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Tobacco Use among Emergency Department Patients

机译:急诊科患者使用烟草

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摘要

This is the first study to systematically track the tobacco use prevalence in an entire emergency department (ED) population and compare age-stratified rates to the general population using national, provincial, and regional comparisons. A tobacco use question was integrated into the ED electronic registration process from 2007 to 2010 in 11 northern hospitals (10 rural, 1 urban). Results showed that tobacco use documentation (85–89%) and tobacco use (26–27%) were consistent across years with the only discrepancy being higher tobacco prevalence in 2007 (32%) due to higher rates at the urban hospital. Age-stratified outcomes showed that tobacco use remained high up to 50 years old (36%); rates began to decrease for patients in their 50’s (26%) and 60’s (16%), and decreased substantially after age 70 (5%). The age-stratified ED tobacco rates were almost double those of the general population nationally and provincially for all but the oldest age groups but were virtually identical to regional rates. The tobacco use tracking and age-stratified general population comparisons in this study improves on previous attempts to document prevalence in the ED population, and at a more local level, provides a “big picture” overview that highlights the magnitude of the tobacco-use problem in these communities.
机译:这是第一项系统地追踪整个急诊科(ED)人群中烟草使用流行率并使用国家,省和地区比较将年龄分层率与一般人群进行比较的研究。 2007年至2010年,在北部的11家医院(10所农村医院,1所城市医院)将烟草使用问题纳入了ED电子注册流程。结果表明,多年来烟草使用记录(85-89%)和烟草使用(26-27%)是一致的,唯一的差异是由于城市医院的发病率较高,2007年的烟草流行率较高(32%)。按年龄分层的结果表明,吸烟至50岁仍保持较高水平(36%)。分别在50岁(26%)和60岁(16%)的患者中发病率开始下降,并在70岁以后大幅下降(5%)。除年龄最大的年龄组外,按年龄分层的ED烟草比率几乎是全国和各省总人口的两倍,但实际上与区域比率相同。这项研究中的烟草使用跟踪和按年龄分层的一般人群比较改进了以前记录ED人群患病率的尝试,并且在更局部的水平上提供了“全局”概述,突出了烟草使用问题的严重性在这些社区中。

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