Evidence map›Paper›PMID 38565652›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Short term outcomes of neonatal opioid withdrawal syndrome: a comparison of two approaches.

Rachana Singh, Patrice Melvin, Elisha M Wachman, Robert Rothstein, Davida M Schiff, Jennifer Murzycki, Marcia VanVleet, Munish Gupta, Jonathan M Davis, PNQIN Collaborative of Massachusetts

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

10 authors.

Rachana SinghDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA. rachana.singh1@tuftsmedicine.org.ORCID 0000-0001-7783-1214
Patrice MelvinCenter for Applied Pediatric Quality Analytics, Boston Children's Hospital, Boston, MA, USA.
Elisha M WachmanDepartment of Pediatrics, Boston Medical Center, Boston, MA, USA.ORCID 0000-0002-6307-6999
Robert RothsteinDepartment of Pediatrics, Baystate Children's Hospital, Springfield, MA, USA.
Davida M SchiffDivisions of Newborn Medicine and General Academic Pediatrics, Massachusetts General for Children, Boston, MA, USA.
Jennifer MurzyckiDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.
Marcia VanVleetDivision of Newborn Medicine, Baystate Franklin Medical Center, Greenfield, MA, USA.
Munish GuptaDivision of Newborn Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Jonathan M DavisDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.
PNQIN Collaborative of Massachusetts

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate outcomes in opioid exposed neonates (OENs) assessed by the Eat, Sleep, Console (ESC) tool compared to the Finnegan Neonatal Abstinence Scoring System (FNASS).

methodsRetrospective analysis of a statewide database of OENs from 2017 to 2020 with birthing hospitals classified based on the assessment tool used. Four main outcomes were examined using multivariable and Poisson logistic regression models.

resultsOf 2375 OENs, 42.1% received pharmacotherapy (PT) with a consistent decrease in PT, length of treatment (LOT), and length of stay (LOS) over the study period. There was no change in use of mother's own milk (MoM). While outcomes were significantly associated with several specific variables, there were no differences in outcomes between assessment methods.

conclusionWhile there was a significant decrease over time in PT, LOT, and LOS, improvements were independent of the assessment tool used and likely related to the increased use of non-pharmacologic care.

Indexed as

Length of StayNeonatal Abstinence SyndromeAnalgesics, OpioidFemaleHumansInfant, NewbornLogistic ModelsMaleOpioid-Related DisordersPregnancyRetrospective StudiesAnalgesics, Opioid

Identifiers

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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.