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​​​​​​Hospital Based Populations   Background


Smoking is known to have a significant negative impact on risks associated with hospitalization; quitting smoking prior to admission has been shown to be beneficial for postoperative complication rates1.
Hospitalization provides an ideal window of opportunity to deliver smoking cessation services and supports for patients. Moreover, patients admitted for a smoking-related reason may be more receptive to smoking cessation interventions2.  A recent Cochrane review has demonstrated that smoking cessation interventions, which begin during hospitalization and continue for at least one month post-discharge are effective2.
Furthermore, with the prevalence of hospital smoke-free policies on the rise, the provision of nicotine withdrawal treatment and availability of smoking cessation services to patients is becoming increasingly vital.
A model of systematic hospital interventions for smoking cessation, The Ottawa model, has been shown to be effective in increasing abstinence rates for patients3 and has been implemented in nearly 70 sites across Canada to date4.

1. Tonnesen HNielsen PRLauritzen JBMoller AMSmoking and alcohol intervention before surgery  evidence for best practiceBr J Anaesth 2009102297306T. Thomsen, H. Tønnesen, A. M. Møller.  Effect of preoperative smoking cessation interventions on postoperative complications and smoking cessation. Volume 96, Issue 5, pages 451–461, May 2009.
2. Rigotti N, Munafo’ MR, Stead LF. Interventions for smoking cessation in hospitalised patients (Review). The Cochrane Library 2008, Issue 4.
3. Reid RD, Mullen KA, Slovinec D’Angelo ME, Aitken DA, Papadakis , Haley PM, McLaughlin CA, & Pipe AL.  Smoking cessation for hospitalized smokers: An evaluation of the “Ottawa Model”.  Nicotine & Tobacco Research, Volume 12 (1):11–18
4. University of Ottawa Heart Institute.  Ottawa Model for Smoking Cessation., accessed November 16, 2010.​