Cigarette smoking is the greatest cause of preventable mortality in the United States.
Because most smokers would like to quit and most hospitals are smoke free, surgical admissions represent a window of opportunity for tobacco cessation interventions.
A total of 324 patients (98% men), aged 25 to 82 years, who were current smokers and who underwent noncardiac surgery were enrolled in a randomized controlled trial at the Veterans Affairs Medical Center, San Francisco, Calif.
One hundred sixty-eight participants (52%) received a multicomponent intervention designed to increase self-efficacy and coping skills that included face-to-face in-hospital counseling, viewing a smoking cessation videotape, self-help literature, nicotine replacement therapy, and 3 months of telephone follow-up.
One hundred fifty-six participants (48%) received self-help literature and brief counseling lasting 10 minutes.
Serum or saliva cotinine levels were measured to confirm self-reported smoking cessation.
At 12 months of follow-up, the self-reported quit rate was 27% among the intervention group and 13% among the comparison group (relative risk, 2.1 ; 95% confidence interval, 1.2-3.5 ; P<. 01).
Based on biochemical confirmation, 15% of the intervention group, compared with 8% of the comparison group, quit smoking at 12 months (relative risk, 2.0 ; 95% confidence interval, 1.0-3.9 ; P=04). (...)
Mots-clés Pascal : Tabagisme, Arrêt définitif, Influence, Critère décision, Hospitalisation, Chirurgie, Résultat, Homme, Toxicomanie
Mots-clés Pascal anglais : Tobacco smoking, Definitive shutdown, Influence, Decision criterion, Hospitalization, Surgery, Result, Human, Drug addiction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0360574
Code Inist : 002B30A03A. Création : 12/09/1997.