Considerations and Determinants of Discharge Decisions among Prenatal Substance Exposed Infants.

Autor:	Gissandaner TD; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA., Wen A; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA., Gette JA; Center of Alcohol and Substance Use Studies, Rutgers, the State University of New Jersey, New Brunswick, NJ, USA., Perry KJ; Edna Bennett Pierce Prevention Research Center, Pennsylvania State University, University Park, PA, USA., Mutignani LM; Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA., Regan T; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Malloch L; Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA., Tucker LC; Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA., White CB; Forrest General Hospital, Hattiesburg, MS, USA., Fry TB; Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA., Lim CS; Department of Health Psychology, University of Missouri, Columbia, MO, USA., Annett RD; University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Jazyk:	angličtina
Zdroj:	Child maltreatment [Child Maltreat] 2024 May; Vol. 29 (2), pp. 246-258. Date of Electronic Publication: 2023 Mar 14.
DOI:	10.1177/10775595231161996
Abstrakt:	Limited research has examined a comprehensive set of predictors when evaluating discharge placement decisions for infants exposed to substances prenatally. Using a previously validated medical record data extraction tool, the current study examined prenatal substance exposure, infant intervention (i.e., pharmacologic, or non-pharmacologic), and demographic factors (e.g., race and ethnicity and rurality) as predictors of associations with discharge placement in a sample from a resource-poor state ( N = 136; 69.9% Non-Hispanic White). Latent class analysis (LCA) was used to examine whether different classes emerged and how classes were differentially related to discharge placement decisions. Logistic regressions were used to determine whether each predictor was uniquely associated with placement decisions. Results of the LCA yielded a two-class solution comprised of (1) a Low Withdrawal Risk class, characterized by prenatal exposure to substances with low risk for neonatal abstinence syndrome (NAS) and non-pharmacologic intervention, and (2) a High Withdrawal Risk class, characterized by a high risk of NAS and pharmacologic intervention. Classes were not related to discharge placement decisions. Logistic regressions demonstrated that meth/amphetamine use during pregnancy was associated with greater odds of out of home placement above other substance types. Future research should replicate and continue examining the clinical utility of these classes. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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