ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2017
Neonatal Abstinence Syndrome in West Virginia Substate Regions, 2007-2013.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- Breastfeeding Intention, Knowledge, and Attitude of Pregnant Women in Treatment for Opioid Use Disorder.American journal of perinatology · 2024Article
- Disparities in neonatal abstinence syndrome and health insurance status: A statewide study using non-claims real-time surveillance data.Paediatric and perinatal epidemiology · 2021Article
- Article
- Capturing the statewide incidence of neonatal abstinence syndrome in real time: the West Virginia experience.Pediatric research · 2019Article
- Surveillance of Intrauterine Opioid Exposures Using Electronic Health Records.Population health management · 2018Article
- Rural and Appalachian Disparities in Neonatal Abstinence Syndrome Incidence and Access to Opioid Abuse Treatment.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018Article
- A management strategy that reduces NICU admissions and decreases charges from the front line of the neonatal abstinence syndrome epidemic.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
- Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia.Journal of health care for the poor and underserved · 2017Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe opioid epidemic is a public health threat with consequences affecting newborns. Neonatal Abstinence Syndrome (NAS) is a constellation of withdrawal symptoms resulting primarily from in utero opioid exposure. The purpose of this study was to examine NAS and drug-specific trends in West Virginia (WV), where rurality-related issues are largely present.
methodsThe 2007-2013 WV Health Care Authority, Uniform Billing Data were analyzed for 119,605 newborn admissions with 1,974 NAS diagnoses. NAS (ICD9-CM 779.5) and exposure diagnostic codes for opioids, hallucinogens, and cocaine were utilized as incidence rate (IR) per 1,000 live births.
findingsBetween 2007 and 2013, NAS IR significantly increased from 7.74 to 31.56 per 1,000 live births per year (Z: -19.10, P < .0001). During this time period, opioid exposure increased (Z: -9.56, P < .0001), while cocaine exposure decreased (Z: 3.62, P = .0003). In 2013, the southeastern region of the state had the highest NAS IR of 48.76 per 1,000 live births. NAS infants were more likely to experience other clinical conditions, longer hospital stay, and be insured by Medicaid.
conclusionsStatewide NAS IR increased 4-fold over the study period, with rates over 3 times the national annual averages. This alarming trend is deleterious for the health of WV mother-child dyads and it strains the state's health care system. Therefore, WV has a unique need for prenatal public health drug treatment and prevention resources, specifically targeting the southeastern region. Further examination of maternal drug-specific trends and general underutilization of neonatal exposure ICD-9-CM codes is indicated.
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