Evidence map›Paper›PMID 41862592›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Association between NNNS-II profiles and pharmacological treatment in infants with prenatal opioid exposure.

Macie Donahue, Madison Ramirez Heil, Marie Camerota, Lynne Dansereau, Elisabeth Conradt, Barry Lester

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Macie DonahueDepartment of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, RI, USA.ORCID http://orcid.org/0009-0001-0200-6874
Madison Ramirez HeilDepartment of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Marie CamerotaBrown Center for the Study of Children at Risk, The Warren Alpert Medical School of Brown University and Women and Infants Hospital, Providence, RI, USA.
Lynne DansereauDepartment of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Elisabeth ConradtDepartment of Psychiatry & Behavioral Sciences, Duke University, Durham, NC, USA.
Barry LesterDepartment of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, RI, USA. barry_lester@brown.edu.ORCID http://orcid.org/0000-0003-0267-9814

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
Longitudinal Antecedents of Attention Problems in Very Preterm Children: Role of Epigenetics, Executive Function, and Caregiver Psychological DistressK01MH129510 · NIMH · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI Marie Camerota · 2022 to 2026
$947k
U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K01MH129510U.S. Department of Health & Human Services | NIH | National Institute on Drug Abuse (NIDA) R01DA049755
6 · The paper itself

Abstract

objectiveExamine whether neonatal neurobehavioral profiles are related to need for pharmacological treatment among infants with prenatal opioid exposure. STUDY

designProspective cohort study of 217 infants with need for treatment determined using the Finnegan Neonatal Abstinence Tool (FNAST), Neonatal Withdrawal Inventory (NWI), or Eat Sleep Console (ESC). Neurobehavior was assessed with the NeoNatal Neurobehavioral Scale II (NNNS-II). Latent Profile Analysis (LPA) classified infants into neurobehavioral profiles, and logistic regression assessed the association between NNNS-II profiles and need for treatment.

resultsA 3-profile LPA solution best fit the NNNS-II data comprised of typical (67%), hyper-aroused (19%) and hypo-aroused groups (15%). Infants with atypical NNNS-II profiles were more likely to receive treatment (OR = 3.45, 95% CI 1.21-9.81) compared to infants with typical profiles (p < 0.05).

conclusionNewborn neurobehavioral profiles may aid in early identification of infants requiring pharmacological treatment for opioid withdrawal, reducing length of stay and healthcare costs.

Indexed as

Analgesics, OpioidInfant BehaviorNeonatal Abstinence SyndromeOpioid-Related DisordersPrenatal Exposure Delayed EffectsFemaleHumansInfant, NewbornLogistic ModelsMalePregnancyProspective StudiesAnalgesics, Opioid

Identifiers

PMID41862592
PMCPMC13290492

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.