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Who refers to a hospital-based smoking cessation service in the real world?

Keir E. Lewis, Victoria Ashman, Sarra Reynolds, Rhia Davey, Hurrell Cath, Einon Cath
European Respiratory Journal 2016 48: PA4597; DOI: 10.1183/13993003.congress-2016.PA4597
Keir E. Lewis
Medicine, Hywel Dda University Health Board, Llanelli, United KingdomSchool of Medicine, Swansea University, Swansea, United Kingdom
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Victoria Ashman
Medicine, Hywel Dda University Health Board, Llanelli, United Kingdom
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Sarra Reynolds
Medicine, Hywel Dda University Health Board, Llanelli, United Kingdom
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Rhia Davey
Medicine, Hywel Dda University Health Board, Llanelli, United Kingdom
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Hurrell Cath
Medicine, Hywel Dda University Health Board, Llanelli, United Kingdom
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Einon Cath
Medicine, Hywel Dda University Health Board, Llanelli, United Kingdom
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Abstract

INTRODUCTION: Secondary care smoking cessation services (SCSCS) are cost-effective but are probably underused. New Welsh Government directives want 10% of smokers attending hospital to be seen by SCSCS with 40% of these achieving quits at 4 weeks.

AIM: We looked at referral patterns into and 4-week quit rates in smokers attending a well-established SCSCS.

METHODS: 1032 consecutive smokers who attended at least 1 appointment to SCSCS between 2008-2015 in a UK District Hospital, served by 0.6 whole-time equivalent SC specialist.

SETTING: The hospital has a ban on smoking, poster adverts, a drop in service for staff smokers, SCSCS leaflets in all patient information sheets e.g. for elective admissions / day case procedures and free prescriptions of all types of NRT and varenicline. Smokers can also access a free community service.

RESULTS:

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* urology=4, psychiatry=2, physiotherapy=2, AE=1, ENT=4, rheumatology=3, dermatology=1, GP=11, Obs &Gynae=4, oncology=2, podiatry=4

61.5% attendees were sustained quitters at 4 weeks (serial exhaled CO<10 ppm).

CONCLUSIONS: This is the first study reporting patterns of referral to a SCSCS to a well-established service. Most patients came from the Respiratory department with Cardiology the second commonest source with many patients and staff self-referring. More work needs to be done encouraging referrals from other specialities especially as for those attending the service, their early quit rates are good.

  • Smoking
  • Health policy
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Who refers to a hospital-based smoking cessation service in the real world?
Keir E. Lewis, Victoria Ashman, Sarra Reynolds, Rhia Davey, Hurrell Cath, Einon Cath
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4597; DOI: 10.1183/13993003.congress-2016.PA4597

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Who refers to a hospital-based smoking cessation service in the real world?
Keir E. Lewis, Victoria Ashman, Sarra Reynolds, Rhia Davey, Hurrell Cath, Einon Cath
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4597; DOI: 10.1183/13993003.congress-2016.PA4597
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