Table of Contents
Cardiovascular Psychiatry and Neurology
Volume 2012, Article ID 970108, 7 pages
Research Article

Smoking Cessation Intervention in a Cardiovascular Hospital Based Clinical Setting

1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada L8S 4L8
2Population Genomics Program, McMaster University, Hamilton, ON, Canada L8S 4K1
3Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada L8S 4K1
4Mood Disorders Program, St. Joseph's Healthcare Hamilton, 100 West 5th Street, Hamilton, ON, Canada L8N 3K7
5Hamilton General Hospital, Hamilton Health Sciences, Hamilton, ON, Canada L8L 2X2
6Population Health Research Institute, Hamilton, ON, Canada L8L 2X2
7Department of Medicine, McMaster University, Hamilton, ON, Canada L8S 4L8

Received 29 May 2012; Accepted 14 September 2012

Academic Editor: Heimo Viinamaki

Copyright © 2012 Zainab Samaan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Smoking is a leading cause of morbidity and mortality globally and it is a significant modifiable risk factor for cardiovascular disease (CVD) and other chronic diseases. Efforts to encourage and support smokers to quit are critical to prevent premature smoking-associated morbidity and mortality. Hospital settings are seldom equipped to help patients to quit smoking thus missing out a valuable opportunity to support patients at risk of smoking complications. We report the impact of a smoking cessation clinic we have established in a tertiary care hospital setting to serve patients with CVD. Methods. Patients received behavioural and pharmacological treatments and were followed up for a minimum of 6 months (mean 541 days, SD 197 days). The main study outcome is ≥50% reduction in number of cigarettes smoked at followup. Results. One hundred and eighty-six patients completed ≥6 months followup. More than half of the patients (52.7%) achieved ≥50% smoking reduction at follow up. Establishment of a plan to quit smoking and use of nicotine replacement therapy (NRT) were significantly associated with smoking reduction at followup. Conclusions. A hospital-based smoking cessation clinic is a beneficial intervention to bring about smoking reduction in approximately half of the patients.