一项基于新生儿戒断综合征的基于人口的描述性研究,使用医院出院和出生证明数据
Jacob C Rainey1,2, Lacee Satcher2,3, Sarah J Nechuta2,4
1Johns Hopkins University, Bloomberg School of Public Health, Department of Mental Health, 615 North Wolfe Street, Baltimore, MD 21205, United States.
Journal of substance use
|May 16, 2024
概括
新生儿戒断综合征 (NAS) 的发生率从2013-2017年增加了15%. 哺乳和产前护理降低了NAS的几率,而吸烟,早产和低出生体重增加了它们.
科学领域:
- 新生儿戒断综合征 (NAS) 的研究.
- 公共卫生监督 公共卫生监督
- 怀孕期间阿片类药物使用障碍
背景情况:
- 新生儿戒断综合征 (NAS) 是与产前阿片类药物暴露相关的重大问题,导致婴儿患病率相当高.
- 现有的基于人口的NAS研究通常仅限于特定的数据集,如医疗补助或医院出院数据 (HDD).
- 需要更广泛的基于人口的分析来了解NAS趋势和促成因素.
研究的目的:
- 用全州数据检查新生儿戒断综合征 (NAS) 发病率的趋势.
- 评估与NAS相关的孕产妇和婴儿因素.
- 为NAS预防和资源分配的公共卫生战略提供信息.
主要方法:
- 从2013年到2017年,在田纳西州进行了一项基于人口的描述性研究.
- 在医院出院数据 (HDD) 中,使用国际疾病分类 (ICD) -9/10-CM代码识别了患有NAS的婴儿.
- 数据与出生证明 (BC) 数据联系在一起,并使用多变量逻辑回归模型来分析关联.
主要成果:
- 在2013年至2017年期间,每1000个活产婴儿中,NAS发病率增加了15%,从13.4个增加到15.4个.
- 母乳养 (OR:0.55) 和产前护理 (OR:0.36) 与NAS的几率显著降低有关.
- 母亲吸烟,早产和婴儿出生体重较低与NAS的几率增加有关.
结论:
- 全州监控数据对于监测NAS趋势和识别相关因素是有价值的.
- 调查结果可以为有针对性的公共卫生干预和为NAS预防分配资源提供信息.
- 了解NAS的相关性对于改善母亲和婴儿的结果至关重要.
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