Cochrane · systematic review · CD001837
Interventions for smoking cessation in hospitalised patients
Streck, JM, Rigotti, NA, Livingstone-Banks, J, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
Tobacco AddictionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 41.7%Low 2 · 16.7%Moderate 2 · 16.7%High 3 · 25%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Smoking cessation counselling compared to no smoking cessation counselling, grouped by intensity of intervention
Population: individuals who smoke cigarettes and are admitted to a hospital for medical or surgical care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quit at longest Smoking cessation counselling vs no smoking cessation counselling, grouped by intensity of intervention | RR 1.52 [0.8, 2.89] | 2 studies · 1417 participants | Very low Downgraded: imprecision, inconsistency |
Quit at longest Smoking cessation counselling vs no smoking cessation counselling, grouped by intensity of intervention | RR 1.27 [1.02, 1.58] | 12 studies · 4432 participants | Moderate Downgraded: imprecision |
Quit at longest Smoking cessation counselling vs no smoking cessation counselling, grouped by intensity of intervention | RR 1.04 [0.9, 1.2] | 7 studies · 4627 participants | Very low Downgraded: risk of bias, imprecision |
Quit at longest Smoking cessation counselling vs no smoking cessation counselling, grouped by intensity of intervention | RR 1.36 [1.24, 1.49] | 28 studies · 8234 participants | High |
Pharmacotherapy plus counselling versus no pharmacotherapy or placebo plus counselling
Population: smoking cessation in hospitalised patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quit at longest Pharmacotherapy plus counselling vs no pharmacotherapy or placebo plus counselling | RR 1.33 [1.05, 1.67] | 8 studies · 3838 participants | High |
Quit at longest Pharmacotherapy plus counselling vs no pharmacotherapy or placebo plus counselling | RR 1.11 [0.86, 1.43] | 4 studies · 872 participants | Low Downgraded: imprecision |
Quit at longest Pharmacotherapy plus counselling vs no pharmacotherapy or placebo plus counselling | RR 1.29 [0.96, 1.75] | 4 studies · 829 participants | Moderate Downgraded: imprecision |
Hospital‐only intervention versus intervention that continues after hospital discharge
Population: smoking cessation in hospitalised patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Behavioural support ‐ asynchronous** Hospital‐only intervention vs intervention that continues after hospital discharge | RR 0.97 [0.83, 1.14] | 2 studies · 1598 participants | Very low Downgraded: risk of bias, imprecision |
Behavioural support ‐ synchronous** Hospital‐only intervention vs intervention that continues after hospital discharge | RR 1.23 [0.95, 1.6] | 8 studies · 2299 participants | Low Downgraded: imprecision, inconsistency |
Pharmacotherapy + behavioural support vs neither Hospital‐only intervention vs intervention that continues after hospital discharge | RR 1.23 [1.09, 1.38] | 7 studies · 5610 participants | High |
Telephone quitline referral versus no treatment or usual care
Population: smoking cessation in hospitalised patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quitline referral vs control Telephone quitline referral vs no treatment or usual care | RR 1.17 [0.7, 1.96] | 2 studies · 1870 participants | Very low Downgraded: imprecision, inconsistency |
Health system telephone counselling vs quitline Telephone quitline referral vs no treatment or usual care | RR 1.23 [1, 1.51] | 3 studies · 3260 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |