{"id":6569,"date":"2016-05-25T00:00:00","date_gmt":"2016-05-25T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/effectiveness-of-a-hospital-initiated-smoking-cessation-programme-2-year-health-and-healthcare-outcomes\/"},"modified":"2023-06-14T19:40:29","modified_gmt":"2023-06-14T23:40:29","slug":"effectiveness-of-a-hospital-initiated-smoking-cessation-programme-2-year-health-and-healthcare-outcomes","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/effectiveness-of-a-hospital-initiated-smoking-cessation-programme-2-year-health-and-healthcare-outcomes\/","title":{"rendered":"Effectiveness of a hospital-initiated smoking cessation programme: 2-year health and healthcare outcomes"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Tobacco-related illnesses are leading causes of death and healthcare use. Our objective was to determine whether implementation of a hospital initiated smoking cessation intervention would reduce mortality and downstream healthcare usage.<\/p>\n<p><strong>Methods<\/strong> &#x2014; A 2-group effectiveness study was completed comparing patients who received the &#x2018;Ottawa Model&#x2019; for Smoking Cessation intervention (n=726) to usual care controls (n=641). Participants were current smokers, &gt;17 years old, and recruited during admission to 1 of 14 participating hospitals in Ontario, Canada. Baseline data were linked to healthcare administrative data. Competing-risks regression analysis was used to compare outcomes between groups.<\/p>\n<p><strong>Results<\/strong> &#x2014; The intervention group experienced significantly lower rates of all-cause readmissions, smoking-related readmissions, and all-cause emergency department (ED) visits at all time points. The largest absolute risk reductions (ARR) were observed for all-cause readmissions at 30 days (13.3% vs 7.1%; ARR, 6.1% (2.9% to 9.3%); p&lt;0.001), 1 year (38.4% vs 26.7%; ARR, 11.7% (6.7% to 16.6%); p&lt;0.001), and 2 years (45.2% vs 33.6%; ARR, 11.6% (6.5% to 16.8%); p&lt;0.001). The greatest reduction in risk of all-cause ED visits was at 30 days (20.9% vs 16.4%; ARR, 4.5% (0.4% to 8.7%); p=0.03). Reduction in mortality was not evident at 30 days, but significant reductions were observed by year 1 (11.4% vs 5.4%; ARR 6.0% (3.1% to 9.0%); p&lt;0.001) and year 2 (15.1% vs 7.9%; ARR, 7.3% (3.9% to 10.7%); p&lt;0.001).<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Considering the relatively low cost, greater adoption of hospital-initiated tobacco cessation interventions should be considered to improve patient outcomes and decrease subsequent healthcare usage.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Tobacco-related illnesses are leading causes of death and healthcare use. Our objective was to determine whether implementation of a hospital initiated smoking cessation intervention would reduce mortality and downstream healthcare usage. Methods &#x2014; A 2-group effectiveness study was completed comparing patients who received the &#x2018;Ottawa Model&#x2019; for Smoking Cessation intervention (n=726) to usual [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[35],"migration-helper-qa-sample-set":[],"class_list":["post-6569","journal_article","type-journal_article","status-publish","hentry","topic-public-health"],"acf":{"citation":"Mullen KA, Manuel DG, Hawken SJ, Pipe AL, Coyle D, Hobler LA, Younger J, Wells GA, Reid RD. <em>Tob Control<\/em>. 2017; 26(3):293-9. Epub 2016 May 25.","source_url":"","ices_scientist":[1323,1260],"site":[6734],"research_program":[],"news_release":[7653],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"23CA10E4-7C6E-40B2-9523-6666550477EC","sitecore_item_name":"Effectiveness-of-a-hospital-initiated-smoking-cessation-programme","sitecore_field_values":"{\n  \"Title\": \"Effectiveness of a hospital-initiated smoking cessation programme: 2-year health and healthcare outcomes\",\n  \"Short title\": \"Effectiveness of a hospital-initiated\",\n  \"Summary\": \"This study found greater adoption of hospital-initiated tobacco cessation interventions should be considered to improve patient outcomes and decrease subsequent healthcare usage.\",\n  \"Citation\": \"<p>Mullen KA, Manuel DG, Hawken SJ, Pipe AL, Coyle D, Hobler LA, Younger J, Wells GA, Reid RD. <em>Tob Control<\/em>. 2017; 26(3):293-9. Epub 2016 May 25.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Tobacco-related illnesses are leading causes of death and healthcare use. Our objective was to determine whether implementation of a hospital initiated smoking cessation intervention would reduce mortality and downstream healthcare usage.<\/p>rn<p><strong>Methods<\/strong> &mdash; A 2-group effectiveness study was completed comparing patients who received the &lsquo;Ottawa Model&rsquo; for Smoking Cessation intervention (n=726) to usual care controls (n=641). Participants were current smokers, &gt;17 years old, and recruited during admission to 1 of 14 participating hospitals in Ontario, Canada. Baseline data were linked to healthcare administrative data. Competing-risks regression analysis was used to compare outcomes between groups.<\/p>rn<p><strong>Results<\/strong> &mdash; The intervention group experienced significantly lower rates of all-cause readmissions, smoking-related readmissions, and all-cause emergency department (ED) visits at all time points. The largest absolute risk reductions (ARR) were observed for all-cause readmissions at 30 days (13.3% vs 7.1%; ARR, 6.1% (2.9% to 9.3%); p&lt;0.001), 1 year (38.4% vs 26.7%; ARR, 11.7% (6.7% to 16.6%); p&lt;0.001), and 2 years (45.2% vs 33.6%; ARR, 11.6% (6.5% to 16.8%); p&lt;0.001). The greatest reduction in risk of all-cause ED visits was at 30 days (20.9% vs 16.4%; ARR, 4.5% (0.4% to 8.7%); p=0.03). Reduction in mortality was not evident at 30 days, but significant reductions were observed by year 1 (11.4% vs 5.4%; ARR 6.0% (3.1% to 9.0%); p&lt;0.001) and year 2 (15.1% vs 7.9%; ARR, 7.3% (3.9% to 10.7%); p&lt;0.001).<\/p>rn<p><strong>Conclusions<\/strong> &mdash; Considering the relatively low cost, greater adoption of hospital-initiated tobacco cessation interventions should be considered to improve patient outcomes and decrease subsequent healthcare usage.<\/p>\",\n  \"Keywords\": \"{6B52AF0B-28DC-4780-A163-33309B7E5DC6}|{D130ADD9-0370-4BF6-9BBB-7379AF0263F0}|{958DF0EF-0324-49BE-BF79-08C12AE2EA6F}\",\n  \"Related Products\": \"<h2>NEWS RELEASE<\/h2>rn<h3><a href=\"~\/link.aspx?_id=9D565BC2AC544809B6FE0682E2BF7B03&amp;_z=z\">Canadian study shows effectiveness of hospital-initiated smoking cessation programs <\/a><\/h3>rn<h2>ICES IN THE NEWS<\/h2>rn<h3><a href=\"http:\/\/www.aafp.org\/news\/health-of-the-public\/20160607ottawastudy.html\" title=\"Opens in new window\" target=\"_blank\">Study highlights success of Ottawa Model for Smoking Cessation<\/a><\/h3>\",\n  \"Research Programs\": \"{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}\",\n  \"ICES Scientists\": \"{3178B170-580F-4CCA-A2D4-687D1150C87C}|{C3E4F5EF-B2E3-40B3-8FFB-9BE638B8F35B}\",\n  \"Posted Date\": \"20160525T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2016\/January\/Effectiveness-of-a-hospital-initiated-smoking-cessation-programme"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Effectiveness of a hospital-initiated smoking cessation programme: 2-year health and healthcare outcomes<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Tobacco-related illnesses are leading causes of death and healthcare use. 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