Intensive smoking cessation counseling versus minimal counseling among hospitalized smokers treated with transdermal nicotine replacement: a randomized trial

Simon, Joel A.; Carmody, Timothy P.; Hudes, Esther S.; Snyder, Elizabeth; Murray, Jana Lee

doi:10.1016/s0002-9343(03)00081-0

Cited by 95 publications

(72 citation statements)

References 21 publications

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“…The hospital stay is a window of opportunity to help those who want to quit smoking by providing them with information about the benefits of smoking cessation and the risks of continuing to smoke. (7) Smokers who are hospitalized are usually more susceptible to anti-smoking messages because of their frailty, as well as of their fear of complications and death, resulting from the disease that led to their hospitalization, in addition to being forced to abstain from smoking because smoking is prohibited in the hospital environment. (14) In the present study, 44.4% of the respondents reported concomitant alcohol consumption, a common association known to make smoking cessation difficult.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that, despite the ban on in-hospital smoking, 25% of patients smoke in the hospital environment, and that, of hospitalized smokers, 55% report withdrawal symptoms, only 6% receive nicotine replacement therapy, 63% relapse in the first week, and 45% relapse on post-discharge day 1. (5)(6)(7)(8) There are few national data on in-hospital smoking and its management. In a study conducted in a general hospital in the city of São Paulo, Brazil, in which the prevalence of active smoking among inpatients was 17%, the authors drew attention to the need to obtain information about smokers admitted to other hospitals in the country, in order to develop protocols for the treatment of such patients.…”

Section: Introductionmentioning

confidence: 99%

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Tabagismo em pacientes internados em um hospital universitário

et al. 2011

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Objective: To determine the prevalence and characteristics of smoking among inpatients at a university hospital, as well as to evaluate their motivation, interest, and need for help in quitting smoking. Methods: A prospective study involving inpatients treated between May of 2008 and April of 2009 on the cardiovascular disease wards at the Antonio Pedro University Hospital, located in the city of Niterói, Brazil. All inpatients were asked to complete a questionnaire designed to collect data regarding demographics, reasons for admission, and smoking status. The smokers also responded to additional questions regarding their smoking habits. The level of nicotine dependence was determined with the Fagerström Test for Nicotine Dependence. Results: Of the 136 inpatients who participated in the study, 68 (50.0%) were male. The mean age was 60.7 years. The prevalence of smoking was 13.2%. Among the 49 patients with coronary disease, 36 (73.5%) were smokers or former smokers. The majority of the patients presented with a high level of nicotine dependence and reported withdrawal symptoms during hospitalization. Although most smokers were motivated to quit smoking, they admitted that they needed help to do so. Conclusions: Because smoking is forbidden in the hospital environment and most inpatients who smoke are highly motivated to quit, health professionals should view the hospitalization period as an opportunity to promote smoking cessation. ResumoObjetivo: Determinar a prevalência e as características de tabagismo em pacientes internados em um hospital universitário e investigar sua motivação, interesse e necessidade de ajuda para parar de fumar. Métodos: Estudo prospectivo de pacientes internados nas enfermarias de cardiologia do Hospital Universitário Antonio Pedro, localizado em Niterói (RJ), entre maio de 2008 e abril de 2009. Foi administrado um questionário contendo perguntas sobre dados demográficos, motivo de internação e sua condição em relação ao hábito tabágico. Os pacientes tabagistas responderam perguntas adicionais sobre o hábito de fumar. A avaliação da dependência de nicotina foi realizada com o Teste Fagerström para Dependência de Nicotina. Resultados: Dos 136 pacientes internados que participaram do estudo, 68 (50,0%) eram do sexo masculino, com média de idade de 60,7 anos. A prevalência de tabagismo foi de 13,2%. Dos 49 pacientes internados com diagnóstico de doença coronariana, 36 (73,5%) eram fumantes ou ex-fumantes. A maioria dos pacientes apresentou elevado grau de dependência à nicotina e relatou sintomas de abstinência durante a internação. Apesar de estarem motivados para parar de fumar, os pacientes relataram necessidade de ajuda para abandonar o tabagismo. Conclusões: Devido à restrição do ato de fumar em ambiente hospitalar e à elevada motivação dos pacientes, deve-se aproveitar o momento da internação para promover a cessação do tabagismo.Descritores: Tabagismo; Pacientes internados; Abandono do hábito de fumar.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tabagismo em pacientes internados em um hospital universitário

et al. 2011

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“…Combination therapy has been shown to improve abstinence rates in the general population of smokers (33,34) and published guidelines now recommend combining multiple individual or group counselling sessions with NRT (35). Combination therapy may prove to be more efficacious than either behavioural therapy or pharmacotherapy alone in cardiac patients.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of smoking cessation therapies in cardiac patients: A meta-analysis of randomized controlled trials

Eisenberg

Blum

Filion

et al. 2010

Canadian Journal of Cardiology

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“…89 Cognitive behavioral interventions, designed to modify critical cognitions and actions that maintain behaviors such as smoking by promoting the thoughts and skills necessary to create behavioral change, are additional strategies to help smokers quit or reduce cigarette smoking. 90,91 Medications approved by the U.S. Food and Drug Administration for smoking cessation include nicotine replacement therapy (patch, lozenges, inhalers, gum and nasal spray), bupropion and varenicline. 88 There are no known interactions between nicotine replacement therapy and HAART.…”

Section: Prevention Smoking Cessationmentioning

confidence: 99%

Lung Cancer in HIV Infection

Mani

Aboulafia

2014

Cancers in People With HIV and AIDS

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Lung cancer is the most prevalent non-AIDS-defining malignancy in the HAART era. Smoking plays a significant role in the development of HIV-associated lung cancer, but the cancer risk is 2-4 times greater in HIV-infected persons than in the general population, even after adjusting for smoking intensity and duration. Lung cancer is typically diagnosed a decade or more earlier among HIV-infected persons (mean age, 46 years) compared to those without HIV infection. Adenocarcinoma is the commonest histological subtype, and the majority of patients are diagnosed with locally advanced or metastatic carcinoma. Since pulmonary infections are common among HIV-infected individuals, clinicians may not suspect lung cancer in this younger patient population. Surgery with curative intent remains the treatment of choice for early stage disease. Although there is increasing experience in using radiation and chemotherapy for HIV-infected patients who do not have surgical options, there is a need for prospective studies for this population frequently excluded from participating in cancer trials. Evidence-based treatments for smoking-cessation with demonstrated efficacy in the general population must be routinely incorporated into the care of HIV-positive smokers.

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Intensive smoking cessation counseling versus minimal counseling among hospitalized smokers treated with transdermal nicotine replacement: a randomized trial

Cited by 95 publications

References 21 publications

Tabagismo em pacientes internados em um hospital universitário

Tabagismo em pacientes internados em um hospital universitário

The efficacy of smoking cessation therapies in cardiac patients: A meta-analysis of randomized controlled trials

Lung Cancer in HIV Infection

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