Pharmacologic treatment of infants with neonatal abstinence syndrome in community hospitals compared to academic medical centers

Hayley Friedman, Gregory Parkinson, Hocine Tighiouart, Catherine Parkinson, David Tybor, Norma Terrin, Barry Lester, Karen Harvey-Wilkes, Jonathan M. Davis

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objective: To compare length of hospital stay (LOS), LOS due to neonatal abstinence syndrome (NAS), and duration of pharmacologic treatment in community or academic settings. Study design: One hundred-two infants exposed to opioids in utero at two community hospitals were compared to 256 from eight academic centers. All infants were managed with non-pharmacologic care followed by similar pharmacologic treatment options. Results: Two hundred-twelve infants received pharmacologic treatment for NAS. Mean LOS (24.7 ± 8.5 vs. 24.5 ± 11.3 days), LOS due to NAS (24.0 ± 8.2 vs. 23.3 ± 9.2 days), and duration of NAS treatment (19.3 ± 8.0 vs. 18.9 ± 9.2 days) were similar in community compared to academic medical centers. Conclusions: No significant differences were found in infants managed in the community compared to academic care settings. These findings support caring for opioid-exposed infants in both community and academic settings with the use of standardized care protocols.

Original languageEnglish
Pages (from-to)1651-1656
Number of pages6
JournalJournal of Perinatology
Volume38
Issue number12
DOIs
StatePublished - Dec 1 2018
Externally publishedYes

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    Friedman, H., Parkinson, G., Tighiouart, H., Parkinson, C., Tybor, D., Terrin, N., Lester, B., Harvey-Wilkes, K., & Davis, J. M. (2018). Pharmacologic treatment of infants with neonatal abstinence syndrome in community hospitals compared to academic medical centers. Journal of Perinatology, 38(12), 1651-1656. https://doi.org/10.1038/s41372-018-0230-8