Evidence map›Paper›PMID 19528043›Full record

Trial reportTobacco control2009

Emergency department-initiated tobacco control: a randomised controlled trial in an inner city university hospital.

B Neuner, E Weiss-Gerlach, P Miller, P Martus, D Hesse, C Spies

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Tobacco control, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Cessation of Smoking Trial in the Emergency Department: Long-Term Follow-up of a Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Trial
  3. Trial
  4. Trial
  5. Tobacco cessation among low-income smokers: motivational enhancement and nicotine patch treatment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2014
    Trial
  6. Trial
  7. A randomized trial of a multicomponent cessation strategy for emergency department smokers.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2011
    Trial
  8. Review
  9. Article
  10. Article
  11. Article
  12. The emergency department action in smoking cessation (EDASC) trial: impact on cessation outcomes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2013
    Article
  13. Article
  14. The Emergency Department Action in Smoking Cessation (EDASC) trial: impact on delivery of smoking cessation counseling.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2012
    Article
  15. Ethnoracial differences in emergency department patients' tobacco use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2011
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

B NeunerCharité - Universitaetsmedizin Berlin, Department of Anesthesiology and Intensive Care Medicine, Campus Virchow-Klinikum and Campus Charité Mitte, Charitéplatz 1, Berlin, Germany. bruno.neuner@charite.de
E Weiss-Gerlach
P Miller
P Martus
D Hesse
C Spies

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEmergency department (ED) patients show high smoking rates. The effects of ED-initiated tobacco control (ETC) on 7-day abstinence at 12 months were investigated.

methodsA randomised controlled intention-to-treat trial (trials registry no.: ISRCTN41527831) was conducted with 1044 patients in an urban ED. ETC consisted of on-site counselling plus up to four telephone booster sessions. Controls received usual care. Analysis was by logistic regression.

resultsIn all, 630 (60.7%) participants were males, the median age was 30 years (range 18-81) and the median smoking intensity was 15 (range 1-60) cigarettes per day. Overall, 580 study participants (55.6%) were unmotivated, 331 (31.7%) were ambivalent and 133 (12.7%) were motivated smokers. ETC (median time 30 (range 1-99) min) was administered to 472 (91.7% out of 515) randomised study participants. At follow-up, 685 study participants (65.6% of 1044) could be contacted. In the ETC group, 73 out of 515 (14.2%) in the ETC group were abstinent, whereas 60 out of 529 (11.3%) controls were abstinent (OR adjusted for age and gender = 1.31 (95% CI 0.91 to 1.89, p = 0.15). Stratified for motivation to change behaviour, the adjusted ORs for ETC versus usual care were OR = 1.00 (95% CI 0.57 to 1.76) in unmotivated smokers, respectively OR = 1.37 (95% CI 0.73 to 2.58) in ambivalent smokers and OR = 2.19 (95% CI 0.98 to 4.89) in motivated smokers, p for trend = 0.29.

conclusionsETC, in the form of on-site counselling with up to four telephone booster sessions, showed no overall effect on tobacco abstinence after 12 months. A non-significant trend for a better performance of ETC in more motivated smokers was observed.

Indexed as

Emergency Service, HospitalSmoking PreventionAdolescentAdultAgedCounselingFemaleFollow-Up StudiesGermanyHospitals, UniversityHotlinesHumansIntention to Treat AnalysisMaleMass ScreeningMiddle Aged

Identifiers

PMID19528043
PMCPMC2709908

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.