ReviewCritical care medicine2011
Secondary prevention in the intensive care unit: does intensive care unit admission represent a "teachable moment?".
Review in Critical care medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Rehabilitation and Social Determinants of Health in Critical Illness Recovery Literature: A Systematic Review.Critical care explorations · 2024Pooled it
- The Effect of Rehospitalization and Emergency Department Visits on Subsequent Adherence to Weight Telemonitoring.The Journal of cardiovascular nursingTrial
- Geographic Variations of Intensive Care Unit Admissions with Substance-Related Diagnoses in the United States.Journal of intensive care medicine · 2026Observational
- Treatable moments for smoking cessation in asthma and COPD: a nationwide cohort study.BMJ open respiratory research · 2025Article
- Epidemiology of Substance-Related Admissions to ICUs in the United States.Critical care medicine · 2025Article
- Motivation, self-efficacy, and identity-double-edged swords for relapse prevention in patients with alcohol related cirrhosis.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- Alcohol use disorder in the intensive care unit a highly morbid condition, but chemical dependency discussion improves outcomes.Acute and critical care · 2023Article
- Medication prescribing for alcohol use disorders during alcohol-related encounters in a Colorado regional healthcare system.Alcoholism, clinical and experimental research · 2022Article
- The 5-year pre- and post-hospitalization treated prevalence of mental disorders and psychotropic medication use in critically ill patients: a Canadian population-based study.Intensive care medicine · 2021Article
- Article
- Environmental Factors.Critical care clinics · 2021Review
- Do Alcohol Consequences Serve as Teachable Moments? A Test of Between- and Within-Person Reciprocal Effects From College Age to Adulthood.Journal of studies on alcohol and drugs · 2021Article
- Mechanisms of change in drinking following an alcohol-related injury: A qualitative examination of the sentinel event effect.Substance abuse · 2021Article
- Article
- Predictors of tobacco smoking among acutely ill patients in a Moscow hospital: A cross-sectional study.Tobacco prevention & cessation · 2020Article
- "Right to recommend, wrong to require"- an empirical and philosophical study of the views among physicians and the general public on smoking cessation as a condition for surgery.BMC medical ethics · 2018Article
- Health and social consequences of an alcohol-related admission to critical care: a qualitative study.BMJ open · 2016Article
- Alcohol use disorders and psychiatric diseases in Colombia.Colombia medica (Cali, Colombia) · 2016Article
- Alcohol-Related Diagnoses and All-Cause Hospitalization Among HIV-Infected and Uninfected Patients: A Longitudinal Analysis of United States Veterans from 1997 to 2011.AIDS and behavior · 2016Article
- Do alcohol use disorders impact on long term outcomes from intensive care?Critical care (London, England) · 2015Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectivesCigarette smoking and unhealthy alcohol use are common causes of preventable morbidity and mortality that frequently result in admission to an intensive care unit. Understanding how to identify and intervene in these conditions is important because critical illness may provide a "teachable moment." Furthermore, the Joint Commission recently proposed screening and receipt of an intervention for tobacco use and unhealthy alcohol use as candidate performance measures for all hospitalized patients. Understanding the efficacy of these interventions may help drive evidence-based institution of programs, if deemed appropriate. DATA SOURCES: A summary of the published medical literature on interventions for unhealthy alcohol use and smoking obtained through a PubMed search. SUMMARY: Interventions focusing on behavioral counseling for cigarette smoking in hospitalized patients have been extensively studied. Several studies include or focus on critically ill patients. The evidence demonstrates that behavioral counseling leads to increased rates of smoking cessation but the effect depends on the intensity of the intervention. The identification of unhealthy alcohol use can lead to brief interventions. These interventions are particularly effective in trauma patients with unhealthy alcohol use. However, the current literature would not support routine delivery of brief interventions for unhealthy alcohol use in the medical intensive care unit population.
conclusionsIntensive care unit admission represents a "teachable moment" for smokers and some patients with unhealthy alcohol use. Future studies should assess the efficacy of brief interventions for unhealthy alcohol use in medical intensive care unit patients. In addition, identification of the timing and optimal individual to conduct the intervention will be necessary.
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What OpenQuestion holds
Registered trials
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.