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Poster presentation
Audit of a clinician led NHS stop smoking clinic
to identify the predictors of smoking cessation
Charles Beck
Abstract
In 1998 the UK Government published Smoking Kills - a
white paper on tobacco where a target was set to reduce
the prevalence of smoking among adults in England from
28% in 1996 to 24% in 2010 (interim target of 26% by 2005)
due to the substantial body of evidence implicating smoking
as a leading risk factor of global disease. In order to
achieve its aim, the Government released funding for the
first community and hospital based NHS smoking cessation
services.
Brief advice on smoking cessation by healthcare professionals
can achieve continuous abstinence quit rates of 2%; this
may be increased to 17% through the use of nicotine replacement
therapy (NRT) in motivated patients when attending an
NHS stop smoking service.
We have audited the Royal Hallamshire Hospital NHS Stop
Smoking Clinic database (n = 102) to investigate the predictive
value of expired carbon monoxide (CO), nicotine and cotinine
serum concentration, cigarettes smoked per day and other
related information on smoking cessation quit rates. At
baseline, patients were aged 54.2 ± 13.2 years
(mean ± SD), consumed 11.4 ± 15.1 units
of alcohol per week and currently received 5.2 ±
4.3 drug prescriptions. On average patients smoked 11
to 20 cigarettes per day and smoked their first cigarette
6 to 30 minutes after waking. The four week continuous
abstinence quit rate was 45.1% (expired CO 1.54 ±
1.48 ppm), and the one year continuous abstinence quit
rate was 20.0% (expired CO 0.20 ± 0.56 ppm).
We intend to use this audit to identify patients at baseline
who may require increased support above routine care from
an NHS stop smoking clinic.
Charles Beck
Academic Unit of Clinical Pharmacology,
University of Sheffield L123, L Floor
Royal Hallamshire Hospital,
Glossop Road Sheffield S10 2JF
Tel: 0114 2713664
c.beck@sheffield.ac.uk
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