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Related Experiment Videos

Smoking cessation after surgery. A randomized trial

J A Simon1, S N Solkowitz, T P Carmody

  • 1General Internal Medicine Section, Department of Veterans Affairs Medical Center, San Francisco, Calif, USA.

Archives of Internal Medicine
|June 23, 1997
PubMed
Summary
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Hospitalized smokers who received a multicomponent intervention were twice as likely to quit smoking long-term. This study highlights surgical admissions as a key opportunity for effective tobacco cessation programs.

Area of Science:

  • Public Health
  • Clinical Interventions
  • Smoking Cessation

Background:

  • Cigarette smoking is a leading cause of preventable death in the U.S.
  • Hospital stays offer a unique opportunity for smoking cessation interventions.
  • Most smokers desire to quit, and hospitals are increasingly smoke-free.

Purpose of the Study:

  • To evaluate the effectiveness of a multicomponent intervention for smoking cessation in hospitalized smokers undergoing noncardiac surgery.
  • To determine if a targeted intervention can increase long-term smoking cessation rates.

Main Methods:

  • A randomized controlled trial involving 324 male smokers admitted for noncardiac surgery.
  • Intervention group received intensive counseling, videotapes, literature, nicotine replacement therapy, and phone follow-up.

Related Experiment Videos

  • Comparison group received brief counseling and self-help literature.
  • Biochemical confirmation (cotinine levels) was used to verify smoking cessation.

    • Main Results:

    • At 12 months, 27% of the intervention group self-reported quitting versus 13% in the comparison group.
    • Biochemically confirmed quit rates were 15% for the intervention group and 8% for the comparison group.
    • The intervention demonstrated a statistically significant increase in long-term smoking cessation.

    Conclusions:

    • A comprehensive smoking cessation intervention for hospitalized smokers significantly increases long-term quit rates.
    • Surgical admissions present a valuable opportunity to engage smokers motivated to quit.
    • Targeted interventions during hospitalization can lead to sustained smoking cessation.