Evidence map›Paper›PMID 31911649›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2020

Neonatal abstinence syndrome management in California birth hospitals: results of a statewide survey.

Lisa Clemans-Cope, Nikhil Holla, Henry C Lee, Allison Shufei Cong, Robert Castro, Lisa Chyi, Angela Huang, Kimá Joy Taylor, Genevieve M Kenney

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Who's in the NICU? A population-level analysis.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  5. 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
  6. Shifting the care paradigm for opioid-exposed newborns in Southern Colorado.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  7. Predictors of pharmacologic therapy for neonatal opioid withdrawal syndrome: a retrospective analysis of a statewide database.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  8. Article
  9. Neonatal Abstinence Syndrome Practices in the United States.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lisa Clemans-CopeThe Urban Institute, 500 L'Enfant Plaza SW, Washington, DC, 20037, USA. lclemans@urban.org.
Nikhil HollaGeorge Washington University, Washington, DC, USA.
Henry C LeeDivision of Neonatal & Developmental Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-8383-1720
Allison Shufei CongCalifornia Perinatal Quality Care Collaborative (CPQCC), Stanford University, Stanford, CA, USA.
Robert CastroDivision of Neonatal & Developmental Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Lisa ChyiWalnut Creek Medical Center, Kaiser Northern California NAS Workgroup Co-chair, Walnut Creek, CA, USA.
Angela HuangDepartment of Neonatology, Santa Clara Valley Medical Center, San Jose, CA, USA.
Kimá Joy TaylorThe Urban Institute, 500 L'Enfant Plaza SW, Washington, DC, 20037, USA.
Genevieve M KenneyThe Urban Institute, 500 L'Enfant Plaza SW, Washington, DC, 20037, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAssess management of neonatal abstinence syndrome (NAS) in California hospitals to identify potential opportunities to expand the use of best practices. STUDY

designWe fielded an internet-based survey of 37 questions to medical directors or nurse managers at 145 birth hospitals in California.

resultsSeventy-five participants (52%) responded. Most respondents reported having at least one written protocol for managing NAS, but gaps included protocols for pharmacologic management. Newer tools for assessing NAS severity were not commonly used. About half reported usually or always using nonpharmacologic strategies; there is scope for increasing breastfeeding when recommended, skin-to-skin care, and rooming-in.

conclusionsWe found systematic gaps in care for infants with NAS in a sample of California birth hospitals, as well as opportunities to spread best practices. Adoption of new approaches will vary across hospitals. A concerted statewide effort to facilitate such implementation has strong potential to increase access to evidence-based treatment for infants and mothers.

Indexed as

Analgesics, OpioidBreast FeedingCaliforniaClonidineHealth Care SurveysHumansInfant CareInfant, NewbornInservice TrainingNeonatal Abstinence SyndromeOpiate Substitution TreatmentPhenobarbitalSeverity of Illness IndexAnalgesics, OpioidClonidinePhenobarbital

Identifiers

PMID31911649
PMCPMC7042156

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.