Zank, Jennifer
(2019)
Neonatal abstinence syndrome: Magee Womens hospital.
Master Essay, University of Pittsburgh.
Abstract
Opioid use disorder among pregnant women and women of reproductive age has quadrupled in the U.S.. Given this there is a concurrent growth in the incidence of neonatal abstinence syndrome. Clinically a baby is observed for withdrawal symptoms if a mother is known to have used opioids during pregnancy and the baby can undergo treatment themselves for drug dependence. These babies are typically admitted to the Neonatal Intensive Care Unit (NICU) when treatment is required. There is wide variation across the country on how these babies are managed from the non-pharmacologic to pharmacologic methods. To understand individual hospital performance these patients need to be identified through hospital administrative data. The public health significance lies in identification of these patients to understand areas of improvement for treatment and long term outcomes. This essay aims to determine if a hospital administrative database can identify these patients by ICD-10 codes. Coupled with chart review we will also describe the patient population and benchmark Magee Womens Hospital compared to the national trends based on length of stay and number of patients requiring pharmacologic therapy.
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