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Evaluating smoking cessation service at an emergency department clinical observation unit

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dc.contributor.authorNg, C.C.C.
dc.contributor.authorKowalski, S.
dc.contributor.authorMu, W.L.
dc.contributor.authorTan, P.T.
dc.contributor.authorLeong, E.Y.L.
dc.contributor.authorGoh, P.L.
dc.contributor.authorMong, R.P.
dc.contributor.authorLim, H.C.
dc.date.issued2022
dc.description.abstractOBJECTIVES: To evaluate the effectiveness of a pilot smoking cessation service in an emergency department (ED) clinical observation unit.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.METHODS: 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.RESULTS: 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.CONCLUSIONS: 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.
dc.identifier.citationAmerican Journal of Managed Care, 2022; 28(10):e388-e391
dc.identifier.doi10.37765/ajmc.2022.89256
dc.identifier.issn1088-0224
dc.identifier.issn1936-2692
dc.identifier.urihttps://hdl.handle.net/11541.2/31629
dc.language.isoen
dc.publisherManaged Care & Healthcare Communications Llc
dc.rightsCopyright 2022 Managed Care & Healthcare Communications
dc.source.urihttps://doi.org/10.37765/ajmc.2022.89256
dc.subjectHumans
dc.subjectAftercare
dc.subjectPatient Discharge
dc.subjectSmoking Cessation
dc.subjectCounseling
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectMale
dc.subjectClinical Observation Units
dc.titleEvaluating smoking cessation service at an emergency department clinical observation unit
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9916697330301831

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