Emergency Department Management of Tobacco Use Disorder

Emergency Department Based Management of Tobacco Use Disorder

The objective of this study is to determine the effectiveness of ED initiated NRT on tobacco cessation point abstinence rates as reported by patients at 2 weeks and 1 month post randomization, and continued abstinence rates at 3 months compared to standard of care therapy.

Inclusion Criteria:

• Current daily use cigarettes greater than or equal to ½ pack per day
• Stable for discharge from the ED
• Able and willing to complete telephone/electronic follow up at scheduled intervals
• Reported English speaking

Exclusion Criteria:

• Patients enrolled in specific health insurance plans (PEIA, The Health Plan or Medicaid medical insurance)
• WVU students
• Medically unstable patients
• Patients with clinical decompensation or who are admitted to the hospital
• Patients who are discharged to residential treatment facilities for detoxification
• Uncontrolled psychiatric disorder or psychiatric emergency
• Individuals who are unable to provide consent
• Incarcerated individuals
• Language barrier
• Currently pregnant or attempting to become pregnant
• Presenting for evaluation of sexual assault
• Known allergy or previous intolerance to nicotine replacement therapy