Evidence map›Paper›PMID 32769086›Full record

ArticleHospital pediatrics2020

The Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative: Standardization of Care for Opioid-Exposed Newborns Shortens Length of Stay and Reduces Number of Infants Requiring Opiate Therapy.

Sunah S Hwang, Blair Weikel, Jillian Adams, Stephanie L Bourque, Jaime Cabrera, Nancy Griffith, Anne M Hall, Jessica Scott, Danielle Smith, Colleen Wheeler and 2 more

Abstract read
In one paragraph

Article in Hospital pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Is Eat, Sleep, Console the New Standard of Care?The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
    Article
  9. Neonatal opioid withdrawal syndrome: a review of the science and a look toward the use of buprenorphine for affected infants.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
  10. Shifting the care paradigm for opioid-exposed newborns in Southern Colorado.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  11. 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

12 authors.

Sunah S HwangDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado; sunah.hwang@childrenscolorado.org.
Blair WeikelDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.
Jillian AdamsIlluminate Colorado, Denver, Colorado; and.
Stephanie L BourqueDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.
Jaime CabreraColorado Perinatal Care Quality Collaborative, Denver, Colorado.
Nancy GriffithColorado Perinatal Care Quality Collaborative, Denver, Colorado.
Anne M HallDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.
Jessica ScottDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.
Danielle SmithDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.
Colleen WheelerLutheran Medical Center, Wheat Ridge, Colorado.
Jade WoodardIlluminate Colorado, Denver, Colorado; and.
Erica WymoreDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
NCRR NIH HHS UL1 RR025780
6 · The paper itself

Abstract

objectivesTo decrease the average length of stay (LOS) of opioid-exposed newborns (OENs) by 20% from baseline from April 2017 to December 2019.

methodsThe Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative is a consortium of neonatal providers, public health experts, and legislative experts that provides infrastructure and resources for Colorado birthing hospitals to undertake initiatives focused on improving the care of OENs. The Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative was started in September 2017 and includes 19 birthing hospitals in Colorado, with 12 contributing data to the centralized database. The interventions were focused on (1) hospital engagement and (2) increasing nonpharmacologic care (by using the Eat, Sleep, Console assessment tool; developing guidelines for breastfeeding eligibility; employing comfort measures before pharmacologic therapy; and administering opiate therapy on an as-needed basis).

resultsFrom April 2017 to December 2019, 787 OENs were identified. Among infants ≥35 weeks' gestational age without other medical diagnoses (

conclusionsThrough standardization of OEN care focused on family engagement and nonpharmacologic care, this statewide collaborative reduced average LOS, the percentage of OENs requiring opiate therapy, and average LOS for OENs requiring opiate therapy.

Indexed as

Neonatal Abstinence SyndromeOpiate AlkaloidsAnalgesics, OpioidColoradoHospitalsHumansInfantInfant, NewbornLength of StayQuality ImprovementReference StandardsAnalgesics, OpioidOpiate Alkaloids

Identifiers

PMID32769086
PMCPMC7446548

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.