Evidence map›Paper›PMID 40081567›Full record

ArticleThe Journal of pediatrics2025

Neonatal Neurobehavior Predicts Neonatal Opioid Withdrawal Syndrome Severity Prior to Treatment Interventions.

Sarah E Maylott, Madeleine Bruce, Lydia Brown, Ayla J Castano, Lynne Dansereau, Barry Lester, Elisabeth Conradt

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2025. 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. Article
  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

7 authors.

Sarah E MaylottDepartment of Psychiatry & Behavioral Sciences, Duke University, Durham, NC. Electronic address: sarah.maylott@duke.edu.
Madeleine BruceDepartment of Psychiatry & Behavioral Sciences, Duke University, Durham, NC.
Lydia BrownDepartment of Psychiatry, University of Utah, Salt Lake City, UT.
Ayla J CastanoDepartment of Psychiatry, University of Utah, Salt Lake City, UT.
Lynne DansereauBrown Center for the Study of Children at Risk, Women and Infants Hospital, Providence, RI.
Barry LesterBrown Center for the Study of Children at Risk, Women and Infants Hospital, Providence, RI; Department of Psychiatry and Human Behavior, Department of Pediatrics, Alpert Medical School of Brown University, Providence, RI.
Elisabeth ConradtDepartment of Psychiatry & Behavioral Sciences, Duke University, Durham, NC.

Funding

Clinical markers of neonatal opioid withdrawal syndrome: onset, severity and longitudinal neurodevelopmental outcomeR01DA049755 · NIDA · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI CONRADT, LIZ D, LESTER, BARRY M. · 2020 to 2024
$4.1M
Duke-North Carolina Central University (NCCU)-Interdisciplinary Postdoctoral Training Program in Child Psychiatric and Neurodevelopmental Conditions Program (DN-IPT)T32MH132515 · NIMH · DUKE UNIVERSITY · PI Geraldine Dawson, Ju-Ahng Lee · 2024 to 2026
$902k
Characterizing early signs of neurobehavioral dysregulation in infants at increased risk for behavioral disordersK99MH136292 · NIMH · DUKE UNIVERSITY · PI MAYLOTT, SARAH E. · 2024 to 2025
$198k
NIDA NIH HHS R01 DA049755NIMH NIH HHS K99 MH136292NIMH NIH HHS T32 MH132515
6 · The paper itself

Abstract

objectiveTo utilize the NeoNatal Neurobehavioral Scale (NNNS-II) as a standardized and reliable tool to help guide treatment of neonatal opioid withdrawal syndrome (NOWS) with the goal of improving the consistency and quality of care provided to opioid-exposed newborns. STUDY

designWe examined NOWS severity through several indicators, including the number of pharmacological treatment medications, maximum dose of medications, length of treatment, and maximum score on NOWS observational tools to create an overall severity score for each newborn. Then we examined whether NOWS risk could be detected as early as 24 hours after birth using the NNNS-II to predict NOWS severity.

resultsNewborn neurobehavior prior to signs of NOWS predicted NOWS severity. Newborns who were more hypertonic and had poorer quality of movement had higher severity scores.

conclusionThese findings indicate that NOWS risk detection may be enhanced with an early newborn neurobehavioral assessment.

Indexed as

Analgesics, OpioidInfant BehaviorNeonatal Abstinence SyndromeOpioid-Related DisordersFemaleHumansInfant, NewbornMaleSeverity of Illness IndexAnalgesics, Opioidneonatal abstinence syndromeNeoNatal Neurobehavioral Scaleneonatal opioid withdrawal syndromenewborn neurobehaviorNICU Network Neurobehavioral Scaleprenatal opioid exposure

Identifiers

PMID40081567
PMCPMC12380449

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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.