Characteristics of patients admitted to a detoxification unit interested in tobacco cessation
Introduction The prevalence of tobacco use is high in patients with other addictions. Morbidity and mortality associated with smoking are often higher than those produced by the “principal” drug. The Tobacco Detoxification-Mental Health Program (PDT-SM) is carried out in a smoke-free-inpatient detox...
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doaj-b0ce8296092b4780a3a3b3cb0323be4c2020-11-25T01:21:19ZengEuropean PublishingTobacco Prevention and Cessation2459-30872018-06-014Supplement10.18332/tpc/9049990499Characteristics of patients admitted to a detoxification unit interested in tobacco cessationMª Cristina Pinet0Silvia Costa1Sergio Remis2Santiago Duran-Sindreu3Drug Dependence Unit, Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainBiomedical Research Institute, Sant Pau, Barcelona, SpainDrug Dependence Unit, Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainDrug Dependence Unit, Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainIntroduction The prevalence of tobacco use is high in patients with other addictions. Morbidity and mortality associated with smoking are often higher than those produced by the “principal” drug. The Tobacco Detoxification-Mental Health Program (PDT-SM) is carried out in a smoke-free-inpatient detoxification unit of a general hospital. The intervention begins during hospitalization and continues for patients who wish maintain cessation after discharge. The purposes of the intervention are to increase awareness of tobacco risk, reinforce motivation for cessation and guarantee the continuity of smoking cessation in an outpatient setting. Methods Population: smokers admitted for inpatient detoxification of other substance (October 2013-December 2017). At admission, data regarding smoking history and carbon monoxide (CO) in exhaled breath is obtained. Nicotine substitution is offered. During the hospitalization, weekly motivational group is carried out. Interested patients are referred to an outpatient specialized facility. They continue a free pharmacological and psychological treatment for one year. Results 166 patients were interested (14,5% of all smokers admitted), 66.3% men, mean age 46.5 years (SD 10). Patients with alcohol (46.4%) and cocaine (17.5%) addiction were the most interested. Depressive Disorder (18.1%) was the principal comorbidity. Average age of onset of tobacco use was 16 years old. 62% had prior quit attempts. Average number of cigarettes was 26.2 (SD 11.3), mean Fagerström test 6,9 (SD 2,1). 94% patients accepted nicotine substitution and assisted to group therapy. The level of CO decreased from an average of 19.3ppm (admission) to 1.8ppm (discharge). Conclusions The results highlight that motivational interventions during admission in a detoxification unit could be effective to increase the awareness of tobacco risks, the self-efficacy of patients, and more important to promote quit-attempts in a very severe and resistant to treat patients. Funding The Catalan Network of Smokefree Hospitals is partially funded by the Government of Catalonia through the Public Health Agency of Catalonia (contract SA-2017-N111).http://www.journalssystem.com/tpc/Characteristics-of-patients-admitted-to-a-detoxification-unit-interested-in-tobacco,90499,0,2.htmlsmoking cessation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mª Cristina Pinet Silvia Costa Sergio Remis Santiago Duran-Sindreu |
spellingShingle |
Mª Cristina Pinet Silvia Costa Sergio Remis Santiago Duran-Sindreu Characteristics of patients admitted to a detoxification unit interested in tobacco cessation Tobacco Prevention and Cessation smoking cessation |
author_facet |
Mª Cristina Pinet Silvia Costa Sergio Remis Santiago Duran-Sindreu |
author_sort |
Mª Cristina Pinet |
title |
Characteristics of patients admitted to a detoxification unit interested in tobacco cessation |
title_short |
Characteristics of patients admitted to a detoxification unit interested in tobacco cessation |
title_full |
Characteristics of patients admitted to a detoxification unit interested in tobacco cessation |
title_fullStr |
Characteristics of patients admitted to a detoxification unit interested in tobacco cessation |
title_full_unstemmed |
Characteristics of patients admitted to a detoxification unit interested in tobacco cessation |
title_sort |
characteristics of patients admitted to a detoxification unit interested in tobacco cessation |
publisher |
European Publishing |
series |
Tobacco Prevention and Cessation |
issn |
2459-3087 |
publishDate |
2018-06-01 |
description |
Introduction
The prevalence of tobacco use is high in patients with other addictions. Morbidity and mortality associated with smoking are often higher than those produced by the “principal” drug.
The Tobacco Detoxification-Mental Health Program (PDT-SM) is carried out in a smoke-free-inpatient detoxification unit of a general hospital. The intervention begins during hospitalization and continues for patients who wish maintain cessation after discharge.
The purposes of the intervention are to increase awareness of tobacco risk, reinforce motivation for cessation and guarantee the continuity of smoking cessation in an outpatient setting.
Methods
Population: smokers admitted for inpatient detoxification of other substance (October 2013-December 2017). At admission, data regarding smoking history and carbon monoxide (CO) in exhaled breath is obtained. Nicotine substitution is offered. During the hospitalization, weekly motivational group is carried out. Interested patients are referred to an outpatient specialized facility. They continue a free pharmacological and psychological treatment for one year.
Results
166 patients were interested (14,5% of all smokers admitted), 66.3% men, mean age 46.5 years (SD 10).
Patients with alcohol (46.4%) and cocaine (17.5%) addiction were the most interested.
Depressive Disorder (18.1%) was the principal comorbidity.
Average age of onset of tobacco use was 16 years old. 62% had prior quit attempts. Average number of cigarettes was 26.2 (SD 11.3), mean Fagerström test 6,9 (SD 2,1).
94% patients accepted nicotine substitution and assisted to group therapy. The level of CO decreased from an average of 19.3ppm (admission) to 1.8ppm (discharge).
Conclusions
The results highlight that motivational interventions during admission in a detoxification unit could be effective to increase the awareness of tobacco risks, the self-efficacy of patients, and more important to promote quit-attempts in a very severe and resistant to treat patients.
Funding
The Catalan Network of Smokefree Hospitals is partially funded by the Government of Catalonia through the Public Health Agency of Catalonia (contract SA-2017-N111). |
topic |
smoking cessation |
url |
http://www.journalssystem.com/tpc/Characteristics-of-patients-admitted-to-a-detoxification-unit-interested-in-tobacco,90499,0,2.html |
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