Categories
· Health/Science
· Cessation
non-USA, by Country
· Germany
|
Jump to full article: Tobacco Control, 2009-06-14
Author: Bruno Neuner, MD MSE, Edith Weiss-Gerlach, Peter Miller, PhD, Peter Martus, PhD, Doreen Hesse, MD and Claudia Spies, MD
Intro: Objectives: Emergency department (ED) patients show high smoking rates. We investigated the effects of ED-initiated tobacco control (ETC) on the 7-days abstinence at 12 months.
Methods: Randomised-controlled intention-to-treat trial (Trials Registry no.: ISRCTN41527831) in 1,044 patients in an urban ED. ETC consisted of on-site counselling plus up to 4 telephone booster sessions. Controls received usual care. Analysis was by logistic regression.
. . .
Conclusions: ETC, in the form of on-site counselling with up to 4 telephone booster sessions, showed no overall effect on tobacco abstinence after 12 month. A non-significant trend for a better performance of ETC in more motivated smokers was observed.
WHAT THIS PAPER ADDS:
Although there is evidence that the smoking prevalence of emergency department patients exceeds the smoking prevalence in the population and a joint statement of US Emergency Medicine Organizations encourages administrators to implement tobacco control services, the effectiveness of such services is still unclear.
In a randomised controlled trial in more than 1000 emergency department patients with a median smoking intensity of 15 cigarettes per day, emergency department-initiated tobacco control (ETC) showed a non-significant overall effect on 7-days-abstinence at 12 month. Unmotivated smokers do not seem to profit from ETC while, in ambivalent and motivated smokers, a non-significant clinical effect of ETC was observed.
Jump to full article » |