Cigarette smoking among XXXX adults presenting to 64 emergency departments.

@entity748 @entity1 @entity565 @entity341 @entity134
STUDY OBJECTIVES: The @entity341 ( @entity341 ) is an important focal point for @entity748 individuals with uncontrolled illness. Anecdotally, many adults presenting to the @entity341 with acute @entity565 are active cigarette smokers. The present study determined the prevalence of cigarette smoking among adults presenting to the @entity341 with acute @entity565 and identified the factors associated with current smoking status. DESIGN: A prospective cohort study conducted as part of the Multicenter Airway Research Collaboration. @entity1 : A structured interview was performed in 1,847 @entity1 , ages 18 to 54 years, who presented to the @entity341 with acute @entity565 . SETTING: Sixty-four EDs in 21 US states and 4 Canadian provinces. RESULTS: Thirty-five percent of the enrolled @entity748 @entity1 were current smokers with a median of 10 pack-years (interquartile range, 4 to 20 pack-years), while 23% were former smokers, and 42% were never-smokers. Current smokers comprised 33% of @entity748 @entity1 aged 18 to 29 years, 40% for ages 30 to 39 years, and 33% for ages 40 to 54 (p < 0.001). In a multivariate analysis, the factors independently associated with current smoking status (p < 0.05) were as follows: age 30 to 39 years; white race/ethnicity; non-high school graduate; lower household income; lack of private insurance; no recent inhaled @entity134 usage; and no history of systemic @entity134 usage. Although 50% of current smokers admitted that smoking worsens their @entity565 symptoms, only 4% stated that smoking was responsible for their current exacerbation. CONCLUSIONS: Although cigarette smoke is generally recognized as a respiratory irritant, cigarette smoking is common among adults presenting to the @entity341 with acute @entity565 . The @entity341 visit may provide an opportunity for @entity1 to be targeted for smoking cessation efforts.
