Association Between Smoking Cessation and Short-Term Health-Care Utilisation: Results From an International Prospective Cohort Study (ATTEMPT).

Association between smoking cessation and short-term health-care utilisation: results from an international prospective cohort study (ATTEMPT).

Addiction. 2013 Jun 25;
Beard E, Shahab L, Curry SJ, West R

Previous studies have found that smoking cessation is associated with a short-term increase in health-care use. This may be because ‘sicker’ smokers are more likely to stop smoking. The current study assessed the association between smoking cessation and health-care use (emergency-room (ER) visits, hospitalisation, whether hospitalisation required surgery, and health-care appointments), adjusting for pre-cessation physical and mental health conditions.Data came from the ATTEMPT Cohort, a multi-national prospective study of smokers in the United States, Canada, UK, France and Spain, that lasted 18 months (with follow-ups every 3 months).8,252, 4,779 and 1,945 baseline episodes of smoking were available for 3, 6 and 12 months respectively. Of these, 8.3% (n=205), 1.8% (n=40) and 0.9% (n=14), were followed by 3 months, 6 months and 12 months of abstinence. No significant differences were found among 3, 6 or 12 months of abstinence and ER visits, hospitalisation and whether hospitalisation required surgery or health-care visits. However, six month smoking cessation episodes were associated with higher odds of reporting an appointment with a dietician.Smoking cessation does not appear to be associated with a substantial short-term increase or decrease in health-care use after adjusting for pre-cessation morbidities. HubMed – addiction



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