤10; (1) 11–20; (2) 21–30; (3) >30
5. Do you smoke more frequently during the first hours after awakening than during the rest of the day?
(0) No; (1) Yes
6. Do you smoke even if you are so ill that you are in bed most of the day?
(0) No; (1) Yes
Exhaled CO
  • 0–5 p.p.m.: Non-smoker (at least for 24 h)

  • 5–10 p.p.m.: Light exposure, >6 h from the last cigarette, passive smoking or exposure to other environmental CO

  • >10 p.p.m.: current smoker

Carboxyhaemoglobin >1.7% in the blood: active smoker
Urinary cotinine
  • Inhaled nicotine (mg/24 h) = 0.013× urinary cotinine (µg/L)

  • <10µg/L: non-smoker and <50µg/L: passive smoker