RT Journal Article
SR Electronic
T1 Effectiveness of smoking cessation advice following admission to hospital
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 1380
VO 40
IS Suppl 56
A1 Nicola Hunt
A1 Laura Watkins
A1 Oliver McConnell
A1 Sam Westall
A1 Catriona Holden
A1 James Young-Jamieson
A1 Marta Babores
A1 Sriram Chandramouli
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/1380.abstract
AB IntroHospitalization offers patients a good opportunity to quit smoking especially when they are admitted with a respiratory illness. The Department of Health (DoH) recommends that all inpatient smokers should be offered support by a smoking cessation officer(SCO)1.Aims• Evaluate if smoking cessation advice is offered to patients admitted with a respiratory illness• Identify a relationship between abstinence and types of smoking cessation aids usedMethodsProspective follow up of 100 patients in respiratory clinic following hospital admission with a respiratory condition between December 2010 and October 2011. Baseline demographics and data on smoking habits and cessation advice were collected. Chi squared test was used to assess statistical significance.ResultsMedian (range) age of patients was 62 years (22 – 97). 52 were male.Of 100 patients 85 were offered cessation advice. 51 (60%) were seen by SCO.At follow up (1 to 3 months post discharge) 36 patients were abstinent. Age, gender or degree of tobacco consumption pre-admission did not influence likelihood of cessation.SCO review was associated with abstinence (p=0.02). The most effective methods of cessation were willpower (P=0.001) and use of nicotine replacement therapy (NRT, p=0.006).ConclusionsThe majority of patients admitted with an acute respiratory illness were offered cessation advice as recommended by DoH. SCO counselling and NRT are powerful tools and affect success rates. Surprisingly, most quitters in our study did not use additional aids and used hospitalization alone as an impetus to give up smoking.References1.Department of Health (1999) Smoking kills: a White Paper on tobacco.(The Stationery Office, London).