How to calculate “PACK YEARS” for your COPD patients
1) Cigarettes
15 cigarettes a day for 1 year = ¾ pack year
20 cigarettes a day for 1 year = 1 pack year
40 cigarettes a day for 1 year = 2 pack years
2) Pipe Smoker
1 pipe = 2.5 cigarettes
e.g. 2 pipes a day = 5 cigarettes a day. If they smoked this amount for 1 year =
¼ pack year.
4 pipes a day = 10 cigarettes a day. If they smoked this amount for 1 year = ½
pack year.
3) Cigars
1 Café Crème = 1.5 cigarettes a day
1 Hamlet (or similar) = 2.5 cigarettes a day
1 Havana = 4 cigarettes a day
e.g. 4 Hamlet cigars a day = 10 cigarettes a day. If they smoked this amount for
1 year = ½ pack year.
4) Roll Ups
25 grams (1 ounce) = 50 cigarettes
Ask your patient how many ounces per week smoked ?
e.g. 25 grams tobacco (1 oz) per week = 50 cigarettes, divided by 7 days =
approx 7 cigarettes per day
50 grams tobacco (2 oz) per week = 100 cigarettes, divided by 7 days = approx
14 cigarettes per day
75 grams tobacco (3 oz) per week = 150 cigarettes, divided by 7 days = approx
21 cigarettes per day
and so on ……………………..
Formula
No of cigarettes smoked per day x no of years smoked = no of pack
years
20
e.g. smokes 40 cigarettes a day for 30 years
40 x 30 = 60 pack year history
20
Provided as a service to medicine by GlaxoSmithKline
LOM/STA/03/10031/1 LM 27043