戒烟试验在急诊室 (COSTED):一个多中心随机对照试验
Ian Pope1, Lucy V Clark2, Allan Clark2
1Norwich Medical School, University of East Anglia Norwich Medical School, Norwich, UK i.pope@uea.ac.uk.
Emergency medicine journal : EMJ
|March 26, 2024
概括
一个急诊室的戒烟计划提供了简短的建议,电子烟和转诊,与通常的护理相比,在六个月内显著增加了持续的戒烟. 这种干预措施被证明是有效的,副作用最小.
科学领域:
- 公共卫生 公共卫生
- 临床干预研究 临床干预研究
- 戒烟的研究 戒烟的研究
背景情况:
- 戒烟是一个关键的公共卫生干预措施.
- 紧急部门 (ED) 为戒烟干预提供了一个独特的机会.
- 这项研究评估了一个基于ED的机会性戒烟计划.
研究的目的:
- 为了确定基于ED的机会性戒烟干预措施的有效性.
- 评估是否提供简短的建议,电子烟启动包和推服务可以提高戒烟率.
主要方法:
- 一个多中心,随机控制的优越性试验,涉及每日成年吸烟者在英国EDs.
- 参与者被分配到干预组 (咨询,电子烟,转诊) 或控制组 (书面信息).
- 主要结局是6个月后生物化学验证的戒烟.
主要成果:
- 干预组在6个月内实现了7.2%的生物化学验证的戒断率,而对照组的4.1% (RR 1.76).
- 与对照组 (12.9%) 相比,干预组 (23.3%) 的自我报告的7天禁酒时间明显高于对照组 (12.9%).
- 与试验干预相关的严重不良事件没有报告.
结论:
- 在ED中,机会性戒烟干预是有效的,可以实现持续的戒烟.
- 这项干预,包括简短的咨询,电子烟启动包和转诊,显示出积极的结果.
- 该计划与很少报告的不良事件有关,这表明了有利的安全概况.
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