Hospitalists’ Role in Improving Prescriptions of Nicotine Replacement Therapy Among Tobacco Users During Hospitalization and at Discharge
Hospitals that have a tobacco-free environment require patients to abstain from smoking.1 Tobacco users generally experience withdrawal within 2–3 h of their last cigarette, with cravings becoming most severe within 2–3 days.2 Thus, identifying, preventing, and treating withdrawal symptoms is important to promote recovery during hospitalization.3 While a tobacco treatment service (TTS) improves inpatient counseling, hospitalists have an important role in treating tobacco withdrawal symptoms and smoking cessation counseling. Our objective was to compare the effect of tobacco cessation counseling by provider type on the inpatient rate of nicotine replacement therapy (NRT) orders and patient use.
We included all adult daily tobacco users discharged from the hospitalist service in a 500-bed academic medical center for 12 consecutive months. Tobacco use was documented in the electronic health record (EHR) by the admission nurse. Those identified by the formal nursing...
KEY WORDShospital medicine patient activation smoking cessation substance abuse
We thank UPMC Health Services Division (Steven Shapiro, MD, Jessica Furnier), UPMC Tobacco Treatment Service (Beth Frenak, Nina Crayton, James Weeden), UPMC Information Services Department (Richard Ambrosino, MD, and Karen Thurner), and UPMC Presbyterian Hospital Section of Hospital Medicine (Jill Costa, RN, Susan Rankin, RN, and Mary Holt, RN).
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 2.Hughes JR. Effects of abstinence from tobacco: valid symptoms and time course. Vol. 9, Nicotine and Tobacco Research. 2007. p. 315–27.Google Scholar
- 4.Ylioja T, Reddy V, Ambrosino R, Davis EM, Douaihy A, Slovenkay K, et al. Using bioinformatics to treat hospitalized smokers: successes and challenges of a tobacco treatment service. Jt Comm J Qual Patient Saf. 2017;43(12):621–32Google Scholar
- 5.United States Department of Health and Human Services. The health consequences of smoking—50 years of progress a report of the surgeon general. A Rep Surg Gen. 2014;1081.Google Scholar