A population-based descriptive study of neonatal abstinence syndrome using hospital discharge and birth certificate data.
Neonatal abstinence syndrome (NAS), largely a consequence of prenatal opioid exposure, results in substantial morbidity. Population-based studies of NAS going beyond Medicaid populations and hospital discharge data (HDD) alone are limited. Using statewide Tennessee (TN) HDD and birth certificate (BC...
| Publicado en: | Journal of Substance Use Vol. 28; no. 5; pp. 789 - 797 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172309362&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172309362 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14659891 ILV jtl: Journal of Substance Use issn: 14659891 maglogo: Y pubinfo: dt: 2023 vid: 28 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 172309362 157975442 172309362 172309362 10.1080/14659891.2022.2098841 172309362 ppf: 789 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A population-based descriptive study of neonatal abstinence syndrome using hospital discharge and birth certificate data. aug: au: Rainey, Jacob C. Satcher, Lacee Nechuta, Sarah J. affil: Bloomberg School of Public Health, Department of Mental Health, Johns Hopkins University, Baltimore, Maryland, USA sug: subj: Neonatal Abstinence Syndrome Diagnosis Neonatal Abstinence Syndrome Trends Neonatal Abstinence Syndrome Epidemiology Birth Certificates Statistics and Numerical Data Patient Discharge Statistics and Numerical Data Maternal-Child Health Descriptive Research Retrospective Design Prospective Studies Prenatal Exposure Delayed Effects Analgesics, Opioid Adverse Effects International Classification of Diseases Outcomes (Health Care) Multivariate Analysis Logistic Regression Confidence Intervals Odds Ratio Prenatal Care Sample Size Human Male Female Adolescence Young Adult Adult Middle Age Data Analysis Software Funding Source Descriptive Statistics Chi Square Test Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Neonatal abstinence syndrome (NAS), largely a consequence of prenatal opioid exposure, results in substantial morbidity. Population-based studies of NAS going beyond Medicaid populations and hospital discharge data (HDD) alone are limited. Using statewide Tennessee (TN) HDD and birth certificate (BC) data, we examined trends and evaluated maternal and infant factors associated with NAS. We conducted a population-based descriptive study during 2013–2017 in TN. NAS infants were identified with International Classification of Diseases (ICD)-9-Clinical Modification (CM) and ICD-10-CM codes in HDD and linked to BC data using iterative deterministic matching algorithms. Descriptive analyses were conducted for infant and maternal factors (exposures) by NAS (outcome). Multivariable logistic regression models were used to estimate adjusted ORs and 95% CIs. NAS incidence increased from 13.4 to 15.4 per 1,000 live births between 2013 and 2017 (15% increase; ptrend<0.001), but remained stable in 2017. In adjusted models, maternal factors associated with reduced odds of NAS included breastfeeding (OR:0.55, 95%CI:0.52–0.59) and prenatal care (OR:0.36, 95%CI:0.32–0.41). Smoking, preterm birth, and lower birthweight were associated with increased odds of NAS. This study highlights the value of utilizing surveillance data to monitor trends and correlates of NAS to inform prevention efforts and targeting of public health resources. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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