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September 10, 2025Health Technology AssessmentOpen Access

Cessation of smoking in people attending UK emergency departments: the COSTED RCT with economic and process evaluation

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Authors

IPIan PopeLCLucy ClarkACAllan Clark

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Overview

Randomised controlled trial improved sustained abstinence in smokers visiting emergency departments, suggesting e-cigarettes may aid cessation efforts.

Key Points

  • At 6 months, sustained smoking abstinence was 7.2% in the intervention group versus 4.1% in the control, indicating effectiveness.
  • Self-reported 7-day smoking abstinence was significantly higher at 23.3% for the intervention versus 12.9% for the control group at 6 months.
  • The intervention was a pragmatic, multicentre, parallel-group randomised controlled trial involving adults seeking medical treatment.
  • This approach suggests that brief smoking cessation interventions with e-cigarettes may be an important tool in emergency care settings.

Cite This Study

Pope et al. (2025) studied this question.

synapsesocial.com/papers/68c1a77a54b1d3bfb60e0b4ehttps://doi.org/10.3310/jhfr0841
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cessation of Smoking Trial in the Emergency Department (COSTED): a multicentre randomised controlled trial2024 · 29 citations
  2. 2Cessation of Smoking Trial in the Emergency Department (COSTED): Long-Term Follow-Up of a Randomized Controlled Trial2025 · 3 citations
  3. 3Emergency department interventions for smoking cessation: a systematic review and meta-analysis2026
  4. 4Selecting an e-cigarette for use in smoking cessation interventions and healthcare services: findings from patient and public consultation for the COSTED trial2024 · 4 citations
  5. 5How do people quit smoking using e‐cigarettes? A mixed‐methods exploration of participant smoking pathways following receiving an opportunistic e‐cigarette‐based smoking cessation intervention2024 · 6 citations