在新生儿阿片类药物戒断综合征的婴儿中,医院再入院
Julie R Gaither1,2, Matthew J Drago3, Matthew R Grossman1
1Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|September 24, 2024
概括
患有新生儿阿片类药物戒断综合征 (NOWS) 的婴儿因各种原因而面临更高的住院再接收率,包括创伤和虐待. 这凸显了对综合家庭支持服务的需要,这些服务既应对物质使用,也应对育儿方面的挑战.
科学领域:
- 新生儿健康 新生儿健康
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 新生儿阿片类药物戒断综合征 (NOWS) 病例显著增加.
- 缺乏关于NOWS婴儿国家医院再入院率的研究.
研究的目的:
- 调查和比较有或没有NOWS的婴儿的90天再入院率.
- 确定诊断为NOWS的婴儿再入院的具体原因.
主要方法:
- 使用全国再接收数据库 (2016-2020) 进行回顾性队列研究.
- 使用ICD-10-CM代码识别了NOWS的婴儿.
- 使用调查加权后勤回归来分析再接收率,对共变量进行调整.
主要成果:
- 与没有NOWS的婴儿相比,NOWS的婴儿有更高的90天所有原因再入院率 (4.2%).
- 现在与因发作,发育不良,创伤性脑损伤和骨骨折而重新入院的几率增加有关.
- 患有NOWS的婴儿在经过确认的虐待,包括忽视和身体虐待的情况下,重新入院的几率更高.
结论:
- 患有NOWS的婴儿由于各种原因,包括创伤和虐待,增加了重新入院的风险.
- 研究结果表明,需要以家庭为中心的家庭服务,以支持吸毒治疗和育儿,以帮助患有阿片类药物使用障碍的母亲.
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