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Smoking cessation post-discharge following nicotine replacement therapy use during an inpatient admission.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Williams, J. H. Jones, T. E.
Description	Country affiliation: Australia Author Affiliation: Williams JH ( Respiratory Unit, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia. jerneen.williams@health.sa.gov.au)
Abstract	BACKGROUND: Cigarette smoking remains a health issue despite declining prevalence in Australia. The burden of tobacco-related morbidity affects hospitals, particularly those in lower socioeconomic areas where prevalence is highest. AIM: We have shown that nicotine replacement therapy (NRT) use during hospitalization increases motivation to quit post-discharge. We postulated that subjects using the nicotine patch post-discharge, in comparison to the inhaler, would have higher rates of abstinence at 12 months after discharge. The aim was to compare the efficacy of the nicotine patch or inhaler formulation for cessation post-discharge, following use during admission. METHODS: Post-discharge, subjects chose their preferred formulation (patch or inhaler) based on their experience with NRT during admission. Tailored, medium-intensity support was provided with subsidized NRT during outpatient visits. Subjects were followed for 12 months. Exhaled breath CO confirmed non-smoking. RESULTS: Of 123 subjects enrolled, 37 elected to use the inhaler, 50 the patch and 36 no NRT. At 12 months continuous abstinence rates were 38%, 38% and 25% respectively. DISCUSSION: This study built upon the 'teachable moment' provided by hospitalization and the inpatient use of NRT, encouraging cessation post-discharge. Both NRT formulations provided similar 12 month cessation rates, and were superior to those achieved by subjects electing not to use NRT. Although the patch was the most popular formulation, the inhaler provided an equally efficacious alternative which addressed other facets of cigarette addiction. Subjects electing not to use NRT were less successful. Continuous abstinence rates were equivalent to community-based studies using NRT. We recommend a similar programme to other hospitals.
File Format	HTM / HTML
ISSN	14440903
Issue Number	2
Volume Number	42
e-ISSN	14455994
Journal	Internal Medicine Journal
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2012-02-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Therapy Research Support, Non-u.s. Gov't Comparative Study Clinical Trial Patient Admission Humans Middle Aged Patient Discharge Nebulizers And Vaporizers Discipline Internal Medicine Male Epidemiology Journal Article Utilization Time Factors Tobacco Use Cessation Products Adult Female Aged Trends Methods Smoking Cessation Smoking
Content Type	Text
Resource Type	Article
Subject	Internal Medicine

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