Navigation Links
Intensive support programs can help hospitalized smokers stay smoke-free
Date:10/13/2008

Hospital-sponsored stop-smoking programs for inpatients that include follow-up counseling for longer than one month significantly improve patients' ability to stay smoke-free. An analysis of clinical trials of programs offered at hospitals around the world finds that efforts featuring long-term support can increase participant's chances of success by 65 percent. The study led Nancy Rigotti, MD, director of the Tobacco Research and Treatment Center at Massachusetts General Hospital (MGH) appears in the October 13 Archives of Internal Medicine and is one of several articles focused on smoking.

"While nobody looks forward to a hospital stay, it can really have an extra benefit for smokers" says Rigotti. "But this is only if the hospital helps them quit with counseling during and after their hospital stay. Hospitals really need to stop up to the plate and offer this type of service routinely, and it also should be reimbursed by payors."

Entering the hospital poses a special challenge for smokers, since all U.S. hospitals are now smoke-free, but it also can offer those ready to quit an important opportunity. Both the inability to smoke during their hospital stay and a determination to recover from their illness, particularly if it is tobacco-related, can encourage smokers to begin a serious effort to kick the habit. Many hospitals offer stop-smoking help to their patients, but questions remain about whether those programs are successful. The current study analyzed the results of 33 clinical trials of hospital-based programs in nine countries 3 done at MGH conducted between 1999 and 2007.

Analyzing hospital-based efforts according to their intensity a single brief smoking-related contact, one or more extended contacts during hospitalization, hospital contact plus a month or less of post-discharge telephone support, and hospital contact followed by more than a month of post-discharge support revealed that only programs with the highest intensity level were more successful than usual care in helping patients quit for six months or longer.

Including nicotine replacement products further increased patients' quit rates probably by both relieving nicotine withdrawal symptoms and helping patients stay off cigarettes once they leave the hospital, the researchers note but data were not sufficient to assess the impact of pharmaceuticals like bupropion and varenicline. Although the success rate for patients admitted with cardiovascular disease was a bit higher, intensive counseling was successful for all hospitalized smokers, regardless of their diagnosis.

"One of the hospital quality-of-care standards instituted by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the Centers for Medicare & Medicaid (CMS) focuses on tobacco. It measures what percentage of patients with three smoking-related illnesses receive stop-smoking counseling and assistance during their hospital stay," notes Rigotti, who is a professor of Medicine at Harvard Medical School. "Our analysis supports the measure but suggests that it be expanded to include all hospitalized smokers and strengthened to assess whether assistance continues after discharge, which is necessary for the effort to be effective."

The program offered at MGH begins by automatically flagging patients' smoking status upon admission and giving each patient who smokes a booklet addressing how to use their stay to help them quit smoking. Dedicated smoking-cessation counselors visit with patients during their hospitalization and call them after discharge to check on their progress and offer further assistance. Because of this program and other stop-smoking efforts, the hospital increased its JCAHO/CMS smoking measure score to 100 percent.


'/>"/>

Contact: Emily Parker
eparker2@partners.org
617-724-6425
Massachusetts General Hospital
Source:Eurekalert

Related medicine news :

1. Large intensive care study reveals vital recommendations for treatment of brain injury patients
2. Browns Wives Host Special Day at MetroHealth Medical Center to Support the Neonatal Intensive Care Unit
3. Smoking Cessation Rates Double With Intensive Counseling and Free Nicotine Replacement Therapy, Studies of 20,000 Smokers Show
4. Intensive care quality of sleep improved by new drug, reports study
5. Intensive training post-spinal cord injury can stimulate repair in brain and spinal cord
6. Susan G. Komen for the Cure Sharing Grassroots Advocacy Knowledge With International Representatives in Intensive Dallas Training Session
7. Intensive blood sugar treatment in trial of diabetes and cardiovascular disease changed
8. Construction Commencing at Gilbert Hospitals New Intensive Care Unit
9. Intensive care units prevention of pneumonia in critically-ill patients generally strong
10. Mayo Clinic Research Shows U.S. Intensive Care Units Prevention of Pneumonia in Critically-ill Patients Generally Strong; Identifies Area of Improvement
11. More intensive dialysis does not improve outcomes among patients with acute kidney injury
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/7/2016)... ... December 07, 2016 , ... “The Road To Restoration”: an informative and ... one hour a week showing of hands. “The Road To Restoration” is the creation ... are familiar with the brass ring that you could reach out for, and grab, ...
(Date:12/7/2016)... ... December 07, 2016 , ... “Walking With God: Inspirational Lessons from My Life's ... reader to be aware of God's direction in their lives. “Walking With God: Inspirational ... teacher and active church leader. , Sanford says, “I enjoy sharing the ...
(Date:12/7/2016)... 3, 2016) , ... (PRWEB) December 07, 2016 ... ... patient advocacy nonprofit for individuals impacted by cerebral cavernous angiomas, was awarded a ... Mexico with a patient engagement program. New Mexico has more people with cavernous ...
(Date:12/7/2016)... ... December 07, 2016 , ... ... present at the International Probiotic Association’s Washington DC workshop on November 2nd. The ... engage in dialog regarding probiotic dietary supplement regulations. , Dr. Leyer spoke ...
(Date:12/7/2016)... ... December 07, 2016 , ... "Hacking into my medical record ... him as 'a genius.'" Thus begins "Margaret in Berlin," Book Twelve in the ... Wyston Books, Inc. These novels narrate the lives of a poor teenager ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... Dec. 7, 2016  Organovo Holdings, Inc. (NASDAQ: ... company focused on delivering scientific and medical breakthroughs ... Chairman and Chief Executive Officer Keith Murphy ... Wednesday, December 14, 2016 at 1:00 p.m. Eastern ... not yet familiar with the Company, an informational ...
(Date:12/7/2016)... , December 7, 2016 ... reach a value of USD 3.9 billion by ... View Research, Inc. The growth of the market ... and continuous technological advancements by the market players. ... due to increasing donation, rising awareness about transfusion-transmitted ...
(Date:12/6/2016)... 2016 Diabetes & Obesity Drug Development Pipeline ... disease cluster is currently dominated by therapeutics indicated for ... mellitus (T2DM), and the majority of the pipeline, in ... attributable to these indications. While products indicated for obesity ... are a large number of these products in the ...
Breaking Medicine Technology: