Documentation of electronic nicotine delivery systems (ENDS) in medically admitted patients in Connolly Hospital Dublin. Fiona O’Driscoll, Shahzad Ahmed, Waheed Shah, Professor John Faul, Connolly Hospital Dublin, Dublin.

Background: Electronic nicotine delivery systems (ENDS) is commercially available since 2004.the health hazards posed by ENDS is not yet known. Documentation of ENDS commonly known as e cigarettes is important from surveillance and research point of view.the use of e cigarettes is reported to be 10% in Ireland. Methods: we performed retrospective analysis of 50 medical admission notes in admitted patients in Connolly hospital, Dublin.patients were selected randomly and approval from the ethics committee was obtained. Patients were 60% female, age [mean±SD] 75±13years,34% patients had known diagnosis of COPD. Results: shortness of breath was the commonest presenting complaint seen in 40% of patients,18% presented with cerebrovascular accident,12% presented with fall at home, 30% had other complaints. Smoking status was documented in 66% of the patients.38% of the patients had their smoking pack years documented in medical notes.36% of the patients had never smoked in their life.e cigarettes status was documented in 1 patient(0.03%). Alcohol consumption history was documented in 44% of patients. Conclusion: we hypothesize that patients don’t consider e cigarettes use as smoking. It’s important to have standardized documentation of e cigarettes to facilitate smoking cessation advice and discussions regarding potential health hazards and nicotine dependence. Good documentation in medical notes may help in surveillance and research into potential health hazards caused by electronic nicotine delivery systems (ENDS)