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A Retrospective Review of Pilot Outcomes from an Out-patient Tobacco Treatment Programme Within Cardiology Services

Published online by Cambridge University Press:  24 January 2014

Milan Khara  and
Chizimuzo T.C. Okoli
Milan Khara
Affiliation:
Vancouver General Hospital Smoking Cessation Clinic
Chizimuzo T.C. Okoli*
Affiliation:
University of Kentucky College of Nursing
*
Address for correspondence: Chizimuzo T.C. Okoli, Assistant Professor and Director, Tobacco Treatment and Prevention Division, Tobacco Policy Research Program, University of Kentucky College of Nursing, 517 College of Nursing Building, Lexington, KY 40536-0232, Email: ctokol1@uky.edu
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Abstract

Introduction: Due to the challenging nature of tobacco addiction, individuals with cardiac conditions often continue to smoke at high rates (up to 62%), even after experiencing life-threatening events.

Aims: This study examines pilot outcomes of a longitudinal Smoking Cessation Clinic (SCC) within cardiology services.

Methods: This study is based on a retrospective review of the charts of 117 participants of the SCC (between September 2010 and May 2012). The main outcome of interest is self-reported 7-day point-prevalence of smoking abstinence verified by expired CO level. A secondary outcome was smoking reduction, defined as consuming 50% (or lower) than the baseline number cigarettes in the past week.

Results: Thirty-five per cent of participants achieved smoking cessation, whereas 42.1% reduced their cigarette consumption. In multivariate regression analyses, salient predictors of smoking cessation included being male and a greater length of visiting the smoking cessation clinic.

Conclusions: Providing evidence-based approaches to tobacco treatment within cardiology services is feasible and well received by patients with cardiac and other co-morbidity. The modest outcomes from this pilot study support the need for tobacco treatment in hospital cardiology settings. Such interventions may aid in reducing the disproportionate burden of tobacco-related disease among smokers with medical co-morbidity.

Keywords

Smoking cessationevidence-based treatmentcardiologymedical co-morbidity
Type
Articles
Information
Journal of Smoking Cessation , Volume 10 , Issue 1 , June 2015 , pp. 74 - 84
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

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