Tobacco control interventions in the emergency department: A joint statement of emergency medicine organizations - (Executive summary)
Tobacco control interventions in the emergency department: A joint statement of emergency medicine organizations - (Executive summary)
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DOI：
10.1016/j.annemergmed.2006.02.018
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发表时间：
2006-10-01
影响因子：
6.2
通讯作者：
Kellermann, Arthur L.
中科院分区：
文献类型：
--
作者：
Bernstein, Steven L.;Boudreaux, Edwin D.;Kellermann, Arthur L.
在美国，吸烟是可预防的死亡和疾病的主要原因。国家实践指南呼吁所有卫生保健提供者向所有患者“询问”烟草使用情况，并在吸烟者想要戒烟时“建议、评估、协助、安排”(“5个AS”)。急诊科一直不是控烟工作的重要场所，尽管急诊科患者的吸烟率通常高于普通人群，他们有戒烟的兴趣，而且获得初级保健的机会往往有限。为了解决急救医学在烟草控制中的作用，美国急救医师学会召集了一个由主要急救医学专业组织的代表组成的特别工作组。在罗伯特·伍德·约翰逊基金会的资助下，该组织于2004年和2005年举行了会议。这篇文章总结了特别工作组对烟草控制实践、培训和研究的建议。完整的文档可在线获取，网址为http://www.annemergmed.com.我们呼吁紧急护理人员定期评估患者的吸烟状况，提供简短的戒烟建议，并将患者转介到全国吸烟者热线(800-戒烟-立即)或当地可用的计划。鉴于烟草相关疾病的全球负担，工作队认为急诊医生必须对基于急诊的干预措施的有效性进行研究，并将烟草控制纳入急诊住院医师的培训课程。烟草控制符合其他以ED为基础的公共卫生做法的传统，例如伤害控制。基于ED的烟草控制将使该专业能够帮助实现2010年健康人的任务，即减少美国公民中的吸烟流行率。
Smoking is the leading cause of preventable death and illness in the United States. National practice guidelines call for all health care providers to "ask" all patients about tobacco use, and to "advise, assess, assist, arrange" when smokers want to quit smoking (the "5 As"). Emergency departments (EDs) have not been an important locus of tobacco control efforts, although ED patients typically smoke at rates exceeding that of the general population, are interested in quitting, and often have limited access to primary care. To address the role of emergency medicine in tobacco control, the American College of Emergency Physicians convened a task force of representatives of major emergency medicine professional organizations. Funded by the Robert Wood Johnson Foundation, the group met in 2004 and 2005. This article represents a summary of the task force's recommendations for tobacco control practice, training, and research. The complete document is available online at http://www.annemergmed.com. We call on emergency care providers to routinely assess patients' smoking status, offer brief advice to quit, and refer patients to the national smokers' Quitline (800-QUIT-NOW) or a locally available program. Given the global burden of tobacco-related illness, the task force considers it essential for emergency physicians to conduct research into the efficacy of ED-based interventions and to place tobacco control into the training curriculum for emergency medicine residencies. Tobacco control fits within the traditions of other ED-based public health practices, such as injury control. ED-based tobacco control would allow the specialty to help fulfill the Healthy People 2010 mandate to reduce the prevalence of smoking among US citizens.