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A systematic review of smoking cessation interventions in the emergency setting
- Source :
- The American Journal of Emergency Medicine. 32:713-724
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Study objective Cigarette smoking remains the leading cause of preventable death in the United States, and tobacco use rates are known to be higher among emergency department (ED) patients than in the general population. Despite recommendations from the Society for Academic Emergency Medicine and the American College of Emergency Physicians, many emergency clinicians remain uncertain about the benefits of providing ED-based smoking cessation interventions. To address this gap in knowledge, we performed a systematic review of cessation interventions initiated in the adult or pediatric ED setting. Methods We conducted an electronic search of the MEDLINE and CINAHL databases through February 2014 and hand searched references from potentially relevant articles. We identified eligible studies, evaluated bias and validity, and extracted data and synthesized findings. Results Seventeen studies underwent critical appraisal, with 13 included in qualitative synthesis. The majority (11/13, 85%) of investigations did not report significant differences in tobacco abstinence between cessation intervention groups. The 2 studies reporting significant differences in cessation both used motivational interviewing-based interventions. Two studies evaluated patient satisfaction with ED-based tobacco cessation interventions, and both reported greater than 90% satisfaction. Conclusions Findings indicate that ED visits in combination with ED-initiated tobacco cessation interventions are correlated with higher cessation rates than those reported in the National Health Interview Survey. Clear data supporting the superiority of one intervention type were not identified. Lack of a standardized control group prevented quantitative evaluation of pooled data, and future research is indicated to definitively evaluate intervention efficacy.
- Subjects :
- Pediatrics
medicine.medical_specialty
medicine.medical_treatment
Population
Psychological intervention
Motivational interviewing
Motivational Interviewing
Patient Education as Topic
medicine
Humans
National Health Interview Survey
education
Referral and Consultation
education.field_of_study
business.industry
Smoking
General Medicine
Emergency department
Tobacco Use Cessation Devices
Critical appraisal
Treatment Outcome
Patient Satisfaction
Family medicine
Emergency Medicine
Smoking cessation
Pamphlets
Smoking Cessation
Tobacco Use Cessation Products
Emergency Service, Hospital
business
Subjects
Details
- ISSN :
- 07356757
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- The American Journal of Emergency Medicine
- Accession number :
- edsair.doi.dedup.....4218747f3c60540ad559aea747c713e6