Evaluating smoking cessation service at an emergency department clinical observation unit

To evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit. A descriptive case series review was undertaken of smoking cessation service patients in the short-stay unit of an acute hospital in Singapore from July 1, 2018, to December...

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Published inThe American journal of managed care Vol. 28; no. 10; pp. e388 - e391
Main Authors Ng, Celine Chang Chyi, Kowalski, Stefan, Mu, Wei Ling, Tan, Pei Ting, Leong, Elaine Yin Leng, Goh, Pak Liang, Mong, Ru Peng, Lim, Hoon Chin
Format Journal Article
LanguageEnglish
Published United States MultiMedia Healthcare Inc 01.10.2022
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Abstract To evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit. A descriptive case series review was undertaken of smoking cessation service patients in the short-stay unit of an acute hospital in Singapore from July 1, 2018, to December 31, 2019. Upon admission, ED nurses screen all patients regarding their current smoking status and implement the 5 A's framework, which involves the steps of Ask-Advise-Assess-Assist-Arrange. Patients in the "contemplation" and "preparation" stages were offered the following components: (1) a bedside counseling session by a pharmacist and (2) a follow-up appointment at an outpatient smoking cessation clinic. Postdischarge follow-up telephone calls at 1, 6, and 12 months were carried out as part of the study data collection to obtain abstinence information. Forty-seven patients were included in the study; the majority were male (n = 41; 87.2%). The median numbers of cigarettes smoked per day at baseline, 1 month, 6 months, and 12 months were 14, 5, 3, and 5, respectively. The overall point-prevalence abstinence rates over the same follow-up time points were 26.5%, 38.7%, and 31.3%, respectively. The proportions of patients lost to follow-up at 1 month, 6 months, and 12 months were 27.7%, 34.0%, and 31.9%, respectively. Given the small sample and high number of uncontactable patients, more research is needed to assess whether the trend toward increasing point-prevalence abstinence rate over time and the trend toward decreasing median number of cigarettes smoked are observed in a larger sample.
AbstractList OBJECTIVESTo evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit. STUDY DESIGNA descriptive case series review was undertaken of smoking cessation service patients in the short-stay unit of an acute hospital in Singapore from July 1, 2018, to December 31, 2019. METHODSUpon admission, ED nurses screen all patients regarding their current smoking status and implement the 5 A's framework, which involves the steps of Ask-Advise-Assess-Assist-Arrange. Patients in the "contemplation" and "preparation" stages were offered the following components: (1) a bedside counseling session by a pharmacist and (2) a follow-up appointment at an outpatient smoking cessation clinic. Postdischarge follow-up telephone calls at 1, 6, and 12 months were carried out as part of the study data collection to obtain abstinence information. RESULTSForty-seven patients were included in the study; the majority were male (n = 41; 87.2%). The median numbers of cigarettes smoked per day at baseline, 1 month, 6 months, and 12 months were 14, 5, 3, and 5, respectively. The overall point-prevalence abstinence rates over the same follow-up time points were 26.5%, 38.7%, and 31.3%, respectively. The proportions of patients lost to follow-up at 1 month, 6 months, and 12 months were 27.7%, 34.0%, and 31.9%, respectively. CONCLUSIONSGiven the small sample and high number of uncontactable patients, more research is needed to assess whether the trend toward increasing point-prevalence abstinence rate over time and the trend toward decreasing median number of cigarettes smoked are observed in a larger sample.
Study Design: A descriptive case series review was undertaken of smoking cessation service patients in the short-stay unit of an acute hospital in Singapore from July 1, 2018, to December 31, 2019. According to a previous pilot study of the outpatient smoking cessation clinic (SCC) at Changi General Hospital in Singapore, the smoking abstinence rate among its attendees, from September 2008 to July 2010, was comparable with existing published data.9 However, at that time, the hospital's ED did not have direct access to this clinic to tap into its success. According to WHO's Smoking and Tobacco Use Policy, a smoker is defined as someone who smokes any tobacco product, either daily or occasionally. The Centralized Institutional Review Board of Singapore Health Services (SingHealth) exempted the study from ethical consideration as it was considered to be a service evaluation.
To evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit. A descriptive case series review was undertaken of smoking cessation service patients in the short-stay unit of an acute hospital in Singapore from July 1, 2018, to December 31, 2019. Upon admission, ED nurses screen all patients regarding their current smoking status and implement the 5 A's framework, which involves the steps of Ask-Advise-Assess-Assist-Arrange. Patients in the "contemplation" and "preparation" stages were offered the following components: (1) a bedside counseling session by a pharmacist and (2) a follow-up appointment at an outpatient smoking cessation clinic. Postdischarge follow-up telephone calls at 1, 6, and 12 months were carried out as part of the study data collection to obtain abstinence information. Forty-seven patients were included in the study; the majority were male (n = 41; 87.2%). The median numbers of cigarettes smoked per day at baseline, 1 month, 6 months, and 12 months were 14, 5, 3, and 5, respectively. The overall point-prevalence abstinence rates over the same follow-up time points were 26.5%, 38.7%, and 31.3%, respectively. The proportions of patients lost to follow-up at 1 month, 6 months, and 12 months were 27.7%, 34.0%, and 31.9%, respectively. Given the small sample and high number of uncontactable patients, more research is needed to assess whether the trend toward increasing point-prevalence abstinence rate over time and the trend toward decreasing median number of cigarettes smoked are observed in a larger sample.
Author Lim, Hoon Chin
Mong, Ru Peng
Tan, Pei Ting
Ng, Celine Chang Chyi
Mu, Wei Ling
Goh, Pak Liang
Kowalski, Stefan
Leong, Elaine Yin Leng
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Snippet To evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit. A descriptive case series review...
Study Design: A descriptive case series review was undertaken of smoking cessation service patients in the short-stay unit of an acute hospital in Singapore...
OBJECTIVESTo evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit. STUDY DESIGNA...
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StartPage e388
SubjectTerms Abstinence
Aftercare
Cardiovascular disease
Cigarettes
Clinical Observation Units
Counseling
Data collection
Emergency medical care
Emergency Service, Hospital
Female
Hospitals
Humans
Male
Nurses
Patient Discharge
Patients
Pharmacists
Public health
Smoking Cessation
Tobacco
Title Evaluating smoking cessation service at an emergency department clinical observation unit
URI https://www.ncbi.nlm.nih.gov/pubmed/36252179
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Volume 28
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