Evidence mapPaperPMID 34252178Full record

Trial reportEuropean journal of public health2022

Effectiveness and feasibility of smoking counselling: a randomized controlled trial in an Italian emergency department.

Luigi Mario Castello, Chiara Airoldi, Marco Baldrighi, Sara Bortoluzzi, Liborio Martino Cammarata, Livia Franchetti Pardo, Clara Ada Gardino, Anil Babu Payedimarri, Matteo Giorchino, Giovanni Pistone and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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

4 citing papers in PubMed.

  1. 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
  2. Article
  3. Article
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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

13 authors.

Luigi Mario CastelloDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Chiara AiroldiDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Marco BaldrighiDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Sara BortoluzziDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Liborio Martino CammarataCentro per il Trattamento del Tabagismo, Local Health Unit, Novara, Italy.
Livia Franchetti PardoDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Clara Ada GardinoDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Anil Babu PayedimarriDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Matteo GiorchinoDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Giovanni PistoneCentro per il Trattamento del Tabagismo, Local Health Unit, Novara, Italy.
Viviana StampiniDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Gian Carlo AvanziDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.
Fabrizio FaggianoDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale, Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background5A's counselling is recommended for screening and treating patients with smoking addiction. The emergency department (ED) setting might be a suitable environment for conducting interventions for smoking cessation. The present study aims to determine the feasibility and effectiveness on smoking cessation of 5A's counselling administered to ED patients by nurses.

methodsParallel group randomized trial assessing 5A's counselling for smoking cessation vs. usual care at a University Hospital in the North of Italy. The primary end-point was prevalence of tobacco-free patients. The secondary outcomes at 6- and 12-month follow-up were (i) consecutive past 30-day smoking abstinence; (ii) past 7-day 50%, or more, decrease in daily tobacco consumption over baseline; and (iii) number of attempts to quit smoking.

resultsA total of 480 patients were randomized to intervention (n = 262) or usual care (n = 218). Intention to treat analysis displayed no differences in primary and secondary outcomes between groups. A slight but not statistically significant enhancement in cessation was recorded in the intervention group [relative risk (RR) = 1.04, 95% confidence interval (CI) = 0.58-1.87] at 6 months, whereas a reversed observation at 12 months (RR = 0.86, 95% CI = 0.50-1.47). Similar results were obtained for the secondary outcomes. Per protocol analysis increased the size of the results. Of the 126 smokers receiving counselling, 18 were visited and treated at the local smoking cessation centre, with 12 of them successfully completing the treatment.

conclusionThe results of this study indicate that the ED is not a suited environment for 5A's counselling.

Indexed as

CounselingSmoking CessationEmergency Service, HospitalFeasibility StudiesHumansSmoking

Identifiers

PMID34252178
PMCPMC8807080

What Socratic holds

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Registered trials

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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 Socratic graph.