当前位置： SCI文献检索 > JOURNAL OF ORTHOPAEDIC TRAUMA期刊下所有文献 > Prospective Randomized Trial on Smoking Cessation in Orthopaedic Trauma Patients: Results from the Let's STOP (Smoking in Trauma Orthopaedic Patients) Now Trial.

Prospective Randomized Trial on Smoking Cessation in Orthopaedic Trauma Patients: Results from the Let's STOP (Smoking in Trauma Orthopaedic Patients) Now Trial.

Abstract：

OBJECTIVES:To determine if inpatient counseling with additional counseling could increase smoking cessation. DESIGN:Prospective study. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Current smokers with an operative fracture randomly assigned to control (no counseling), brief counseling (inpatient counseling), or intense counseling (brief counseling plus follow-up) groups. INTERVENTION:Brief inpatient smoking counseling and referral to a nationally-based quitline. MAIN OUTCOME MEASUREMENTS:Smoking cessation confirmed by exhaled carbon monoxide, recorded at 12 and 26 weeks. RESULTS:Overall, 266 patients participated, with 40, 111, and 115 patients in the control and treatment groups, respectively. At 3 months, 17% of control versus 11% and 10% brief and intense counseling groups quit smoking, respectively. At 6 months, 15% of control, and 10% and 5% of the respective counseling groups quit. No significant difference reported between groups. Forty-three percent of patients accepted quitline referral. Intense counseling patients were 3 times more likely to accept referral (odds ratio [OR], 3.1; 95% confidence interval [CI], 1.4-6.9) and brief counseling patients were more than 2 times as likely to accept referral (OR, 2.3; 95% CI, 1.0-5.1). Overall, 54% of participants who accepted the quitline referral accepted quitline services. Intense counseling (OR, 8.2; 95% CI, 1.0-68.5) and brief counseling (OR, 5.3; 95% CI, 0.6-44.9) patients were more likely to use quitline services. CONCLUSION:Increasing levels of inpatient counseling can improve successful referral to quitline, but it does not appear to influence quit rates amongst orthopaedic trauma patients. LEVEL OF EVIDENCE:Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

journal_name

J Orthop Trauma

journal_title

Journal of orthopaedic trauma

authors

Matuszewski PE,Joseph K,O'Hara NN,DiClemente C,O'Toole RV

doi

10.1097/BOT.0000000000002028

subject

Has Abstract

pub_date

2020-11-25 00:00:00

eissn

0890-5339

issn

1531-2291

pub_type

杂志文章

在线工具

Prospective Randomized Trial on Smoking Cessation in Orthopaedic Trauma Patients: Results from the Let's STOP (Smoking in Trauma Orthopaedic Patients) Now Trial.