Integrating a Systematic, Comprehensive E-Cigarette and Vaping Assessment Tool into the Electronic Health Record

Niharika Khanna; Elena Klyushnenkova; Adam Gaynor; Michael Dark; Julia Melamed; Melanie Bennett; Janaki Deepak

doi:10.3122/jabfm.2022.220410R1

Article Figures & Data

Figures

Tables

Download figure
Open in new tab
Figure 1.
Vaping assessment tool utilization in UMMS practices (July 2020 – December 2022).

Tables

Figures

View popup

Table 1.

EVAT Utilization by Hospital and Ambulatory Sites at UMMS (July 2020 – December 2022)

	Number of reporting sites	Number of assessments performed	Number of patients screened
Primary Care	64	352,843	114,934
Family Medicine^a	47	291,004	93,576
Internal Medicine	17	61,839	21,358
Emergency medicine	30	132,395	75,255
Emergency Department	16	130,627	74,039
Shock Trauma Center	14	1,768	1,216
Pediatrics	95	15,406	7,179
General Pediatrics	9	5,645	2,805
Pediatric Specialties	78	9,205	4,061
Pediatric Surgery	8	556	313
Surgical specialties^b	188	131,567	53,042
Women’s health	60	73,716	31,027
Obstetrics & Gynecology	42	63,253	24,639
Maternal & Fetal Medicine	18	10,463	6,388
Oncology	54	47,530	13,183
Medical Oncology	34	36,306	9,809
Radiation Oncology	6	9,247	2,699
Surgical Oncology	14	1,977	675
Other medical specialties	572	234,724	81,939
Cardiology	56	45,145	15,802
Gastroenterology	26	30,656	10,365
Endocrinology	16	26,492	6,991
Neurology	40	15,845	5,327
Pulmonology	19	15,037	4,840
Otolaryngology	13	12,557	4,674
Radiology/Imaging^c	71	10,497	3,815
Behavior	39	6,388	2,670
Other specialties	292	72,107	27,455
Total	1063	988,181	376,559

↵a Family Medicine includes geriatric facilities.
↵b Surgical specialties include all subspecialties except surgical oncology and pediatric surgery.
↵c Radiology/Imaging includes Radiograph, mammogram, magnetic resonance imaging, computerized tomography, and other radiology procedures except radiation oncology.
Abbreviations: EVAT, e-cigarette/vaping assessment tool; UMMS, University of Maryland Medical System.

View popup

Table 2.

Demographic Characteristics of UMMS Patients Evaluated for e-Cigarette Use/Vaping in July 2020-December 2022

	All Evaluated		e-Cigarettes/Vaping Status
	All Evaluated		Current		Former		Never		P value
	N (Column %)		n (Row %)		n (Row %)		n (Row %)		P value
Total	376,559	100%	16,243	4.3%	7,165	1.9%	353,151	93.8%
Age, years
10 to 17	21,721	5.8%	499	2.3%	174	0.8%	21,048	96.9%	<0.0001
18 to 24	28,853	7.7%	3,977	13.8%	1,238	4.3%	23,638	81.9%
25 to 34	53,619	14.2%	4,343	8.1%	1,675	3.1%	47,601	88.8%
35 to 44	52,092	13.8%	3,075	5.9%	1,271	2.4%	47,746	91.7%
45 to 54	52,250	13.9%	1,899	3.6%	910	1.7%	49,441	94.6%
55 to 64	66,574	17.7%	1,561	2.3%	1,018	1.5%	63,995	96.1%
65 to 74	56,128	14.9%	716	1.3%	626	1.1%	54,786	97.6%
75+	45,322	12.0%	173	0.4%	253	0.6%	44,896	99.1%
Sex
Male	154,978	41.2%	7,853	5.1%	3,400	2.2%	143,725	92.7%	<0.0001
Female	221,581	58.8%	8,390	3.8%	3,765	1.7%	209,426	94.5%
Race
AI/AN	1,041	0.3%	56	5.4%	27	2.6%	958	92.0%	<0.0001
Asian	8,385	2.2%	192	2.3%	102	1.2%	8,091	96.5%
Black	107,387	28.5%	3,128	2.9%	1,544	1.4%	102,715	95.6%
NH/PI	403	0.1%	21	5.2%	12	3.0%	370	91.8%
White	227,808	60.5%	11,824	5.2%	5,044	2.2%	210,940	92.6%
Two or more	362	0.1%	30	8.3%	5	1.4%	327	90.3%
Other	21,086	5.6%	651	3.1%	275	1.3%	20,160	95.6%
Declined	2,230	0.6%	54	2.4%	38	1.7%	2,138	95.9%
Unknown/missing	7,857	2.1%	287	3.7%	118	1.5%	7,452	94.8%
Hispanic origin
Yes	18,353	4.9%	589	3.2%	264	1.4%	17,500	95.4%	<0.0001
No	341,550	90.7%	14,984	4.4%	6,591	1.9%	319,975	93.7%
Declined	4,038	1.1%	129	3.2%	65	1.6%	3,844	95.2%
Unknown	12,618	3.4%	541	4.3%	245	1.9%	11,832	93.8%
Tobacco status
Heavy Smoker	678	0.2%	55	8.1%	24	3.5%	599	88.3%	<0.0001
Current Every Day	37,919	10.1%	4,325	11.4%	1,563	4.1%	32,031	84.5%
Light smokers	10,776	2.9%	1,510	14.0%	350	3.2%	8,916	82.7%
Former smokers	89,315	23.7%	5,415	6.1%	3,530	4.0%	80,370	90.0%
Never smoker	2,091	0.6%	73	3.5%	22	1.1%	1,996	95.5%
Passive smoker	234,451	62.3%	4,675	2.0%	1,655	0.7%	228,121	97.3%
Unknown	1,329	0.4%	190	14.3%	21	1.6%	1,118	84.1%

Note: For patients evaluated multiple times, the results of the latest evaluation are shown. Current every day smokers were combined with those who smoked but their current status is unknown; Light smoker were combined with those who reported smoking some days. Abbreviations: AI/AN = American Indian and Alaska Native; NH/PI = Native Hawaiian and Other Pacific Islander; UMMS = University of Mariland Medical System.