Journal of General Internal Medicine

, Volume 34, Issue 3, pp 333–335 | Cite as

Hospitalists’ Role in Improving Prescriptions of Nicotine Replacement Therapy Among Tobacco Users During Hospitalization and at Discharge

  • Kristian FeterikEmail author
  • Thomas Ylioja
  • Anna E. Schulze
  • Antoine Douaihy
  • Kaleab Z. Abebe
  • Esa M. Davis
Concise Research Report


Hospitals that have a tobacco-free environment require patients to abstain from smoking.1 Tobacco users generally experience withdrawal within 2–3 h of their last cigarette, with cravings becoming most severe within 2–3 days.2 Thus, identifying, preventing, and treating withdrawal symptoms is important to promote recovery during hospitalization.3 While a tobacco treatment service (TTS) improves inpatient counseling, hospitalists have an important role in treating tobacco withdrawal symptoms and smoking cessation counseling. Our objective was to compare the effect of tobacco cessation counseling by provider type on the inpatient rate of nicotine replacement therapy (NRT) orders and patient use.


We included all adult daily tobacco users discharged from the hospitalist service in a 500-bed academic medical center for 12 consecutive months. Tobacco use was documented in the electronic health record (EHR) by the admission nurse. Those identified by the formal nursing...


hospital medicine patient activation smoking cessation substance abuse 



We thank UPMC Health Services Division (Steven Shapiro, MD, Jessica Furnier), UPMC Tobacco Treatment Service (Beth Frenak, Nina Crayton, James Weeden), UPMC Information Services Department (Richard Ambrosino, MD, and Karen Thurner), and UPMC Presbyterian Hospital Section of Hospital Medicine (Jill Costa, RN, Susan Rankin, RN, and Mary Holt, RN).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.


  1. 1.
    Fiore MC, Goplerud E, Schroeder SA. The joint commission’s new tobacco-cessation measures — will hospitals do the right thing? N Engl J Med. 2012;366(13):1172–4.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Hughes JR. Effects of abstinence from tobacco: valid symptoms and time course. Vol. 9, Nicotine and Tobacco Research. 2007. p. 315–27.Google Scholar
  3. 3.
    Regan S, Viana JC, Reyen M, Rigotti NA. Prevalence and predictors of smoking by inpatients during a hospital stay. Arch Intern Med. 2012;172(21):1670–4.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Ylioja T, Reddy V, Ambrosino R, Davis EM, Douaihy A, Slovenkay K, et al. Using bioinformatics to treat hospitalized smokers: successes and challenges of a tobacco treatment service. Jt Comm J Qual Patient Saf. 2017;43(12):621–32Google Scholar
  5. 5.
    United States Department of Health and Human Services. The health consequences of smoking—50 years of progress a report of the surgeon general. A Rep Surg Gen. 2014;1081.Google Scholar

Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Kristian Feterik
    • 1
    Email author
  • Thomas Ylioja
    • 1
  • Anna E. Schulze
    • 1
  • Antoine Douaihy
    • 2
  • Kaleab Z. Abebe
    • 1
  • Esa M. Davis
    • 1
  1. 1.Division of General Internal MedicineUniversity of Pittsburgh School of MedicinePittsburghUSA
  2. 2.Department of PsychiatryUniversity of Pittsburgh School of MedicinePittsburghUSA

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