1. Smoke free Interventions in Emergency Care Is it working? Is it Appropriate in EC? Vanessa Thornton Clinical Head ED Middlemore Hospital

2. Acknowledgments Courtney Rouse MSc Health Psych Stuart Jones Respiratory Physician Keng Ong MOSS ED

3. Introduction Smoke free intervention in EC is a controversial topic –Would it change behaviour –Was it appropriate work for EC In 2010, a national smokefree health target was set requiring that 95% of all inpatients, 15 years of age and older who smoke be offered advice and support to stop by July 2012. MMH’s Emergency Care (EC) undertook training in 2010 to implement the Smokefree ABC’s An audit of patients receiving the smokefree ABC’s during their EC presentation was undertaken

4. Objective To determine the impact of the ABC smokefree intervention in emergency care by assessing the number of quit attempts occurring after an EC presentation and the success rate of those attempts.

5. Methodology Identified patients between 26/07/2010 and 29/08/2010 who: –discharged from EC –currently smoking –≥ 18 yrs –coded as receiving the ABC smokefree Patients were contacted 4 wks and 3 months after presentation: –current smoking status –smoking history –their experience of the ABC smokefree intervention –their use of smoking cessation medications following the intervention

6. Results Smokefree Support given by EC Staff 200 patients were identified as smokers 104 patients were able to be contacted –86 (82.7%) recalled being spoken to about stopping smoking. –72 (69.2%) said they were given advice on how to quit smoking –70 (67.3 %) of these were offered nicotine replacement (NRT) –59 (56.7 %) were offered a quit card or prescription for NRT on discharge 79% of patients who received the smokefree intervention while in EC went on to change their smoking behaviour. 26 of the 51 were smokefree four weeks after their presentation. 14 were still smokefree after 3 months.

7. Changes to smoking behaviour Patients who attempted to quit smoking 59% Patients who cutdown 20% Patients who made no changes 21% Changes to Smoking Behaviour following the ABC Intervention N= 86 Patients who attempted to quit smoking Patients who cutdown Patients who made no changes

8. Ethnicity

9. Conclusion This audit was small and lacked controls but patients recall receiving the smokefree intervention demonstrating that patients are listening! Not only are they listening, but they are making changes after receiving smokefree advice and support.