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Objective: This study aimed to analyze trends in gabapentin use in neonatal intensive care units (NICUs) and examine demographic characteristics, diagnoses, and concomitant medications associated with its use.
Study Design: Cohort study of 987,181 infants hospitalized in the NICU from 2005 to 2020.
Results: Eighty-five infants (<0.01%) received gabapentin. From 2009 to 2020, there was a 1,055% relative increase in gabapentin use ( < 0.01). The median birth weight was 2,160 g (25th, 75th percentiles: 875, 3,080 g) in gabapentin-exposed infants compared with 2,498 g (1,890, 3,210 g) in unexposed infants ( < 0.001). Over half (55%) of infants receiving gabapentin were born prematurely, 54% ( = 45) had chronic lung disease, 46% ( = 39) had gastrostomy tubes, and 34% ( = 29) had drug withdrawal syndrome; 49% ( = 42) and 27% ( = 23) received opioids and benzodiazepines, respectively.
Conclusion: Use of gabapentin was rare but increased over time despite limited research on its safety and efficacy in infants, illuminating the need for further studies.
Key Points: · Gabapentin safety in infants is not well understood.. · Gabapentin use increased despite limited safety research.. · Further studies on gabapentin use in infants are needed..
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Source |
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http://dx.doi.org/10.1055/a-2451-9925 | DOI Listing |
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