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Independent Impact of Eat, Sleep, Console Assessment on Neonatal Opioid Withdrawal Syndrome.

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Title: Independent Impact of Eat, Sleep, Console Assessment on Neonatal Opioid Withdrawal Syndrome.
Authors: Chyi, Lisa J., Li, Sherian, Lee, Catherine, Walsh, Eileen M., Kuzniewicz, Michael W.
Source: Clinical Pediatrics; Sep2024, Vol. 63 Issue 8, p1097-1105, 9p
Subject Terms: NEONATAL abstinence syndrome, FOOD consumption, PRENATAL exposure delayed effects, RESEARCH funding, PATIENT readmissions, RETROSPECTIVE studies, DESCRIPTIVE statistics, HOSPITAL emergency services, LONGITUDINAL method, SLEEP, OPIOID analgesics, MEDICAL records, ACQUISITION of data, LENGTH of stay in hospitals, CONFIDENCE intervals
Abstract: Compared with the Finnegan Neonatal Abstinence Scoring System (FNASS), the Eat, Sleep, Console (ESC) approach reduces pharmacotherapy and length of stay (LOS) for neonatal opioid withdrawal syndrome (NOWS) infants. The independent outcome contribution of ESC is unknown as the approach combines ESC assessment with additional management changes. Our objective was to evaluate ESC assessment's independent impact on outcomes compared with FNASS. We conducted a retrospective cohort study of in utero opioid-exposed infants ≥35 weeks gestation managed with FNASS versus ESC. Outcomes included pharmacotherapy initiation, LOS, length of pharmacotherapy, and emergency department visit/readmissions. Among 151 FNASS and 100 ESC managed infants, pharmacotherapy initiation (P =.47), LOS for all infants (P =.49), and LOS for pharmacologically treated infants (P =.68) were similar. Length of pharmacotherapy did not differ (P =.84). Emergency department evaluation/NOWS readmission was equally rare (P =.65). Using equivalent models of care, comparison of ESC and FNASS assessment tools showed no difference in NOWS outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Independent Impact of Eat, Sleep, Console Assessment on Neonatal Opioid Withdrawal Syndrome.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Chyi%2C+Lisa+J%2E%22">Chyi, Lisa J.</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Sherian%22">Li, Sherian</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Catherine%22">Lee, Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Walsh%2C+Eileen+M%2E%22">Walsh, Eileen M.</searchLink><br /><searchLink fieldCode="AR" term="%22Kuzniewicz%2C+Michael+W%2E%22">Kuzniewicz, Michael W.</searchLink>
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  Data: Clinical Pediatrics; Sep2024, Vol. 63 Issue 8, p1097-1105, 9p
– Name: Subject
  Label: Subject Terms
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  Data: <searchLink fieldCode="DE" term="%22NEONATAL+abstinence+syndrome%22">NEONATAL abstinence syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22FOOD+consumption%22">FOOD consumption</searchLink><br /><searchLink fieldCode="DE" term="%22PRENATAL+exposure+delayed+effects%22">PRENATAL exposure delayed effects</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+funding%22">RESEARCH funding</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+readmissions%22">PATIENT readmissions</searchLink><br /><searchLink fieldCode="DE" term="%22RETROSPECTIVE+studies%22">RETROSPECTIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+emergency+services%22">HOSPITAL emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22LONGITUDINAL+method%22">LONGITUDINAL method</searchLink><br /><searchLink fieldCode="DE" term="%22SLEEP%22">SLEEP</searchLink><br /><searchLink fieldCode="DE" term="%22OPIOID+analgesics%22">OPIOID analgesics</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+records%22">MEDICAL records</searchLink><br /><searchLink fieldCode="DE" term="%22ACQUISITION+of+data%22">ACQUISITION of data</searchLink><br /><searchLink fieldCode="DE" term="%22LENGTH+of+stay+in+hospitals%22">LENGTH of stay in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22CONFIDENCE+intervals%22">CONFIDENCE intervals</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Compared with the Finnegan Neonatal Abstinence Scoring System (FNASS), the Eat, Sleep, Console (ESC) approach reduces pharmacotherapy and length of stay (LOS) for neonatal opioid withdrawal syndrome (NOWS) infants. The independent outcome contribution of ESC is unknown as the approach combines ESC assessment with additional management changes. Our objective was to evaluate ESC assessment's independent impact on outcomes compared with FNASS. We conducted a retrospective cohort study of in utero opioid-exposed infants ≥35 weeks gestation managed with FNASS versus ESC. Outcomes included pharmacotherapy initiation, LOS, length of pharmacotherapy, and emergency department visit/readmissions. Among 151 FNASS and 100 ESC managed infants, pharmacotherapy initiation (P =.47), LOS for all infants (P =.49), and LOS for pharmacologically treated infants (P =.68) were similar. Length of pharmacotherapy did not differ (P =.84). Emergency department evaluation/NOWS readmission was equally rare (P =.65). Using equivalent models of care, comparison of ESC and FNASS assessment tools showed no difference in NOWS outcomes. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1177/00099228231204448
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1097
    Subjects:
      – SubjectFull: NEONATAL abstinence syndrome
        Type: general
      – SubjectFull: FOOD consumption
        Type: general
      – SubjectFull: PRENATAL exposure delayed effects
        Type: general
      – SubjectFull: RESEARCH funding
        Type: general
      – SubjectFull: PATIENT readmissions
        Type: general
      – SubjectFull: RETROSPECTIVE studies
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: HOSPITAL emergency services
        Type: general
      – SubjectFull: LONGITUDINAL method
        Type: general
      – SubjectFull: SLEEP
        Type: general
      – SubjectFull: OPIOID analgesics
        Type: general
      – SubjectFull: MEDICAL records
        Type: general
      – SubjectFull: ACQUISITION of data
        Type: general
      – SubjectFull: LENGTH of stay in hospitals
        Type: general
      – SubjectFull: CONFIDENCE intervals
        Type: general
    Titles:
      – TitleFull: Independent Impact of Eat, Sleep, Console Assessment on Neonatal Opioid Withdrawal Syndrome.
        Type: main
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            NameFull: Chyi, Lisa J.
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            NameFull: Li, Sherian
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            NameFull: Lee, Catherine
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            NameFull: Walsh, Eileen M.
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            NameFull: Kuzniewicz, Michael W.
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            – D: 01
              M: 09
              Text: Sep2024
              Type: published
              Y: 2024
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