Tabaquismo en pacientes hospitalizadosuna gran oportunidad

  1. Francisco Carrión Valero 1
  2. Daniel Martínez González 2
  3. María Teresa Bobes-Bascarán 3
  4. Genaro Galán Gil 4
  5. Joaquín Ortega Serrano 5
  6. Francisco Javier Chorro Gascó 6
  7. Julio Bobes 3
  8. Carlos A. Jiménez Ruiz 7
  1. 1 Servicio de Neumología. Hospital Clínic Universitari, València. España.
  2. 2 Servicio de Neumología Ocupacional. Servicio de Salud del Principado de Asturias (SESPA). Instituto Nacional de Silicosis. España.
  3. 3 Servicio de Salud del Principado de Asturias (SESPA). Universidad de Oviedo. Instituto de Investigación Sanitaria del Principado de Asturias (ISPA). INEUROPA. CIBERSAM. España.
  4. 4 Sección de Cirugía Torácica. Hospital Clínic Universitari, València, València. España.
  5. 5 Servicio de Cirugía General. Hospital Clínic Universitari, València. España.
  6. 6 Servicio de Cardiología. Hospital Clínic Universitari, València. España.
  7. 7 Unidad Especializada de Tabaquismo de la Comunidad de Madrid, Madrid. España.
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Journal:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Year of publication: 2022

Volume: 34

Issue: 1

Pages: 13-21

Type: Article

DOI: 10.20882/ADICCIONES.1358 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Adicciones: Revista de socidrogalcohol

Sustainable development goals

Abstract

The objective of this study is to describe the characteristics of smokers admitted to different medical and surgical services in a university hospital and the perception of patients regarding the need for a specialized intervention. The sample comprises a total of 307 patients (mean age of 59.4 years), being 40% (n = 123) non- smokers, 42.7% (n = 131) ex-smokers, and 17.3% (n = 53) smokers. The average consumption of smokers was 22.2 cigarettes / day and the severity of nicotine dependence evaluated with the Fagerström test exceeded 5 points in more than half of the sample. On the other hand, 77.7% had made at least one previous attempt to quit tobacco use. Almost the entire sample (89.9%) of smokers and ex-smokers considered it necessary to develop tobacco treatment programs during hospitalization. Finally, the importance of the hospital context is argued as an opportunity to address the cessation of smoking. The data obtained in this study will allow focusing more appropriately on the management of these patients and optimizing resources

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Funding information

This study has been partially supported by the Government of the Principality of Asturias PCTI 2018-2022 IDI/2018/235 with FEDER cofunding, by the Biomedical Research Networking Center Consortium - Mental Health (CIBERSAM) and the Ministry of Economic Affairs and Digital Transformation.

Funders

Bibliographic References

  • Alonso, V. (2001). Tratamiento del tabaquismo en pacientes hospitalizados. Prevención del Tabaquismo, 3, 119-120.
  • Alonso-Colmenero, M. M., Diez Jde, M., Alvarez, F. V. y de Oteyza, C. P. (2010). Tobacco consumption in hospitalized patients before and after the anti-tobacco law (28/2005). Revista Clínica Española, 210, 216-220. doi:10.1016/j.rce.2009.12.007.
  • Bittner, J. C., Hasegawa, K., Probst, B. D., Mould-Millman, N. K., Silverman, R. A. y Camargo, C. A. Jr. (2016). Smoking status and smoking cessation intervention among U.S. adults hospitalized for asthma exacerbation. Allergy and Asthma Proceedings, 37, 318-323. doi:10.2500/aap.2016.37.3952.
  • Bluman, L. G., Mosca, L., Newman, N. y Simon, D. G. (1998). Preoperative smoking habits and postoperative pulmonary complications. Chest, 113, 883-889. doi:10.1378/chest.113.4.883.
  • Bobes, J., Arango, C., Garcia-Garcia, M. y Rejas, J. (2010). Healthy lifestyle habits and 10-year cardiovascular risk in schizophrenia spectrum disorders: An analysis of the impact of smoking tobacco in the CLAMORS schizophrenia cohort. Schizophrenia Research, 119, 101-109. doi:10.1016/j.schres.2010.02.1030.
  • Borglykke, A., Pisinger, C., Jorgensen, T. y Ibsen, H. (2008). The effectiveness of smoking cessation groups offered to hospitalised patients with symptoms of exacerbations of chronic obstructive pulmonary disease (COPD). Clinical Respiratory Journal, 2, 158-165. doi:10.1111/j.1752-699X.2008.00055.x.
  • Campos, A. C. F., Nani, A. S. F., Fonseca, V., Silva, E. N., Castro, M. C. S. y Martins, W. A. (2018). Comparison of two smoking cessation interventions for inpatients. Jornal Brasileiro de Pneumologia, 44, 195-201. doi:10.1590/S1806-37562017000000419.
  • Emmons, K. M. y Goldstein, M. G. (1992). Smokers who are hospitalized: A window of opportunity for cessation interventions. Preventive Medicine, 21, 262-269.
  • Feterik, K., Ylioja, T., Schulze, A. E., Douaihy, A., Abebe, K. Z. y Davis, E. M. (2019). Hospitalists’ role in improving prescriptions of nicotine replacement therapy among tobacco users during hospitalization and at discharge. Journal of General Internal Medicine, 34, 333-335. doi:10.1007/s11606-018-4693-2.
  • Fiore, M. C., Goplerud, E. y Schroeder, S. A. (2012). The Joint Commission’s new tobacco-cessation measures—will hospitals do the right thing? New England Journal of Medicine, 366, 1172-1174. doi:10.1056/NEJMp1115176.
  • Fitzgerald, S. A., Richter, K. P., Mussulman, L., Howser, E., Nahvi, S., Goggin, K.,… Faseru, B. (2016). Improving quality of care for hospitalized smokers with HIV: Tobacco dependence treatment referral and utilization. The Joint Commission Journal on Quality and Patient Safety, 42, 219-224.
  • France, E. K., Glasgow, R. E. y Marcus, A. C. (2001). Smoking cessation interventions among hospitalized patients: What have we learned? Preventive Medicine, 32, 376-388. doi:10.1006/pmed.2000.0824.
  • Jaen-Moreno, M. J., Feu, N., Redondo-Ecija, J., Montiel, F. J., Gomez, C., Del Pozo, G. I.,… Sarramea, F. (2019). Smoking cessation opportunities in severe mental illness (tobacco intensive motivational and estimate risk - TIMER-): Study protocol for a randomized controlled trial. Trials, 20, 47. doi:10.1186/s13063-018-3139-9.
  • Jimenez Ruiz, C. A., de Granda Orive, J. I., Solano Reina, S., Riesco Miranda, J. A., de Higes Martinez, E., Pascual Lledo, J. F.,… Cristobal Fernandez, M. (2017). Guidelines for the treatment of smoking in hospitalized patients. Archivos de Bronconeumología, 53, 387-394. doi:10.1016/j.arbres.2016.11.004.
  • Jimenez-Ruiz, C. A., Riesco Miranda, J. A., Altet Gomez, N., Lorza Blasco, J. J., Signes-Costa Minana, J., Solano Reina, S.,… Sociedad Espanola de Neumologia y Cirugia, T. (2013). Treatment of smoking in smokers with chronic obstructive pulmonary disease. Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR). Archivos de Bronconeumología, 49, 354-363. doi:10.1016/j.arbres.2013.02.005.
  • Jimenez-Trevino, L., Velasco, A., Rodriguez-Revuelta, J., Abad, I., De la Fuente-Tomas, L., Gonzalez-Blanco, L.,… Saiz, P. A. (2019). Factors associated with tobacco consumption in patients with depression. Adicciones, 31, 298-308. doi:10.20882/adicciones.1191.
  • Leal-Lopez, E., Sanchez-Queija, I. y Moreno, C. (2019). Trends in tobacco use among adolescents in Spain (2002-2018). Adicciones, 31, 289-297. doi:10.20882/adicciones.1111.
  • Lightwood, J. M. y Glantz, S. A. (1997). Short-term economic and health benefits of smoking cessation: Myocardial infarction and stroke. Circulation, 96, 1089-1096.
  • Mohiuddin, S. M., Mooss, A. N., Hunter, C. B., Grollmes, T. L., Cloutier, D. A. y Hilleman, D. E. (2007). Intensive smoking cessation intervention reduces mortality in high-risk smokers with cardiovascular disease. Chest, 131, 446-452. doi:10.1378/chest.06-1587.
  • Moller, A. M., Villebro, N., Pedersen, T. y Tonnesen, H. (2002). Effect of preoperative smoking intervention on postoperative complications: A randomised clinical trial. Lancet, 359, 114-117. doi:10.1016/S0140-6736(02)07369-5.
  • Mullen, K. A., Coyle, D., Manuel, D., Nguyen, H. V., Pham, B., Pipe, A. L. y Reid, R. D. (2015). Economic evaluation of a hospital-initiated intervention for smokers with chronic disease, in Ontario, Canada. Tobacco Control, 24, 489-496. doi:10.1136/tobaccocontrol-2013-051483.
  • Muquebil Ali Al Shaban Rodriguez, O. W., Alvarez de Morales Gomez-Moreno, E., Ocio Leon, S., Hernandez Gonzalez, M. J., Gomez Simon, M. y Fernandez Menendez, M. A. (2017). Professional training in motivational interviewing as a strategy to overcome the therapeutic nihilism in smoking. Revista de Psiquiatría y Salud Mental, 10, 217-218. doi:10.1016/j.rpsm.2017.07.003.
  • Mussulman, L. M., Faseru, B., Fitzgerald, S., Nazir, N., Patel, V. y Richter, K. P. (2018). A randomized, controlled pilot study of warm handoff versus fax referral for hospital-initiated smoking cessation among people living with HIV/AIDS. Addictive Behaviors, 78, 205-208. doi:10.1016/j.addbeh.2017.11.035.
  • Nieto Garcia, M. A., Abdel-Kader Martin, L., Rosado Martin, M. M., Carriazo Perez de Guzman, A. y Arias Jimenez, J. L. (2003). Smoking of in-patients. Anales de Medicina Interna, 20, 351-359.
  • Ortega, F., Vellisco, A., Marquez, E., Lopez-Campos, J. L., Rodriguez, A., de los Angeles Sanchez, M.,… Cejudo, P. (2011). Effectiveness of a cognitive orientation program with and without nicotine replacement therapy in stopping smoking in hospitalised patients. Archivos de Bronconeumología, 47, 3-9. doi:10.1016/j.arbres.2010.07.007.
  • Pozo-Rodriguez, F., Alvarez, C. J., Castro-Acosta, A., Melero Moreno, C., Capelastegui, A., Esteban, C.,… por el Grupo, A. E. (2010). Clinical audit of patients admitted to hospital in Spain due to exacerbation of COPD (AUDIPOC study): Method and organisation. Archivos de Bronconeumología, 46, 349-357. doi: 10.1016/j.arbres.2010.04.004.
  • Regan, S., Viana, J. C., Reyen, M. y Rigotti, N. A. (2012). Prevalence and predictors of smoking by inpatients during a hospital stay. Archives of Internal Medicine, 172, 1670-1674. doi:10.1001/2013.jamainternmed.300.
  • Rigotti, N. A., Clair, C., Munafo, M. R. y Stead, L. F. (2012). Interventions for smoking cessation in hospitalised patients. Cochrane Database of Systematic Reviews, CD001837. doi:10.1002/14651858.CD001837.pub3.
  • Rodriguez Munoz, P. M., Carmona Torres, J. M., Hidalgo Lopezosa, P., Cobo Cuenca, A. I. y Rodriguez Borrego, M. A. (2019). Evolution of alcohol and tobacco consumption in young people in Spain, after the law 42/2010 against smoking: 2011-2014. Adicciones, 31, 274-283. doi:10.20882/adicciones.1035.
  • Roig Cutillas P, S. P. E., Borràs Cabacés, T., Sesmilo García, M., Salmons Aleu, R. y Albeldo Navarro, V. (2001). Protocolo de intervención en pacientes fumadores hospitalizados. Prevención del Tabaquismo, 3, 124-131.
  • Sarramea, F., Jaen-Moreno, M. J., Feu, N., Redondo-Ecija, J., Balanza-Martinez, V., Gutierrez-Rojas, L. y Garcia-Portilla, M. P. (2019a). Prepare the smoking cessation in severe mental illness: Early diagnosis and prevention opportunities. Revista de Psiquiatría y Salud Mental, 12, 133-134. doi:10.1016/j.rpsm.2018.08.001.
  • Sarramea, F., Jaen-Moreno, M. J., Balanza-Martinez, V., Osuna, M. I., Alcala, J. A., Montiel, F. J.,… Gutierrez-Rojas, L. (2019b). Setting the stage to quit smoking in Bipolar Disorder patients: Brief advice in clinical practice. Adicciones, 31, 136-146. doi:10.20882/adicciones.1006.
  • Taylor, C. B., Houston-Miller, N., Killen, J. D. y DeBusk, R. F. (1990). Smoking cessation after acute myocardial infarction: Effects of a nurse-managed intervention. Annals of Internal Medicine, 113, 118-123.
  • Thomsen, T., Villebro, N. y Moller, A. M. (2014). Interventions for preoperative smoking cessation. Cochrane Database Systematic Review, CD002294. doi:10.1002/14651858.CD002294.pub4.
  • Vander Weg, M. W., Holman, J. E., Rahman, H., Sarrazin, M. V., Hillis, S. L., Fu, S. S.,… Katz, D. A. (2017). Implementing smoking cessation guidelines for hospitalized Veterans: Cessation results from the VA-BEST trial. Journal of Substance Abuse Treatment, 77, 79-88. doi:10.1016/j.jsat.2017.03.015.
  • Warner, D. O., Nolan, M. B., Kadimpati, S., Burke, M. V., Hanson, A. C. y Schroeder, D. R. (2016). Quitline tobacco Interventions in hospitalized patients: A randomized trial. American Journal of Preventive Medicine, 51, 473-484. doi:10.1016/j.amepre.2016.03.005.
  • Ylioja, T., Reddy, V., Ambrosino, R., Davis, E. M., Douaihy, A., Slovenkay, K.,… Tindle, H. A. (2017). Using bioinformatics to treat hospitalized smokers: Successes and challenges of a tobacco treatment service. Joint Commission Journal on Quality and Patient Safety, 43, 621-632. doi:10.1016/j.jcjq.2017.06.010.
Data source: Dialnet