PT  - JOURNAL ARTICLE
AU  - Lewis, Keir E.
AU  - Ashman, Victoria
AU  - Reynolds, Sarra
AU  - Davey, Rhia
AU  - Cath, Hurrell
AU  - Cath, Einon
TI  - Who refers to a hospital-based smoking cessation service in the real world?
AID  - 10.1183/13993003.congress-2016.PA4597
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA4597
VI  - 48
IP  - suppl 60
4099  - https://publications.ersnet.org//content/48/suppl_60/PA4597.short
4100  - https://publications.ersnet.org//content/48/suppl_60/PA4597.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - 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:* urology=4, psychiatry=2, physiotherapy=2, AE=1, ENT=4, rheumatology=3, dermatology=1, GP=11, Obs &Gynae=4, oncology=2, podiatry=461.5% 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.