Emergency Department-Initiated Tobacco Control: Update of a Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Emergency Department-Initiated Tobacco Control: Update of a Systematic Review and Meta-Analysis of Randomized Controlled Trials.
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DOI：
10.5888/pcd14.160434
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发表时间：
2017-10-05
影响因子：
5.5
通讯作者：
Neuner B
中科院分区：
文献类型：
--
作者：
Lemhoefer C;Rabe GL;Wellmann J;Bernstein SL;Cheung KW;McCarthy WJ;Lauridsen SV;Spies C;Neuner B
2012年关于急诊科发起的烟草控制(ETC)的随机对照试验的系统回顾和荟萃分析仅显示短期疗效。这项研究的目的是更新到2015年5月的数据。在2015年5月登记了国际系统评价前瞻性登记(PROSPERO)的研究方案后，我们检索了7个数据库和灰色文献。我们感兴趣的结果是1个月、3个月、6个月或12个月随访时的戒烟情况。我们分别计算每项研究在每个随访时间ETC后戒烟的相对危险度(RR)，然后按随访时间合并Mantel-Haenszel RR。这些结果与先前综述中包含的7项研究的结果合并在一起。我们使用广义线性混合模型计算了ETC对所有随访时间内烟草使用戒断的联合时点流行率的影响。我们检索了另外4项研究，其中一项以摘要形式发表，总共有1,392名参与者。在ETC后1个月的随访点戒烟流行率导致3项研究的RR为1.49(95%可信区间，1.08-2.05)；3个月的随访，9项研究的RR为1.38(95%CI，1.12-1.71)；6个月的随访，6项研究的RR为1.09(95%CI，0.84-1.41)；随访12个月，3项研究的RR为1.26(95%可信区间为1.00~1.59)。对联合戒酒时点患病率的影响为1.40(95%CI，1.06~1.86)(P=0.02)。ETC可有效促进持续戒烟，最长可达干预后12个月。对于让难以接触到的吸烟者戒烟来说，ETC可能是一项至关重要的公共卫生战略。
A 2012 systematic review and meta-analysis of randomized controlled trials on emergency department–initiated tobacco control (ETC) showed only short-term efficacy. The aim of this study was to update data through May 2015. After registering the study protocol on the international prospective register of systematic reviews (PROSPERO) in May 2015, we searched 7 databases and the gray literature. Our outcome of interest was the point prevalence of tobacco-use abstinence at 1-month, 3-month, 6-month, or 12-month follow-up. We calculated the relative risk (RR) of tobacco-use abstinence after ETC at each follow-up time separately for each study and then pooled Mantel–Haenszel RRs by follow-up time. These results were pooled with results of the 7 studies included in the previous review. We calculated the effect of ETC on the combined point prevalence of tobacco-use abstinence across all follow-up times by using generalized linear mixed models. We retrieved 4 additional studies, one published as an abstract, comprising 1,392 participants overall. The 1-month follow-up point prevalence of tobacco-use abstinence after ETC resulted in an RR of 1.49 (95% confidence interval [CI], 1.08–2.05) across 3 studies; 3-month follow-up, an RR of 1.38 (95% CI, 1.12–1.71) across 9 studies; 6-month follow-up, an RR of 1.09 (95% CI, 0.84–1.41) across 6 studies; and 12-month follow-up, an RR of 1.26 (95% CI, 1.00–1.59) across 3 studies. The effect on the combined point prevalence of abstinence was an RR of 1.40 (95% CI, 1.06–1.86) (P = .02). ETC is effective in promoting continual tobacco-use abstinence up to 12 months after intervention. ETC may be a critically important public health strategy for engaging hard-to-reach smokers in tobacco-use cessation.
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影响因子：
5
作者：
Brigham J;Lessov-Schlaggar CN;Javitz HS;Krasnow RE;Tildesley E;Andrews J;Hops H;Cornelius MD;Day NL;McElroy M;Swan GE
通讯作者：
Swan GE
影响因子：
15.8
作者：
Moher D;Liberati A;Tetzlaff J;Altman DG;PRISMA Group
通讯作者：
PRISMA Group
影响因子：
1.6
作者：
Burke MV;Ebbert JO;Schroeder DR;McFadden DD;Hays JT
通讯作者：
Hays JT
影响因子：
4.4
作者：
Bernstein, Steven L.;Bijur, Polly;Gallagher, E. John
通讯作者：
Gallagher, E. John
影响因子：
3.5
作者：
Bernstein, Steven L.;Boudreaux, Edwin D.;Rhodes, Karin V.
通讯作者：
Rhodes, Karin V.