Cummings K Michael, Talbot Vincent, Roberson Avery, Bliss Asia A, Likins Emily, Brownstein Naomi C, Stansell Stephanie, Adams-Ludd Demetress, Harris Bridget, Louder David, McCutcheon Edward, Zebian Rami, Rojewski Alana, Toll Benjamin A
Medical University of South Carolina.
TelASK Inc.
Res Sq. 2023 Sep 8:rs.3.rs-3318088. doi: 10.21203/rs.3.rs-3318088/v1.
To describe the implementation an opt-out tobacco treatment program (TTP) in 6 diverse hospitals located in different regions of South Carolina.
Between March 8, 2021 and December 17, 2021, adult patients (≥ 18 years) admitted to 6 hospitals affiliated with the Medical University of South Carolina (MUSC) were screened for their cigarette status. Patients who smoked cigarettes were referred to an TTP offering a brief bedside consult and automated post-discharge follow-up calls with an opportunity to receive a referral to the South Carolina Quitline (SCQL). The hospitals included in this study ranged in size from 82 to 715 beds with diverse patient populations. Herein, we report on the results of screening and referring patients to the TTP, delivery of smoking cessation treatments, and patient smoking status assessed in a sample of patients followed 6-weeks after discharge from the hospital.
Smoking prevalence ranged from 14-49% across the 6 hospitals. Among eligible patients reached, 85.6% accepted the bedside consult. Only 3.4% of patients reached were deemed ineligible because they claimed not to be currently smoking cigarettes. The automated post-discharge follow-up calls were answered by 43% of patients, with about a third of those who had relapsed back to smoking accepting the offer of a referral to the SCQL. Overall, about half of the 6,000 patients referred to the TTP received some type of treatment. Self-reported smoking abstinence rates assessed 6-weeks after discharge were similar across the five acute care hospitals ranging from about 20-30%.
The findings demonstrate the broad reach of implementing an opt-out TTP for patients in hospitals of varying size, rurality and patient populations.
描述在南卡罗来纳州不同地区的6家不同医院实施一项选择退出式烟草治疗项目（TTP）的情况。
在2021年3月8日至2021年12月17日期间，对南卡罗来纳医科大学（MUSC）附属的6家医院收治的成年患者（≥18岁）进行吸烟状况筛查。吸烟的患者被转介至一个TTP，该项目提供简短的床边咨询以及出院后自动跟进电话，并提供转介至南卡罗来纳戒烟热线（SCQL）的机会。本研究纳入的医院规模从82张床位到715张床位不等，患者群体多样。在此，我们报告对患者进行筛查并转介至TTP的结果、戒烟治疗的提供情况，以及在出院6周后随访的患者样本中评估的患者吸烟状况。
6家医院的吸烟率在14%至49%之间。在被联系到的符合条件的患者中，85.6%接受了床边咨询。被联系到的患者中只有3.4%被认为不符合条件，因为他们声称目前不吸烟。43%的患者接听了出院后自动跟进电话，其中约三分之一复吸的患者接受了转介至SCQL的提议。总体而言,转介至TTP的6000名患者中约有一半接受了某种类型的治疗。在五家急性护理医院中，出院6周后自我报告的戒烟率相似，约为20%至30%。
研究结果表明，为不同规模、不同乡村程度和不同患者群体的医院中的患者实施选择退出式TTP具有广泛的覆盖范围。
