BACKGROUND: Populations with cardiac conditions often continue to smoke at high rates (up to 62%), even after experiencing life-threatening cardiac events. The purpose of our study is to examine pilot treatment outcomes of an outpatient Smoking Cessation Clinic (SCC) provided within Cardiology Services.

METHODS: This study is based on a retrospective review of the charts of 118 participants of the SCC (between Sept 2010 and May 2012). The primary components of intervention include tailored pharmacotherapy and behavioural counselling. The main outcome of interest is self-reported 7-day point-prevalence of smoking abstinence verified by expired CO level (when available).

RESULTS: 34.7% of participants achieved smoking cessation, whereas 41.7% of those who did not achieve cessation were able to reduce their cigarette use to 50% (or less) of their baseline consumption. In multivariate logistic regression analysis, salient predictors of smoking cessation included being male, in the “preparation” or “action” phase (of the stages of change continuum), and having a greater number of visits to the program.

CONCLUSIONS: The modest outcomes from this pilot study support the need for smoking cessation treatment provision in hospital Cardiology settings. Such interventions reduce the disproportionate burden of tobacco use and related disease among populations with medical co-morbidity.

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A poster presentation at the UK National Smoking Cessation Conference in London, UK.