Neonatal Abstinence Syndrome: Influence of a Combined Inpatient/Outpatient Methadone Treatment Regimen on the Average Length of Stay of a Medicaid NICU Population
| Autor: | Ellen Stang, Jerry Lee, Michael Musci, Sonia Hulman |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Neonatal intensive care unit Leadership and Management Population Drug withdrawal Ambulatory care Ambulatory Care Opiate Substitution Treatment medicine Humans Intensive care medicine education Retrospective Studies education.field_of_study Medicaid business.industry Health Policy Infant Newborn Public Health Environmental and Occupational Health Retrospective cohort study Original Articles Length of Stay Pennsylvania medicine.disease United States Analgesics Opioid Regimen Emergency medicine Intensive Care Neonatal Female business Neonatal Abstinence Syndrome Methadone medicine.drug |
| Zdroj: | Population Health Management |
| ISSN: | 1942-7905 1942-7891 |
| DOI: | 10.1089/pop.2014.0134 |
| Popis: | Prescription opioid and heroin abuse have been increasing steadily year after year, and continue to be a serious national problem. A sequela of the increase in opioid abuse has been an increase in the number of infants born with opioid dependence. These infants often require costly, prolonged stays in the neonatal intensive care unit (NICU) for drug withdrawal treatment. The authors studied a population of infants from a large Medicaid health plan who were born with neonatal abstinence syndrome (NAS) secondary to in utero opioid exposure to assess the average length of stay in the NICU, and to determine the variables that may account for differences in interinstitutional lengths of stay. The overall average length of stay for NAS was 21.1 days for the 139 infants included in the study. Analysis of the medication used for treatment revealed that infants who were treated with a combined inpatient/outpatient regimen with methadone had an average length of stay of 11.4 days versus 25.1 days for infants who were treated entirely as inpatients (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|