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Evaluating the effect of hospital setting on outcomes for neonatal abstinence syndrome
Matthew R Grossman1, Adam K Berkwitt2, Rachel R Osborn2
1Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA. matthe.grossman@yale.edu.
Objectives:
This study aims to evaluate the impact of hospital setting on outcomes for infants with neonatal abstinence syndrome.
Study Design:
We conducted a retrospective study in two hospitals and three different hospital units. The inpatient group (n = 60) was managed on general inpatient floors, the NICU group (n = 50) was managed primarily in an NICU, and the combination group (n = 49) was managed in both NICU and inpatient units. The primary outcome was length of stay. Secondary outcomes included breastfeeding rates, morphine usage rates, and hospital costs.
Results:
The length of stay in the inpatient group (8.5 days) was significantly lower than the combination group (18 days) and NICU group (23 days) (p < 0.01). The inpatient group had significantly lower rates of morphine treatment and hospital costs with no difference in breastfeeding rates.
Conclusions:
Infants with neonatal abstinence syndrome had a significantly shorter length of stay and less use of morphine when managed on inpatient units versus NICU.
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