Guideline in Focus
Tobacco Treatment in the Inpatient Setting

Cigarette smoking remains the leading cause of preventable death in the United States, with high prevalence among hospitalized patients. Hospitalization presents an opportunity to initiate and engage patients in tobacco treatment. This guideline includes eight evidence-based recommendations for tobacco treatment in the inpatient setting.

PUBLISHED SEPTEMBER 2, 2026

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Key Recommendations

In hospitalized adults who smoke cigarettes, we recommend initiating varenicline during hospitalization to promote smoking cessation.

In hospitalized adults who smoke cigarettes, we recommend inpatient tobacco treatment counseling over brief advice.

In hospitalized adults who smoke cigarettes, we recommend postdischarge telephone-based counseling over no postdischarge counseling.


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15 or more minutes
Time spent on tobacco
treatment counseling
Opt-out
Suggested tobacco
treatment approach
> 1 month
Postdischarge
counseling duration

Implement this guideline into practice

Our guidelines are aimed at helping you respond to today’s clinical challenges and improve patient health outcomes. Our panel of experts has developed multimedia content to facilitate adoption of this guideline into your day-to-day practice.


PRESS RELEASE

CHEST Releases Guideline on Tobacco Treatment in the Inpatient Setting
In a release issued to the media, lead author Hasmeena Kathuria, MD, speaks to the importance of this guideline in practice.

2 MINUTE READ

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