In a groundbreaking study, the Cessation Of Smoking Trial in the Emergency Department (COSTED) has unveiled compelling evidence supporting the use of vapes as a cessation tool in hospital settings. Conducted across six UK NHS Emergency Departments, the study offers a fresh perspective on smoking cessation efforts directly within the emergency care framework.
Read the full COSTED trial report here.
About The COSTED Trial
The trial targeted adults over 18 who were daily tobacco smokers visiting the emergency department, either for treatment or as companions. The initiative sought to integrate smoking cessation interventions in a setting that traditionally does not focus on long-term health concerns.
Eligibility and Exclusion
Participants were included based on their daily smoking habits and a Carbon Monoxide (CO) reading of at least 8 parts per million. Exclusions were made for those needing urgent medical care, in police custody, allergic to nicotine, or current vapers.
Study Groups
- Control Group: Received written materials about local NHS stop smoking services.
- Intervention Group: Received up to 15 minutes of smoking cessation advice, a free e-cigarette starter kit, and a referral to local stop smoking services.
The selected e-cigarette model for the intervention was the DotPro by Liberty Flights, chosen for its independence from the tobacco industry.
Trial Outcomes and Impact
The trial’s innovative approach demonstrated a statistically significant increase in smoking cessation rates among participants in the intervention group compared to the control group. This group showed a 7.2% cessation rate at six months versus 4.1% in the control group, using biochemically verified CO readings.
Follow-Up and Support
Participants received ongoing support from local smoking cessation services, typically via telephone, which included further encouragement and monitoring.
COSTED Trial Insights and Future Implications
The COSTED trial underscores the potential of emergency departments as pivotal points for initiating smoking cessation, especially among populations less likely to seek traditional preventive care. By integrating brief interventions with immediate tangible aids like e-cigarettes, hospitals can play a crucial role in reducing smoking rates among patients who smoke, thus addressing a critical public health issue.
