Evidence map›Paper›PMID 34230061›Full record

ArticleHospital pediatrics2021

Within-Hospital Concordance of Opioid Exposure Diagnosis Coding in Mothers and Newborns.

Rebecca R S Clark, Rachel French, Scott Lorch, Kathleen O'Rourke, Kathleen E Fitzpatrick Rosenbaum, Eileen T Lake

Open access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

6 authors at 2 institutions in 1 country.

Rebecca R S ClarkCenter for Health Outcomes and Policy Research, School of Nursing rrsclark@nursing.upenn.edu.
Rachel FrenchCenter for Health Outcomes and Policy Research, School of Nursing.
Scott LorchLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
Kathleen O'RourkeHospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Kathleen E Fitzpatrick RosenbaumCenter for Health Outcomes and Policy Research, School of Nursing.
Eileen T LakeCenter for Health Outcomes and Policy Research, School of Nursing.
University of Pennsylvania · USHospital of the University of Pennsylvania · US

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
The Impact of Changes in Nursing Systems and Models of Care on Patient Outcomes: A Panel StudyR01NR014855 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Matthew D. McHugh · 2014 to 2026
$7.5M
NINR NIH HHS R01 NR014855NINR NIH HHS T32 NR007104
6 · The paper itself

Abstract

BACKGROUND AND

objectivesWe measured within-hospital concordance of mothers with opioid use disorder (OUD) and newborns with neonatal abstinence syndrome (NAS) or opioid exposure (OE). Secondarily, we described the demographics of mothers and newborns with and without opioid-related diagnoses.

methodsWe used hospital discharge abstracts from California, Florida, New Jersey, and Pennsylvania in 2016. Descriptive statistics were used to compare newborns and mothers with and without opioid-related diagnoses. Within-hospital frequencies of mothers with OUD and newborns with NAS and OE were compared. Pearson's correlation coefficients were calculated.

resultsIn 474 hospitals, we found 896 702 mothers (0.6% with OUD) and 910 867 newborns (0.47% with NAS, 0.85% with OE, and 0.07% with both). Although the frequency of mothers and newborns with opioid-related diagnoses in a hospital was strongly correlated (

conclusionsMore newborns are diagnosed with opioid-related disorders than mothers are. Although infants diagnosed with NAS had demographics similar to mothers with OUD, infants with OE were more likely to be Black or Hispanic. The lack of diagnostic coding of maternal OUD and the racial differences in diagnoses warrant attention.

Indexed as

Neonatal Abstinence SyndromeOpioid-Related DisordersAnalgesics, OpioidFemaleHospitalsHumansInfantInfant, NewbornMothersUnited StatesAnalgesics, Opioid

Identifiers

PMID34230061
PMCPMC8336457
OpenAlexW3181187724

What OpenQuestion holds

Textmetadata
LicenceTDM
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.