PAS: Maternal Opioid Use, Neonatal Withdrawal Rising

Increase in neonatal abstinence syndrome from 2000 to 2009 accompanied by increase in hospital costs

MONDAY, April 30 (HealthDay News) -- From 2000 to 2009, there was a significant increase in the incidence of maternal opioid use and in the diagnosis of neonatal abstinence syndrome (NAS), according to a study published online April 30 in the Journal of the American Medical Association to coincide with presentation at the annual meeting of the Pediatric Academic Societies, held from April 28 to May 1 in Boston.

To investigate and characterize trends in the national incidence of NAS and antepartum maternal opiate use, Stephen W. Patrick, M.D., M.P.H., from the University of Michigan Health System in Ann Arbor, and colleagues identified newborns with NAS from the Kids' Inpatient Database and identified mothers from the Nationwide Inpatient Sample (NIS). NAS-related hospital charges were recorded and adjusted for inflation to 2009 U.S. dollars.

The researchers found that, from 2000 and 2009, the incidence of NAS among newborns increased significantly, from 1.20 to 3.39 per 1,000 hospital births per year, and antepartum maternal opiate use increased significantly, from 1.19 to 5.63 per 1,000 hospital births per year. Based on 2009 data, compared with all other hospital births, newborns with NAS were significantly more likely to have low birth weight (19.1 versus 7.0 percent), have respiratory complications (30.9 versus 8.9 percent), and be covered by Medicaid (78.1 versus 45.5 percent). For discharges with NAS, the mean hospital charges increased significantly, from $39,400 in 2000 to $53,400 in 2009 for discharges with NAS.

"Between 2000 and 2009, a substantial increase in the incidence of NAS and maternal opiate use in the United States was observed, as well as hospital charges related to NAS," the authors write.

Abstract
Full Text
Editorial
More Information

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95


Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95


Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events