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Difficulty in recruiting, many patients with exclusion criteria
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The main objective of this study is to show that the repeated (twice-daily) measurement of expired CO during hospitalization helps reduce smoking.
Smoking in France represents 25 billion euros per year in care, hospitalizations and drugs and 78000 deaths / year are linked to a pathology attributable to this addiction. In addition, active consumption of cigarettes is a destabilizing factor for chronic respiratory diseases. During hospitalization for acute respiratory illness, evaluation of smoking cessation remains declarative. Although stopping advice and possibly nicotine replacement therapy are prescribed, no objective measure of smoking is performed to assess the adequacy of this attitude.
This project aims to objectively evaluate smoking during hospitalization by measuring twice daily exhaled CO. The impact of this intervention on the duration of hospitalization and smoking 3m after initial admission will also be evaluated. Tobacco consumption patterns based on reason for hospital admission and background pathology will be highlighted.
Secondary objectives include:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Twice daily expired CO measurements | Experimental | Patients included in this arm will have expired CO measurements every morning and evening during their initial hospitalization. |
|
| Control | Active Comparator | Patients included in this arm will have one expired CO measurement on the morning just after initial hospital admission and a second expired CO measurement one the morning prior to discharge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Twice-daily expired carbon monoxide (CO) measurements | Other | Patients included in this arm will have expired CO measurements every morning and evening during their initial hospitalization. |
| Measure | Description | Time Frame |
|---|---|---|
| % variation in expired CO | Baseline to hospital discharge (expected maximum of 28 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stays | Admission and discharge dates are recorded throughout 3 months of follow-up | 3 months |
| Smoking status (never, former current) | Baseline (day 0) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jérémy Charriot, MD | University Hospitals of Montpellier, France | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Arnaud de Villeneuve - CHU de Montpellier | Montpellier | 34295 | France |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D014894 | Weights and Measures |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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This study is designed to compare one group of patients who had morning (6-8 am) and evening (5-7 pm) measurements of expired carbon monoxide (COexp) every day during their hospitalization (the twice-daily COexp group) versus a second group who had COexp measurements only the first morning following admission and the morning just prior to discharge (control group). A high potential for arm-contamination led the investigators to exclude a randomised design. The frequent COexp intervention was therefore deployed throughout months 1 and 3 of the four-month inclusion period, while the control intervention was deployed on months 2 and 4.
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| Minimal control | Other | Patients included in this arm will have one expired CO measurement on the morning just after initial hospital admission and a second expired CO measurement one the morning prior to discharge. |
|
| Smoking status (never, former current) | 1 month |
| Smoking status (never, former current) | 3 months |