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:7/21/2017)... (PRWEB) , ... July 21, 2017 , ... ... management assistance and financial planning services to families and business owners in northern ... event that promises to provide support to area adults with developmental challenges. , ...
(Date:7/21/2017)... ... July 21, 2017 , ... Adolfson & ... and improve the Ramsey County Medical Examiners Facility located in Saint Paul, Minn. ... million project is scheduled to start in late 2017/early 2018. , Staffed ...
(Date:7/21/2017)... ... July 21, 2017 , ... ... Theater of Witness , was awarded a $300,000 grant from The Pew ... fosters empathy, comfort with ambiguity and the recognition of one’s own limits among ...
(Date:7/21/2017)... , ... July 21, 2017 , ... Bernard R. Bach, ... President of the American Orthopaedic Society of Sports Medicine (AOSSM) , received the ... the AOSSM Annual Meeting in Toronto, Canada. This prestigious award is given annually to ...
(Date:7/21/2017)... , ... July 21, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... use of violence and aggression to solve problems and pleads with world leaders to be ... armed forces do not bring peace. He says there is a peaceful and positive way ...
Breaking Medicine News(10 mins):
(Date:7/21/2017)... SPRING, Md. and RESEARCH TRIANGLE ... United Therapeutics Corporation (NASDAQ: UTHR ) announced ... financial results before the market opens on Thursday, July ... Therapeutics will host a teleconference on Thursday, July 27, ... accessible by dialing 1-877-351-5881, with international callers dialing 1-970-315-0533.  ...
(Date:7/19/2017)... , July 19, 2017  Mako Medical Laboratories partnered ... the Military Family Assistance Fund (MFA) to bring 140 ... to visit with their families one last time before ... coordinate the travel and logistics needed for these soldiers. ... soldiers and their families. We just wish we could ...
(Date:7/14/2017)... , July 13, 2017 It should come ... States is in the midst of a crippling ... , since 1999, the number of overdose deaths from opiate-based ... in over half a million dead from 2001 to 2015". ... oxycodone, and hydrocodone has similarly quadrupled, drawing a compelling link ...
Breaking Medicine Technology: