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Within-Hospital Concordance of Opioid Exposure Diagnosis Coding in Mothers and Newborns.
Clark, Rebecca R S; French, Rachel; Lorch, Scott; O'Rourke, Kathleen; Rosenbaum, Kathleen E Fitzpatrick; Lake, Eileen T.
Afiliación
  • Clark RRS; Center for Health Outcomes and Policy Research, School of Nursing rrsclark@nursing.upenn.edu.
  • French R; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Lorch S; Center for Health Outcomes and Policy Research, School of Nursing.
  • O'Rourke K; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Rosenbaum KEF; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
  • Lake ET; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Hosp Pediatr ; 11(8): 825-833, 2021 08.
Article en En | MEDLINE | ID: mdl-34230061
BACKGROUND AND OBJECTIVES: We measured within-hospital concordance of mothers with opioid use disorder (OUD) and newborns with neonatal abstinence syndrome (NAS) or opioid exposure (OE). Secondarily, we described the demographics of mothers and newborns with and without opioid-related diagnoses. METHODS: We used hospital discharge abstracts from California, Florida, New Jersey, and Pennsylvania in 2016. Descriptive statistics were used to compare newborns and mothers with and without opioid-related diagnoses. Within-hospital frequencies of mothers with OUD and newborns with NAS and OE were compared. Pearson's correlation coefficients were calculated. RESULTS: In 474 hospitals, we found 896 702 mothers (0.6% with OUD) and 910 867 newborns (0.47% with NAS, 0.85% with OE, and 0.07% with both). Although the frequency of mothers and newborns with opioid-related diagnoses in a hospital was strongly correlated (r = 0.81), more infants were identified than mothers in most hospitals (68.3%). Mothers with OUD were more likely to be white (79% vs 40.9%), on Medicaid (75.4% vs 44.0%), and receive care in rural hospitals (20.6% vs 17.6%), compared with mothers without OUD. Newborns with NAS had demographics similar to women with OUD. Newborns with OE were disproportionately Black (22% vs 7%) or Hispanic (22% vs 9%). CONCLUSIONS: More newborns are diagnosed with opioid-related disorders than mothers are. Although infants diagnosed with NAS had demographics similar to mothers with OUD, infants with OE were more likely to be Black or Hispanic. The lack of diagnostic coding of maternal OUD and the racial differences in diagnoses warrant attention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Abstinencia Neonatal / Trastornos Relacionados con Opioides Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Female / Humans / Infant / Newborn País/Región como asunto: America do norte Idioma: En Revista: Hosp Pediatr Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Abstinencia Neonatal / Trastornos Relacionados con Opioides Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Female / Humans / Infant / Newborn País/Región como asunto: America do norte Idioma: En Revista: Hosp Pediatr Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos