Tran Luy M, Le Faou A-L, Airagnes G, Limosin F
DMU psychiatrie et addictologie, Centre-Université de Paris, AP-HP, France.
DMU psychiatrie et addictologie, Centre-Université de Paris, AP-HP, France.
Rev Mal Respir. 2020 Oct;37(8):644-651. doi: 10.1016/j.rmr.2020.06.015. Epub 2020 Sep 1.
The prevalence of daily smoking in France was 24 % in 2019 and tobacco control remains a major public health issue. A hospital stay provides an opportunity for smoking cessation intervention. Identification and management of smokers during a hospital stay may be variously integrated into electronic health records (EHR).
Smoking status identification, which have included pre-filled forms, check-box, reminders, icons, is heterogeneous. Specific modules in EHR have been implemented for smoking cessation management such as counselling sessions, tobacco cessation prescriptions, smoking cessation guidelines and long-term follow-up. EHR-based intervention to identify and manage smokers with a long-term follow-up for at least one month after hospital discharge has shown an increase in smoking abstinence at 6-12 months.
Due to the lower quality of free data about smoking status, systematic identification with check-box, reminders or icons in EHR may be more appropriate. Integration of functionalities such as help for prescription, reminders and follow-up of patients would make tobacco cessation management easier for health professionals.
EHR interventions to identify smokers and manage smoking cessation during hospital stays are an opportunity to increase smoking cessation.
2019年法国每日吸烟率为24%，控烟仍是一个重大的公共卫生问题。住院提供了戒烟干预的机会。住院期间对吸烟者的识别和管理可能以多种方式整合到电子健康记录（EHR）中。
吸烟状况识别方式多种多样，包括预填表格、复选框、提醒、图标等。电子健康记录中已实施了特定模块用于戒烟管理，如咨询会议、戒烟处方、戒烟指南和长期随访。基于电子健康记录的干预措施，在出院后对吸烟者进行识别和管理，并进行至少一个月的长期随访，结果显示6至12个月时戒烟率有所提高。
由于关于吸烟状况的免费数据质量较低，在电子健康记录中通过复选框、提醒或图标进行系统识别可能更为合适。整合诸如处方帮助、提醒和患者随访等功能将使卫生专业人员的戒烟管理更加容易。
在住院期间通过电子健康记录干预措施识别吸烟者并管理戒烟，是提高戒烟率的一个契机。
