Evidence map›Paper›PMID 30287893›Full record

ArticlePediatric research2019

Capturing the statewide incidence of neonatal abstinence syndrome in real time: the West Virginia experience.

Amna Umer, Sean Loudin, Stefan Maxwell, Christa Lilly, Meagan E Stabler, Lesley Cottrell, Candice Hamilton, Janine Breyel, Christina Mullins, Collin John

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Variations and similarities in neonatal abstinence syndrome care and management across tertiary care hospitals in West Virginia.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Associations between Orofacial Clefting and Neonatal Abstinence Syndrome.Plastic and reconstructive surgery. Global open · 2019
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Amna UmerDepartment of Pediatrics, School of Medicine, West Virginia University, Morgantown, WV, 26506, USA. amumer@hsc.wvu.edu.
Sean LoudinDepartment of Pediatrics, School of Medicine, Marshall University, Huntington, WV, 25701, USA.
Stefan MaxwellPEDIATRIX Medical Group, Department of Pediatrics, WV School of Medicine (Charleston division), Women and Children's Hospital, Charleston, SC, USA.
Christa LillyDepartment of Biostatistics, School of Public Health, West Virginia University, Morgantown, WV, 26506, USA.
Meagan E StablerDepartment of Epidemiology, The Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA.
Lesley CottrellDepartment of Pediatrics, School of Medicine, West Virginia University, Morgantown, WV, 26506, USA.
Candice HamiltonDepartment of Pediatrics, School of Medicine, West Virginia University, Morgantown, WV, 26506, USA.
Janine BreyelWest Virginia Perinatal Partnership, Department of Obstetrics and Gynecology, School of Medicine, West Virginia University, Morgantown, WV, 26506, USA.
Christina MullinsOffice of Maternal, Child and Family Health, West Virginia Department of Health and Human Resources, Charleston, WV, USA.
Collin JohnDepartment of Pediatrics, School of Medicine, West Virginia University, Morgantown, WV, 26506, USA.
West Virginia University · USCharleston Area Medical Center · USDartmouth College · USMarshall University · USVirginia Department of Health · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundNeonatal abstinence syndrome (NAS) is one of the consequences at birth affecting the newborn after discontinuation of prenatal drug exposure to mainly opioids. The objective of this study was to determine the extent of the problem in the state of West Virginia (WV) using a real-time statewide surveillance system.

methodsProject WATCH is a surveillance tool that since 1998 collects data on all infants born in the state of WV. NAS surveillance item was added to the tool in October 2016. This study examined all births (N = 23,667) in WV from October to December 2017. The data from six WV birthing facilities were audited for 1 month to evaluate how well this tool was capturing NAS data using κ-statistics.

resultsThe 2017 annual incidence rate of NAS was 51.3 per 1000 live births per year for all births and 50.6 per 1000 live births per year for WV residents only. The κ-coefficient between the hospital medical records and Project WATCH data was 0.74 (95% confidence interval: 0.66-0.82) for NAS.

conclusionThe study provides justification to develop effective systems of care for the mother-infant dyad affected by substance use, especially targeting pregnant women in rural communities.

Indexed as

Maternal ExposureAnalgesics, OpioidData CollectionFemaleGeographyHumansIncidenceInfant, NewbornMothersNeonatal Abstinence SyndromePopulation SurveillancePregnancySubstance-Related DisordersWest VirginiaAnalgesics, Opioid

Identifiers

PMID30287893
PMCPMC6435397
OpenAlexW2895056798

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.