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Table 2 Tier 1 common baseline measures of the Consortium of Hospitals Advancing Research on Tobacco (CHART) network

From: Overview of the consortium of hospitals advancing research on tobacco (chart)

Hospitalization medical record data  
1 Length of stay (hours, calculated from admission and discharge date/time)
2 Height (cm or in)
3 Weight (kg or lbs)
4 Insurance (public, private, none)
5 Primary and secondary discharge diagnoses (ICD-9)
6 Diagnostic related groups
7 Procedure codes
8 Admission through emergency room (yes, no)
9 Hospital service at admission
10 Discharge plan (home, skilled nursing, rehab)
Eligibility criteria measures  
1 Patient age (via medical record or patient report)
2 Did you smoke a cigarette (even one puff) in the past 30 days? (yes, no)
3 What is your plan about smoking after you leave the hospital? (I plan to quit when I leave the hospital, I plan to try to quit when I leave the hospital, I don’t know if I’m going to quit, I do not plan to quit)
Baseline Patient Report  
1 Are you of Hispanic, Latino, or Spanish origin (yes, no)
2 What is your race? (standard NIH response options)
3 What is your sex? (male, female, other)
4 What is the highest level of education that you havecompleted? (< high school, high school, general equivalency exam, some college, 4 year college graduate or higher)
5 What is your marital status? (married/domestic partner, separated, divorced, widowed, never married)
6 In the past 30 days, on how many days did you smoke? (1 to 30)
7 On the days you smoked, how many cigarettes on average did you smoke?
8 Did you use any other tobacco product besides cigarettes in the past 30 days?
9 How confident are you that you will be able to quit/stay quit once you are discharged from the hospital (5 point scale from “not at all confident” to “very confident”)
10 Does anyone in your household smoke (other than you)? (yes/no/live alone)
  1. ER, emergency room; HS, high school; GED, general equivalency exam.