title: Smoking status ascertainment and interventions in acute medical patients.
abstract: Hospital admission provides an opportunity to promote smoking cessation. Clinical guidelines recommend ascertainment of smoking status and delivery of cessation interventions in all consultations. In this article, smoking ascertainment and intervention among all patients admitted to medical wards in a UK hospital over a four-week period in 2010 were audited. Medical records of 767 patients were screened; 96 (13%) were current smokers, 243 (32%) ex-smokers and 233 (30%) non-smokers. There was no record of smoking status in 243 (25%) individuals and this proportion varied between specialties. Of the 96 current smokers, only 23 received documented cessation advice or pharmacological support. Four weeks after discharge, 31% reported that they were abstinent from smoking, representing 50% of those who received support and 20% of those who did not. Ascertainment of smoking status and delivery of cessation support to patients admitted to medical wards was low, suggesting that there is room for improvement in the management of smoking among inpatients.
authors.affiliation: Division of Epidemiology and Public Health and UK Centre for Tobacco Control Studies, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital. Rachael.Murray@nottingham.ac.uk
authors.forename: R
authors.initials: R
authors.lastname: Murray
authors.forename: J
authors.initials: J
authors.lastname: Leonardi-Bee
authors.forename: J
authors.initials: J
authors.lastname: Marsh
authors.forename: L
authors.initials: L
authors.lastname: Jayes
authors.forename: J
authors.initials: J
authors.lastname: Britton
mesh_terms: D000208:Acute Disease; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D007297:Inpatients; D007407:Interviews as Topic; D008297:Male; D017410:Practice Guidelines as Topic; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D016896:Treatment Outcome; D006113:United Kingdom / Q000453:epidemiology