Improving Quit Rates For Tobacco-Dependent Hospitalized Patients

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Mann, Marion G; Mann, Marion G., 1956-
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University of North Florida; UNF; Tobacco-Dependent; Hospitalized; Patients; Dissertations; Academic -- UNF -- Doctor of Nursing Practice; Dissertations; Academic -- UNF -- Nursing; DNP; D.N.P.; Project; University of North Florida; UNF; Tobacco-Dependent; Hospitalized; Patients; Dissertations, Academic -- UNF -- Doctor of Nursing Practice; Dissertations, Academic -- UNF -- Nursing; DNP; D.N.P.; Project; Nursing; Translational Medical Research
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AbstractPurpose: The purpose of this project was to evaluate outcomes of an existing inpatient tobacco cessation counseling program with 30-day follow-up among recently admitted tobacco-dependent patients who were tobacco-dependent.Background/Significance: Tobacco use is considered the number one most preventable cause of disease, disability, and death in the United States. Despite associated dangers, approximately 21% Americans currently smoke. This has led to increased hospital admissions and chronic disease management, costing the United States approximately $96 billion per year. Decades of research and evidence-based clinical practice guidelines substantiate that inpatient tobacco cessation counseling has the potential to improve quit rates post-hospital discharge.Method: This quality improvement project utilized existing hospital data containing demographic and medical information about patients and tobacco use behaviors. The goal was to answer the question: Does the provision of a tobacco cessation program initiated during hospitalization for persons who are tobacco-dependent (a) increase quit attempts or (b) reduce tobacco consumption? The electronic medical record was queried for data related to: demographics, insurance type, and diagnosis. Data related to smoking status and the intervention was extracted from a paper chart maintained by the certified tobacco treatment specialist.Results: Out of 176 tobacco-dependent patients admitted to the hospital, 100 (57%) indicated an intention to quit (at admission time) while only 40 (23%) reported having quit within 30 days post discharge (McNemar Test, p=0.000, n=176). The mean number of cigarettes smoked per day dropped from 19 cigarettes on admission to 13 cigarettes post discharge. [t (158)=6.7476, p=0.000].Conclusions: This quality improvement project showed that although an inpatient smoking cessation program did not improve quit rates, it did significantly improve reduction in tobacco consumption.