Emergency Department–Initiated Tobacco Control: Update of a Systematic Review and Meta-Analysis of Randomized Controlled Trials

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Lemhoefer, Christina ; Rabe, Gwen Lisa ; Wellmann, Jürgen ; Bernstein, Steven L. ; Cheung, Ka Wai ; McCarthy, William J. ; Lauridsen, Susanne Vahr ; Spies, Claudia ; Neuner, Bruno
• Description:
  Introduction ; A 2012 systematic review and meta-analysis of randomized controlled trials on emergency department–initiated tobacco control (ETC) showed only short-term efficacy. The aim of this study was to update data through May 2015. ; Methods ; After registering the study protocol on the international prospective register of systematic reviews (PROSPERO) in May 2015, we searched 7 databases and the gray literature. Our outcome of interest was the point prevalence of tobacco-use abstinence at 1-month, 3-month, 6-month, or 12-month follow-up. We calculated the relative risk (RR) of tobacco-use abstinence after ETC at each follow-up time separately for each study and then pooled Mantel–Haenszel RRs by follow-up time. These results were pooled with results of the 7 studies included in the previous review. We calculated the effect of ETC on the combined point prevalence of tobacco-use abstinence across all follow-up times by using generalized linear mixed models. ; Results ; We retrieved 4 additional studies, one published as an abstract, comprising 1,392 participants overall. The 1-month follow-up point prevalence of tobacco-use abstinence after ETC resulted in an RR of 1.49 (95% confidence interval CI, 1.08–2.05) across 3 studies; 3-month follow-up, an RR of 1.38 (95% CI, 1.12–1.71) across 9 studies; 6-month follow-up, an RR of 1.09 (95% CI, 0.84–1.41) across 6 studies; and 12-month follow-up, an RR of 1.26 (95% CI, 1.00–1.59) across 3 studies. The effect on the combined point prevalence of abstinence was an RR of 1.40 (95% CI, 1.06–1.86) (P = .02). ; Conclusion ; ETC is effective in promoting continual tobacco-use abstinence up to 12 months after intervention. ETC may be a critically important public health strategy for engaging hard-to-reach smokers in tobacco-use cessation.
• Subjects:
  • Systematic Review
• Source:
  Prev Chronic Dis. 14.
• DOI:
  http://dx.doi.org/10.5888/pcd14.160434
• ISSN:
  1545-1151
• Pubmed ID:
  28981403
• Pubmed Central ID:
  PMC5645196
• Document Type:
  Journal Article
• Volume:
  14
• Download URL:
  https://stacks.cdc.gov/view/cdc/49458/cdc_49458_DS1.pdf
• File Type:
  [PDF - 423.38 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:670b377678486fde8f016b3e971ccae02489a099ee2c2ce0f528fc13e2ed99d85555c96d65db215beb32a72f6dc4493926f69adf5b450361eda9d8834447b80d