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Neonatal abstinence syndrome: evaluating the effectiveness of an evidence-based multidisciplinary care approach. | LitMetric

Neonatal abstinence syndrome: evaluating the effectiveness of an evidence-based multidisciplinary care approach.

J Perinat Neonatal Nurs

Pediatrix Medical Group (Mss Saunders and Cook and Dr Buchheit), East Tennessee Children's Hospital, Knoxville (Mss Saunders, Smith, Cook, and Edds and Drs King and Buchheit); and The University of Tennessee, Knoxville, College of Nursing (Dr Mefford).

Published: August 2016

AI Article Synopsis

Article Abstract

An evidence-based, multidisciplinary neonatal abstinence syndrome protocol was developed using a stepwise continuous quality improvement (CQI) approach with the goal of standardizing care procedures for these infants. A retrospective secondary data analysis was performed to evaluate the differential effects of each step of the CQI project on 4 key clinical outcome measures: length of stay (total and post-opioid wean), weaning time from opioids, and use of adjunct medications. Data were analyzed from 386 newborn infants with a diagnosis of neonatal abstinence syndrome undergoing treatment in a level III neonatal intensive care unit. After implementation of a pharmacologic weaning protocol as a foundational first step of the CQI project, the weaning time from opioids remained stable throughout each of the subsequent CQI steps (P = .905). The overall total neonatal intensive care unit length of stay was reduced by 10.35 days (P = .002), and the length of neonatal intensive care unit stay after completing wean from opioids was reduced by 2.79 days (P < .001). Use of adjunct medications also decreased from 30.1% of infants at the initiation of the CQI project to 24.5% at the completion of the project (P = .020). These findings indicate that this multidisciplinary treatment approach led to an overall improved efficiency of both opioid weaning and symptom management for these infants.

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Source
http://dx.doi.org/10.1097/JPN.0000000000000049DOI Listing

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