Author + information
- Harish Patlolla,
- Sandeep Khosla and
- Sneha Parmar
Background: Studies in the past have shown conflicting results on whether patients who receive counseling from a physician about smoking cessation, while admitted to the hospital for acute coronary syndrome (ACS), have a higher chance of quitting after discharge than those without counseling.
Objective: Our study examined whether in-hospital counseling after admission for ACS, improves smoking cessation rates in an urban healthcare center.
Methods: A total of 80 persons, aged more than 18 years, admitted for ACS with a smoking history were enrolled into the study. All participants were randomly assigned into two arms: active intervention arm or placebo arm. Active intervention arm received additional physician counseling about quitting smoking along with standard hospital-mandated pamphlets. The placebo arm received only hospital-mandated pamphlets about smoking cessation. Thirty days after discharge, a brief phone interview was made in which participants were asked about their current smoking status.
Results: After 30 days post admission for ACS, 20 out of 40 patients quit smoking after receiving additional physician counseling, whereas only 10 out of 40 quit smoking after a standard hospital-mandated pamphlet. This amounts to a relative risk of 2.00, meaning that those exposed to additional physician counseling were two times more likely to quit smoking (95% CI: 1.08 to 3.72). This increased likelihood of smoking cessation was statistically and clinically significant (P value = 0.028).
Conclusions: Patients who received physician counseling were two times more likely to quit smoking 30 days after being admitted for ACS, as opposed to patients who received only pamphlets. This study is of clinical importance showing that physician counseling, in addition to standardized pamphlets, increases ones chance of smoking cessation. Furthermore, on average, only four patients would have to receive additional physician counseling for one additional patient to quit smoking.
Poster Hall, Hall C
Friday, March 17, 2017, 10:00 a.m.-10:45 a.m.
Session Title: Updates in Stable Ischemic Heart Disease
Abstract Category: 3. Acute and Stable Ischemic Heart Disease: Therapy
Presentation Number: 1125-314
- 2017 American College of Cardiology Foundation