The use of nicotine-replacement therapy by hospitalized smokers

Nancy A. Rigotti, Julia H. Arnsten, Kathleen M. McKool, Kristen M. Wood-Reid, Daniel E. Singer, Richard C. Pasternak

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background: No-smoking policies are mandatory in U.S. hospitals. Consequently, smokers who are hospitalized must temporarily stop smoking. Nicotine-replacement therapy (NRT) could help hospitalized smokers relieve nicotine withdrawal symptoms, comply with no-smoking policies, and sustain tobacco abstinence after discharge. The extent of NRT use in the hospital setting is unknown. We describe the prevalence and patterns of NRT use in hospitalized smokers. Design: Prospective observational study within a randomized smoking-intervention trial. Setting/Participants: Six hundred fifty adult smokers admitted to the medical and surgical services of a large urban teaching hospital that prohibits smoking in all indoor areas. Follow-up was at 6 months. Main Outcome Measure: Inpatient pharmacy records of nicotine patch or gum use. Results: Only 34 of 650 smokers (5.2%) received NRT during their hospital stay, including only 9.6% of smokers who reported difficulty refraining from smoking while hospitalized and 9.0% of hospitalized smokers with nicotine withdrawal. NRT was more likely to be prescribed to patients with nicotine withdrawal (OR 2.23; 95% CI: 1.01, 4.90), a higher daily cigarette consumption (OR 1.04; 95% CI: 1.01, 1.06), and a longer hospitalization (OR 1.05; 95% CI: 1.00, 1.10). NRT use was independent of a patient's intention to quit smoking after discharge and was not associated with smoking cessation 1 and 6 months after discharge. Conclusions: NRT was rarely used in this hospital, even among those who could have benefited from it to treat nicotine-withdrawal symptoms. When NRT was used, relief of nicotine withdrawal, rather than assistance with smoking cessation, appeared to be the primary goal. Greater use of NRT could benefit the estimated 6.5 million smokers who are hospitalized annually by reducing nicotine withdrawal, encouraging smoking cessation, and ensuring compliance with hospital no-smoking policies.

Original languageEnglish (US)
Pages (from-to)255-259
Number of pages5
JournalAmerican Journal of Preventive Medicine
Volume17
Issue number4
DOIs
StatePublished - Nov 1999
Externally publishedYes

Fingerprint

Nicotine
Smoking
Therapeutics
Smoking Cessation
Substance Withdrawal Syndrome
Tobacco Use Cessation Products
Urban Hospitals
Gingiva
Teaching Hospitals
Tobacco Products
Tobacco
Observational Studies
Inpatients
Length of Stay
Hospitalization

Keywords

  • Hospitalization
  • Nicotine
  • Smoking cessation
  • Tobacco use disorder

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

Cite this

Rigotti, N. A., Arnsten, J. H., McKool, K. M., Wood-Reid, K. M., Singer, D. E., & Pasternak, R. C. (1999). The use of nicotine-replacement therapy by hospitalized smokers. American Journal of Preventive Medicine, 17(4), 255-259. https://doi.org/10.1016/S0749-3797(99)00095-1

The use of nicotine-replacement therapy by hospitalized smokers. / Rigotti, Nancy A.; Arnsten, Julia H.; McKool, Kathleen M.; Wood-Reid, Kristen M.; Singer, Daniel E.; Pasternak, Richard C.

In: American Journal of Preventive Medicine, Vol. 17, No. 4, 11.1999, p. 255-259.

Research output: Contribution to journalArticle

Rigotti, NA, Arnsten, JH, McKool, KM, Wood-Reid, KM, Singer, DE & Pasternak, RC 1999, 'The use of nicotine-replacement therapy by hospitalized smokers', American Journal of Preventive Medicine, vol. 17, no. 4, pp. 255-259. https://doi.org/10.1016/S0749-3797(99)00095-1
Rigotti, Nancy A. ; Arnsten, Julia H. ; McKool, Kathleen M. ; Wood-Reid, Kristen M. ; Singer, Daniel E. ; Pasternak, Richard C. / The use of nicotine-replacement therapy by hospitalized smokers. In: American Journal of Preventive Medicine. 1999 ; Vol. 17, No. 4. pp. 255-259.
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abstract = "Background: No-smoking policies are mandatory in U.S. hospitals. Consequently, smokers who are hospitalized must temporarily stop smoking. Nicotine-replacement therapy (NRT) could help hospitalized smokers relieve nicotine withdrawal symptoms, comply with no-smoking policies, and sustain tobacco abstinence after discharge. The extent of NRT use in the hospital setting is unknown. We describe the prevalence and patterns of NRT use in hospitalized smokers. Design: Prospective observational study within a randomized smoking-intervention trial. Setting/Participants: Six hundred fifty adult smokers admitted to the medical and surgical services of a large urban teaching hospital that prohibits smoking in all indoor areas. Follow-up was at 6 months. Main Outcome Measure: Inpatient pharmacy records of nicotine patch or gum use. Results: Only 34 of 650 smokers (5.2{\%}) received NRT during their hospital stay, including only 9.6{\%} of smokers who reported difficulty refraining from smoking while hospitalized and 9.0{\%} of hospitalized smokers with nicotine withdrawal. NRT was more likely to be prescribed to patients with nicotine withdrawal (OR 2.23; 95{\%} CI: 1.01, 4.90), a higher daily cigarette consumption (OR 1.04; 95{\%} CI: 1.01, 1.06), and a longer hospitalization (OR 1.05; 95{\%} CI: 1.00, 1.10). NRT use was independent of a patient's intention to quit smoking after discharge and was not associated with smoking cessation 1 and 6 months after discharge. Conclusions: NRT was rarely used in this hospital, even among those who could have benefited from it to treat nicotine-withdrawal symptoms. When NRT was used, relief of nicotine withdrawal, rather than assistance with smoking cessation, appeared to be the primary goal. Greater use of NRT could benefit the estimated 6.5 million smokers who are hospitalized annually by reducing nicotine withdrawal, encouraging smoking cessation, and ensuring compliance with hospital no-smoking policies.",
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AB - Background: No-smoking policies are mandatory in U.S. hospitals. Consequently, smokers who are hospitalized must temporarily stop smoking. Nicotine-replacement therapy (NRT) could help hospitalized smokers relieve nicotine withdrawal symptoms, comply with no-smoking policies, and sustain tobacco abstinence after discharge. The extent of NRT use in the hospital setting is unknown. We describe the prevalence and patterns of NRT use in hospitalized smokers. Design: Prospective observational study within a randomized smoking-intervention trial. Setting/Participants: Six hundred fifty adult smokers admitted to the medical and surgical services of a large urban teaching hospital that prohibits smoking in all indoor areas. Follow-up was at 6 months. Main Outcome Measure: Inpatient pharmacy records of nicotine patch or gum use. Results: Only 34 of 650 smokers (5.2%) received NRT during their hospital stay, including only 9.6% of smokers who reported difficulty refraining from smoking while hospitalized and 9.0% of hospitalized smokers with nicotine withdrawal. NRT was more likely to be prescribed to patients with nicotine withdrawal (OR 2.23; 95% CI: 1.01, 4.90), a higher daily cigarette consumption (OR 1.04; 95% CI: 1.01, 1.06), and a longer hospitalization (OR 1.05; 95% CI: 1.00, 1.10). NRT use was independent of a patient's intention to quit smoking after discharge and was not associated with smoking cessation 1 and 6 months after discharge. Conclusions: NRT was rarely used in this hospital, even among those who could have benefited from it to treat nicotine-withdrawal symptoms. When NRT was used, relief of nicotine withdrawal, rather than assistance with smoking cessation, appeared to be the primary goal. Greater use of NRT could benefit the estimated 6.5 million smokers who are hospitalized annually by reducing nicotine withdrawal, encouraging smoking cessation, and ensuring compliance with hospital no-smoking policies.

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