Results of an Inpatient Smoking Cessation Program: 3-Month Cessation Rate and Predictors of Success
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Ba ckground: Hospitalization presents smokers with an opportunity to initiate smoking cessation. Westudied the effect of inpatient counseling and follow-up after discharge on smoking cessation andassessed predictors of successful cessation. Me thods: This study included a total of 125 patients (118 male and 7 female) who were admittedto departments of neurology, cardiology, and pulmonology. They were referred to the smokingcessation clinic, and participated between September 2011 and February 2013. A counseling servicelasting about thirty minutes was provided by the third-year family medicine residents duringhospitalization. The follow-up counseling services, which were either by telephone or in-personphysician counseling were provided at 1 week, 4 weeks, and 3 months. Smoking habits and nicotinedependency data were gathered using questionnaires, and patient information was collected fromelectronic medical records. Re sults: The average age in the study was 57.9 ± 10.2 years and duration of smoking was 35.9 ± 11.7years. Daily tobacco consumption was 23.5 ± 13.2 cigarettes. The smoking cessation rate after 3months was 42.4%. The only differences between patients in the successful cessation and failedgroups were cause of admission (P = 0.039) and total number of counseling sessions after discharge (P< 0.001). In a multivariate analysis, smoking cessation was more likely when patients experiencedmore instances of follow-up after discharge (1–2 visits: odds ratio [OR], 8.186; 95% confidenceinterval [CI], 1.060 to 63.239; ≥3 visits: OR, 121.873; 95% CI, 14.462 to 1,027.055). Co nclusion: Smoking cessation counseling during hospitalization and further follow-up by telephoneor outpatient counseling after discharge contributed to an increased smoking cessation rate. Thesmoking cessation rate also tended to increase with total counseling numbers.
Abstract
Ba ckground: Hospitalization presents smokers with an opportunity to initiate smoking cessation. Westudied the effect of inpatient counseling and follow-up after discharge on smoking cessation andassessed predictors of successful cessation. Me thods: This study included a total of 125 patients (118 male and 7 female) who were admittedto departments of neurology, cardiology, and pulmonology. They were referred to the smokingcessation clinic, and participated between September 2011 and February 2013. A counseling servicelasting about thirty minutes was provided by the third-year family medicine residents duringhospitalization. The follow-up counseling services, which were either by telephone or in-personphysician counseling were provided at 1 week, 4 weeks, and 3 months. Smoking habits and nicotinedependency data were gathered using questionnaires, and patient information was collected fromelectronic medical records. Re sults: The average age in the study was 57.9 ± 10.2 years and duration of smoking was 35.9 ± 11.7years. Daily tobacco consumption was 23.5 ± 13.2 cigarettes. The smoking cessation rate after 3months was 42.4%. The only differences between patients in the successful cessation and failedgroups were cause of admission (P = 0.039) and total number of counseling sessions after discharge (P< 0.001). In a multivariate analysis, smoking cessation was more likely when patients experiencedmore instances of follow-up after discharge (1–2 visits: odds ratio [OR], 8.186; 95% confidenceinterval [CI], 1.060 to 63.239; ≥3 visits: OR, 121.873; 95% CI, 14.462 to 1,027.055). Co nclusion: Smoking cessation counseling during hospitalization and further follow-up by telephoneor outpatient counseling after discharge contributed to an increased smoking cessation rate. Thesmoking cessation rate also tended to increase with total counseling numbers.
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