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January 12, 2002BMJOpen Access

Brief intervention during hospital admission to help patients to give up smoking after myocardial infarction and bypass surgery: randomised controlled trial

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Key result

A brief smoking cessation intervention delivered during hospital admission did not significantly improve continuous abstinence at 12 months compared to usual care (37% vs 41%, P=0.40).

Why the study?

Does a brief smoking cessation intervention improve continuous abstinence in smokers admitted after myocardial infarction or bypass surgery?

Population

540 smokers admitted to hospital after myocardial infarction or for cardiac bypass surgery who expressed…

Comparison

Brief intervention lasting 20-30 minutes… vs Usual care consisting of brief verbal advice and…

Design

RCT, Randomised controlled trial

Follow-up

12 months

Authors

PHPeter HájekQueen Mary University of LondonTTTamara TaylorUniversity of MinnesotaPMPeter MillsEcological Society of America

Discussion

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Overview

Brief in-hospital smoking cessation counseling does not improve long-term abstinence post-MI or CABG; confirms limited efficacy of single-session interventions in acute cardiac settings.

Study Design

Type

RCT (n=540)

Multicenter

Yes

Structured PICO

Does a brief smoking cessation intervention improve continuous abstinence in smokers admitted after myocardial infarction or bypass surgery?

P
Population
540 smokers admitted to hospital after myocardial infarction or for cardiac bypass surgery who expressed interest in stopping smoking, across 17 hospitals in England.
I
Intervention
Brief intervention lasting 20-30 minutes delivered by cardiac rehabilitation nurses, including carbon monoxide reading, special booklet, quiz, contact with other people giving up, declaration of commitment to give up, and sticker in patient's notes.
C
Comparator
Usual care consisting of brief verbal advice and standard booklet.
O
Outcome
Continuous abstinence at six weeks and 12 months determined by self report and by biochemical validation.patient reported

Main Result

Absolute Event Rate: 37% vs 41%

p-value: p=0.40

A brief, single-session smoking cessation intervention delivered during hospital admission for MI or bypass surgery did not significantly improve long-term abstinence rates compared to usual care.

Limitations

  • Recruitment was slow
  • Delivery of the intervention was inconsistent
  • Single session interventions may have insufficient power to influence highly dependent smokers

Cite This Study

Hájek et al. (2002) conducted an RCT in Smokers admitted after myocardial infarction or cardiac bypass surgery (n=540). Brief smoking cessation intervention vs. Usual care (brief verbal advice and standard booklet) was evaluated on Continuous abstinence at 12 months (p=0.40). A brief smoking cessation intervention delivered during hospital admission did not significantly improve continuous abstinence at 12 months compared to usual care (37% vs 41%, P=0.40).

synapsesocial.com/papers/6a1dc4bdcd67cee37334d2a3https://doi.org/10.1136/bmj.324.7329.87
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Also Consider

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

  1. 1Randomised controlled trial of smoking cessation intervention after admission for coronary heart disease2003 · 116 citations
  2. 2Predictors of Smoking Cessation after Coronary Artery Bypass Graft Surgery: Results of a Randomized Trial with 5-Year Follow-up1994 · 164 citations
  3. 3Smoking Cessation after Acute Myocardial Infarction: Effects of a Nurse-Managed Intervention1990 · 394 citations
  4. 4Motivational smoking cessation counselling and community‐based follow‐up after hospitalisation for vascular disease: A randomised controlled trial2025 · 3 citations
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