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Title: Factors associated with nicotine replacement therapy use among hospitalised smokers.
Austin Authors: Chui, Chang Yue;Thomas, Dennis;Taylor, Simone E ;Bonevski, Billie;Abramson, Michael J;Paul, Eldho;Poole, Susan G;Weeks, Gregory R;Dooley, Michael J;George, Johnson
Affiliation: Pharmacy Department, Austin Health, Heidelberg, Victoria, Australia
Centre for Medicine Use and Safety, Monash University, Melbourne, Australia
Department of Pharmaceutical Sciences, University of Utrecht, Utrecht, The Netherlands
School of Medicine and Public Health, University of Newcastle, Newcastle, Australia
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
Clinical Haematology Department, The Alfred, Melbourne, Australia
Pharmacy Department, Alfred Health, Melbourne, Australia
Pharmacy Department, Barwon Health, Geelong, Australia
Issue Date: May-2018
Date: 2018-02-07
Publication information: Drug and alcohol review 2018; 37(4): 514-519
Abstract: Nicotine replacement therapy (NRT) is recommended as a smoking cessation aid for hospitalised smokers. We examined factors associated with NRT use during hospitalisation and after discharge, and NRT uptake when systematically offered free of cost. A nested analysis was conducted using data from a clinical trial that evaluated the effectiveness of a pharmacist-led smoking cessation intervention in 600 hospitalised smokers. NRT was used at least once by 285 (48%) participants during hospitalisation and by 287 (48%) participants during the 12 months post-discharge. Heavy smokers and those who expressed interest in using NRT for their next quit attempt at baseline interview were more likely to use NRT during hospitalisation [odds ratio (OR) 1.94, 95% confidence interval (CI) 1.38, 2.74; OR 2.09, 95% CI 1.48, 2.95] and after discharge (OR 1.70, 95% CI 1.20, 2.41; OR 1.97, 95% CI 1.39, 2.79). Those using six or more medications were more likely to use NRT during hospitalisation (OR 1.65, 95% CI 1.05, 2.61). Post-discharge NRT users were more likely to have been initially admitted for a respiratory or cardiac problem (OR 1.51, 95% CI 1.05, 2.18). When NRT was offered free of cost to a subset of patients (n = 300), 157 (52%) used NRT during hospitalisation. Nicotine dependence and interest in using NRT predicted its use (OR 2.26, 95% CI 1.38, 3.70; OR 2.58, 95% CI 1.58, 4.20). Targeting heavy smokers, those with cardio-respiratory conditions and those interested in using NRT regardless of regimen complexity could improve NRT uptake.
DOI: 10.1111/dar.12661
ORCID: 0000-0003-1978-1591
Journal: Drug and alcohol review
PubMed URL: 29411446
Type: Journal Article
Subjects: hospitalisation
nicotine replacement therapy
smoking cessation
Appears in Collections:Journal articles

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