TY - JOUR T1 - Feasibility, uptake and impact of a hospital-wide tobacco addiction treatment pathway: Results from the CURE project pilot JF - Clinical Medicine JO - Clin Med SP - 196 LP - 202 DO - 10.7861/clinmed.2019-0336 VL - 20 IS - 2 AU - Matthew Evison AU - Cheryl Pearse AU - Freya Howle AU - Monique Baugh AU - Helen Huddart AU - Eileen Ashton AU - Michael Rutherford AU - Carol Kearney AU - Lyn Elsey AU - Darren Staniforth AU - Kathryn Hoyle AU - Murugesan Raja AU - Julie Jerram AU - David Regan AU - Richard Booton AU - John Britton AU - Claire O'Rourke AU - David Shackley AU - Liz Benbow AU - Andrea Crossfield AU - Jayne Pilkington AU - Mandy Bailey AU - Richard Preece Y1 - 2020/03/01 UR - http://www.rcpjournals.org/content/20/2/196.abstract N2 - Introduction Providing comprehensive tobacco addiction treatment to smokers admitted to acute care settings represents an opportunity to realise major health resource savings and population health improvements.Methods The CURE project is a hospital-wide tobacco addiction treatment service piloted in Wythenshawe Hospital, Manchester, UK. The core components of the project are electronic screening of all patients to identify smokers; the provision of brief advice and pharmacotherapy by frontline staff; opt-out referral of smokers to a specialist team for inpatient behavioural interventions; and continued support after discharge.Results From 01 October 2018 to 31 March 2019, 92% (13,515/14,690) of adult admissions were screened for smoking status, identifying 2,393 current smokers. Of these, 96% were given brief advice to quit by the admitting team. Through the automated ‘opt-out’ referral process, 61% patients completed inpatient behavioural interventions with a specialist cessation practitioner (69% within the first 48 hours of admission). Overall, 66% of smokers were prescribed pharmacotherapy. Over one in five of all smokers admitted during this pilot reported that they were abstinent from smoking 12 weeks after discharge (22%) at a cost £183 per quit.Discussion National implementation of this cost-effective programme would be likely to generate substantial benefits to public health. ER -