Mahabee-Gittens E Melinda, Merianos Ashley L, Tabangin Meredith E, Stone Lara, Gordon Judith S, Khoury Jane C
Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, United States.
School of Human Services, University of Cincinnati, Cincinnati, United States.
Tob Prev Cessat. 2020 May 18;6:30. doi: 10.18332/tpc/119125. eCollection 2020.
Although the administration of free Nicotine Replacement Therapy (NRT) is effective in helping smokers quit, the feasibility, acceptability and safety of this practice have not been examined in the emergency setting of the pediatric emergency department (PED) or urgent care (UC). We examined the characteristics of parental smokers who were interested and eligible for free NRT during their child's emergency visit and the uptake, usage, and associated side effects of NRT use.
We analyzed data from 377 parental smokers who were randomized to receive cessation counseling and free NRT as part of an emergency visit-based randomized controlled trial. Parents interested in NRT were screened for medical contraindications; eligible parents were given a 6-week supply of NRT patches or lozenges during their child's emergency visit and offered another supply 6 weeks later. We conducted Wilcoxon rank-sum tests and chi-squared tests to address our main study objective.
The majority of parents were female (87.5%), non-Hispanic Black (52.5%), and mean (SD) age was 33.1 (8.2) years. A total of 252 (66.8%) parents were interested in receiving NRT. Compared to uninterested parents, interested parents were more likely to: be older [33.6 (8.2) vs 31.9 (8.2), years]; be non-Hispanic Black (54.0% vs 49.6%); have older children [5.5 (5.0) vs 4.2 (4.6)]; have a higher readiness to quit [7.0 (2.4) vs 5.2 (2.6)]; and have a child being evaluated in UC compared to the PED (72.4% vs 56.5%). A total of 53 (21%) interested parents had >1 NRT contraindications. At 6 weeks, 94 (79.0%) parents reported some ≥NRT usage and 50 (53.2%) requested an additional 6-week supply. There were no serious adverse events and 5 (5.3%) reported minor side effects.
Parental smokers in the emergency setting are interested in receiving free NRT, the majority use it, and use is not associated with adverse side effects. The emergency visit may be an optimal time to offer NRT to parental smokers.
尽管使用免费尼古丁替代疗法（NRT）有助于吸烟者戒烟，但在儿科急诊科（PED）或紧急护理（UC）的紧急情况下，这种做法的可行性、可接受性和安全性尚未得到研究。我们研究了在孩子急诊就诊期间对免费NRT感兴趣且符合条件的吸烟家长的特征，以及NRT的使用情况、使用方法和相关副作用。
我们分析了377名吸烟家长的数据，这些家长作为基于急诊就诊的随机对照试验的一部分，被随机分配接受戒烟咨询和免费NRT。对有兴趣使用NRT的家长进行医疗禁忌筛查；符合条件的家长在孩子急诊就诊期间会获得为期6周的NRT贴片或含片供应，并在6周后再提供一次。我们进行了Wilcoxon秩和检验和卡方检验以实现我们的主要研究目标。
大多数家长为女性（87.5%），非西班牙裔黑人（52.5%），平均（标准差）年龄为33.1（8.2）岁。共有252名（66.8%）家长有兴趣接受NRT。与不感兴趣的家长相比，有兴趣的家长更有可能：年龄更大[33.6（8.2）岁对31.9（8.2）岁]；是非西班牙裔黑人（54.0%对49.6%）；孩子年龄更大[5.5（5.0）岁对4.2（4.6）岁]；戒烟意愿更高[7.0（2.4）对5.2（2.6）]；并且与在PED就诊的孩子相比，孩子在UC接受评估的比例更高（72.4%对56.5%）。共有53名（21%）有兴趣的家长有超过1项NRT禁忌。在6周时，94名（79.0%）家长报告至少使用过一些NRT，50名（53.2%）家长要求再提供为期6周的供应。没有严重不良事件，5名（5.3%）家长报告有轻微副作用。
在紧急情况下，吸烟家长有兴趣接受免费NRT，大多数人会使用，且使用与不良副作用无关。急诊就诊可能是向吸烟家长提供NRT的最佳时机。
