2016 Conference
    Home
    • 2016 Conference
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2015 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2014 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2013 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2012 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Accommodation
      • Exhibition
      • Photos
    • 2011 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
      • Photos
    • Archive 2005 - 2010
        About us
        2016 Archive Presentation
        AbstractBiography
        Implementing routine carbon monoxide testing on two acute medical wards – a pilot study


        Click here to download the presentation (Powerpoint or viewer needed)
        Author(s)

        Dr Irem Patel and Arran Woodhouse

        Presenter(s)

        Arran Woodhouse  Tobacco Liaison Specialist, Kings College Hospital, London

        Dr Irem Patel  Consultant Respiratory Physician, Kings College Hospital, London

        Abstract

        Background: King’s College Hospital has approximately 6,500 smoking related acute admissions/year. Under the Making Every Contact Count CQUIN clinical staff assess/record patients’ smoking status and offer Very Brief Advice.  Carbon monoxide (CO) monitoring is recommended in guidelines but not routinely performed in most acute settings.

        Aim: A pilot of routine CO testing was implemented on two acute medical admission wards to assess the range of CO readings seen and the feasibility and acceptability of CO monitoring to patients and clinicians in this setting.

        Results: The table below shows CO readings and self- reported smoking status for patients over a 30 day period. 15% of patients acutely admitted to a medical ward who self-reported as non-smokers had an elevated CO reading.  

        Patients’ self-reported smoking status

                                              CO reading

                                       5-9ppm 10-20ppm 20+ppm

        Non- smoker                40          16             5
        (n=137)


        Smoker (n=30)               16          12           2


        Conclusion: Causes for a raised CO other than active/passive smoking need to be considered. However these findings suggest that in a significant proportion of acutely unwell patients asking about smoking status is not adequate for a full assessment of tobacco dependence. CO monitoring is important to ensure patients at risk of acute nicotine withdrawal are identified early.



        Source of funding: N/A

        Declaration of interest: Nothing to declare.

         
        Abstract
        Join our mailing list