PURPOSE: Smoking remains a chief avoidable cause of morbidity and mortality in the US. ISCPs are often more effective than ambulatory programs. The ISCP at our 450 bed university-affiliated hospital was initiated in July, 2004. We are reporting our outcomes at 20 months.
METHODS: Smokers are defined as smoking within the prior 12 months. Our goal is to visit to all hospitalized smokers within 24 hours of admission. The 7 counselors (all with other primary responsibilities) see each hospitalized smoker once and deliver a 5-10 minute message to those accepting counseling based on the US Department of Health and Human Services guidelines. Reference materials and Smoking Cessation Center contact information are provided. Nursing and medical staff are made aware of the intervention. Prescription of nicotine replacement therapy and/or bupropion are encouraged. For patients accepting follow-up, monthly contact is attempted via phone or email. Outcomes, and demographic and clinical information are tracked via an electronic database.
RESULTS: Since inception, the ISCP has seen 1,604 patients. Of those, 1302 (81.1%) committed to a cessation attempt and 771 (59.2%) accepted follow-up. Post-discharge contact was successful ≥ times in 338 patients (43.8%). Of 243 patients with follow-up of 1-6 months, 83 (34.2%) remained abstinent. Of 95 with follow-up ranging from 7-12 months, 65 (68.4%) were abstinent.
CONCLUSION: Our experience demonstrates the feasibility of ISCPs and corroborates their potential effectiveness in achieving sustained abstinence.
CLINICAL IMPLICATIONS: Hospital admission provides an important opportunity for healthcare providers to assist smokers in initiating a cessation attempt.
DISCLOSURE: Kathy Garrett-Szymanski, None.