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NAQC Newsroom: Research

Evaluation of a hospital-based tobacco treatment service: Outcomes and lessons learned

Thursday, December 09, 2010  
Posted by: Natalia Gromov
Faseru B, Turner M, Casey G, Ruder C, Befort CA, Ellerbeck EF, Richter KP. J Hosp Med. 2010 Nov 24. [Epub ahead of print]

This study described services provided and outcomes of an academic medical center-based tobacco treatment service in the US. Of 513 patients served over one year, more than 25% had been given an in-hospital medication to help with nicotine withdrawal before seeing a cessation counselor. Over half (56%) were referred to quitlines by a cessation counselor. At six months (response rate 46%), 32% of respondents reported being quit (15% intention to treat rate). After discharge, nearly three-quarters (74%) had made at least one serious quit attempt, 34% had used a quit-smoking medication, but only 5% of those referred to the quitline reported using it. The authors conclude that many smokers who request to see a counselor before being discharged from the hospital still make unassisted quit attempts due to low rates of utilization of medications and quitlines. They also suggest that quitlines alone may not fulfill guideline recommendations for post-discharge follow-up.

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