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Implementing Smoking Cessation Interventions in a Preoperative Clinic.

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Implementing a preanesthesia clinic smoking cessation program increased provider comfort in discussing quitting. Most smokers encountered were ready to quit, with many accepting referrals for support.

Keywords:
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Area of Science:

  • Medical Science
  • Public Health
  • Surgical Outcomes

Background:

  • Cigarette smoking poses significant health risks for surgical patients, increasing complication rates.
  • Patients often lack adequate information on smoking's impact on surgical outcomes and cessation benefits.
  • Current smokers face heightened risks for severe coronavirus disease 2019 (COVID-19) complications.

Purpose of the Study:

  • To develop and implement an evidence-based smoking cessation program within a preanesthesia clinic.
  • The program aimed to enhance patient motivation to quit smoking before surgery.
  • To improve healthcare providers' ability to discuss smoking cessation and offer support.

Main Methods:

  • Developed a provider toolkit, established a referral process, and conducted provider education.
  • Implemented the smoking cessation program in a preanesthesia clinic at a southwestern medical center.
  • Evaluated the program's effectiveness over a 16-week period.

Main Results:

  • Out of 134 current smokers, 92 (68.66%) were ready to quit within 30 days.
  • 50 smokers (37.31%) accepted referrals for smoking cessation counseling or treatment.
  • Providers reported increased confidence in addressing smoking cessation with patients.

Conclusions:

  • The preanesthesia clinic smoking cessation program effectively increased provider comfort and patient engagement.
  • A significant proportion of surgical patients are motivated to quit smoking when offered support.
  • Integrating cessation interventions into preanesthesia care can improve surgical outcomes and patient health.