Nicotine replacement therapy in the hospitalized patient

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Smoking contributes to comorbidities that may lead to hospitalization. When smokers are admitted to a hospital, healthcare professionals are in an optimal position to implement effective strategies to promote smoking cessation. Whether the smoker is admitted to the ICU or to a general medical floor, research shows that nicotine replacement therapy (NRT) in conjunction with behavioral counseling increases the chance of abstinence. Data supporting initiation of NRT in the ICU patient are conflicting, while its benefits in the general hospitalized patient support a longer duration of smoking cessation post discharge.

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