Abstract
Smoking cessation program in hospitalized patients: evaluation and quit success results of a new program in Uruguay
Background-Inpatient programs for smoking cessation avoid loose of opportunity to approach smokers and increase smoking cessation rate.
Objectives-describe characteristics of hospitalized smokers and evaluate success in quitting of an inpatient program.
Methods- Retrospective descriptive study of historical cohort. Hospitalized smokers were enrolled in the hospital program for smoking cessation from 2013 to 2015. The program includes psychological support, pharmacological therapy and face to face follow up after discharge. Variables: age, gender, diagnose, cigarettes per day, patches nicotine replacement therapy (NRT), abstinence at 1 month, face to face follow up, telephone contact follow up, abstinence after discharge, cigarette per day reduction in half.
Results- 210 smokers were enrolled, male 68,6%, mean age 57,6 years, mean cigarettes per day 25, consumption more than 20 cigarettes per day 36,7%. Diagnoses: respiratory disease ( no cancer) 29%, cardiovascular diseases 32,4%, oncologycal diseases 16,7%.
Received NRT 82,4%, refused NRT 2% no NRT prescription 14,3%. Face to face follow up after discharge 24,8%. Abstinence at 1 month: yes 41% , no 30%, no data 29%. Telephone contact follow up 63%.
Abstinence after discharge (>1-30 months): yes 23%, no 40%, no data 37%. Cigarette per day reduction in half: yes 44,8%, no 17%, no data 38%. Patients who received NRT and quit smoking or reduced consumption to half: 81% (102/126). There was no significative association beetween cardiovascular vs respiratory disease and success to quit or reduce consumption (p=0.647).
Conclusions: refuse smoking cessation treatment was exceptional and a high number of patients quit smoking.