Prevalence and predictors of tobacco treatment in an academic medical center.

Joint Commission Journal on Quality and Patient Safety
Babalola FaseruKimber P Richter

Abstract

Hospitalized smokers are a large and important but undertreated population. Although effective strategies have been developed to enhance smoking cessation, many hospitalized smokers still fail to benefit from these services. A study was conducted to examine the reach of services within a hospital tobacco treatment program and to identify predictors of referral and treatment. Electronic medical records were downloaded for all 3,600 smokers admitted to a 475-bed academic medical center hospital in a one-year period. More than one in four of identified smokers were referred to the specialty service and nearly one in five received treatment. Logistic regression models found that Joint Commission core measure status (heart failure, myocardial infarction, and pneumonia) was the strongest predictor of referral, followed by a history of smoking for more than 10 years. Conversely, smokers admitted for emergency medical services were less likely to be referred compared with those admitted electively. Patients treated on surgical, obstetric, and psychiatric services were less likely to be referred for tobacco treatment than those treated on medical services. Of those referred, smokers with longer lengths of stay and those admitted through...Continue Reading

Citations

Apr 12, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Babalola FaseruKimber P Richter
Apr 26, 2019·BMC Health Services Research·Edward P LiebmannKimber P Richter
Feb 27, 2018·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·A Benjamin SrivastavaLaura J Bierut
Apr 6, 2011·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Deborah ScharfAntoine Douaihy

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