Assessment of the Standardized Surveillance Case Definition for Neonatal Abstinence Syndrome by the Council of State and Territorial Epidemiologists, 4 Jurisdictions, 2020-2021.
Objectives: In 2019, the Council of State and Territorial Epidemiologists ratified a multitiered standardized surveillance case definition (SSCD) for neonatal abstinence syndrome (NAS) to minimize variability in definitions across states. This evaluation of the tier 1 NAS SSCD aimed to identify comm...
| Publicado en: | Public Health Reports Vol. 139; no. 5; pp. 599 - 606 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
Sep/Oct2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=179241630&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 179241630 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00333549 PHR jtl: Public Health Reports issn: 00333549 maglogo: Y pubinfo: dt: Sep/Oct2024 vid: 139 iid: 5 pid: 344 pub: Sage Publications Inc. artinfo: ui: 179241630 10.1177/00333549241232231 ppf: 599 ppct: 7 formats: tig: atl: Assessment of the Standardized Surveillance Case Definition for Neonatal Abstinence Syndrome by the Council of State and Territorial Epidemiologists, 4 Jurisdictions, 2020-2021. aug: au: Czarnik, Michaila Oliver, Darielle Goodson, Valerie Nestoridi, Eirini Michael Bryan, J. Hinds, Deborah Clark, Carolina Green, Caitlin Small, James Pabst, Laura affil: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA McKing Consulting Corporation, Atlanta, GA, USA Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA Council of State and Territorial Epidemiologists, Atlanta, GA, USA Center for Birth Defects Research and Prevention, Bureau of Family Health and Nutrition, Massachusetts Department of Public Health, Boston, MA, USA Maternal and Child Health Epidemiology Section, Epidemiology Division, Georgia Department of Public Health, Atlanta, GA, USA Division of Substance Use Prevention and Harm Reduction, Philadelphia Department of Public Health, Philadelphia, PA, USA Division of Family Health and Wellness, Tennessee Department of Health, Nashville, TN, USA GenTech Associates Inc, Indianapolis, IN, USA su: Pennsylvania Tennessee Massachusetts Georgia United States Centers for Disease Control & Prevention (U.S.) Public health surveillance Focus groups Neonatal abstinence syndrome Pilot projects Descriptive statistics Thematic analysis Research methodology Medical coding Medical records Epidemiologists sug: subj: Public health surveillance Focus groups Pennsylvania Tennessee Massachusetts Georgia United States Centers for Disease Control & Prevention (U.S.) Administration of Public Health Programs Neonatal abstinence syndrome Pilot projects Descriptive statistics Thematic analysis Research methodology Medical coding Medical records Epidemiologists keyword: case definition evaluation neonatal abstinence syndrome neonatal opioid withdrawal syndrome surveillance case definition evaluation neonatal abstinence syndrome neonatal opioid withdrawal syndrome surveillance ab: Objectives: In 2019, the Council of State and Territorial Epidemiologists ratified a multitiered standardized surveillance case definition (SSCD) for neonatal abstinence syndrome (NAS) to minimize variability in definitions across states. This evaluation of the tier 1 NAS SSCD aimed to identify common challenges and opportunities for enhancement to support consistent implementation of the definition. Methods: This mixed-methods analysis consisted of 3 virtual focus groups in March 2021 with site principal investigators, medical record abstractors, and data analysts (1 focus group each) from 4 jurisdictions piloting the tier 1 NAS SSCD. We analyzed focus group transcripts to create a codebook. We collected written reports in February 2022 from the 4 jurisdictions, conducted thematic analysis of focus group transcripts and written reports to identify themes, and collected surveillance data on infants identified with NAS born from January 2020 through December 2021 from the pilot sites. We analyzed surveillance data to further inform identified themes. We examined agreement among tier 1 classifications assigned independently by each pilot site and the Centers for Disease Control and Prevention to cases of NAS. Results: Three major themes emerged in the data: challenges abstracting data on withdrawal signs from the medical record, difficulty determining the time frame of prenatal substance exposure, and challenges assigning case classifications. In a comparison of tier 1 classifications assigned by the Centers for Disease Control and Prevention and the sites, 82.1% of cases in the dataset were concordant. Conclusions: We identified several opportunities to modify the SSCD to promote consistency and ease implementation across jurisdictions. Promoting consistent implementation supports comparability of NAS incidence estimates across jurisdictions, evaluation of prevention efforts, and allocation of resources to support families. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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