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Effectiveness of an inpatient smoking cessation program
Anne M Gadomski1, Jessie Gavett, Nicole Krupa
1Bassett Research Institute, Cooperstown, New York, USA. anne.gadomski@bassett.org
Journal of Hospital Medicine
|August 19, 2010
Summary
Inpatient smoking cessation programs significantly improve quitting success and reduce mortality after hospital discharge. These programs also increase the use of nicotine replacement therapy (NRT).
Area of Science:
- Public Health
- Clinical Medicine
- Behavioral Science
Background:
- Smoking cessation during inpatient stays can improve long-term quitting success.
- Hospitalization presents a critical opportunity to intervene with smokers.
Purpose of the Study:
- To assess the effectiveness of an inpatient smoking cessation program.
- To evaluate impacts on smoking abstinence, nicotine replacement therapy (NRT) use, and mortality post-discharge.
Main Methods:
- A quasiexperimental study design compared patients seen by a smoking cessation counselor to those not seen.
- Data collected via telephone interviews at 6 months post-discharge, electronic medical records, and administrative data.
- Multivariate logistic regression and survival analyses were used to control for baseline differences.
Main Results:
- Point prevalence abstinence was 16% in the intervention group vs. 10% in the comparison group (P=0.02).
- Self-reported quit status was 44% vs. 30% (P=0.00).
- In-hospital and post-discharge NRT use was higher in the intervention group. Multivariate analysis showed significantly reduced mortality (HR=0.37, P=0.04).
Conclusions:
- Inpatient smoking cessation programs are effective in improving quit outcomes.
- These programs enhance NRT utilization.
- Inpatient smoking cessation significantly reduces post-hospital discharge mortality.
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