Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.

Item request has been placed! ×
Item request cannot be made. ×
  Processing Request
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS. In an effort to understand this variability, we summarized clinical case and surveillance definitions used across jurisdictions in the United States. We confirmed that the rapid progression of the nation's opioid crisis resulted in heterogeneous processes for identifying NAS. Current clinical case definitions use different combinations of clinician-observed signs of withdrawal and evidence of perinatal substance exposure. Similarly, there is discordance in diagnosis codes used in surveillance definitions. This variability makes it difficult to produce comparable estimates across jurisdictions, which are needed to effectively guide public health strategies and interventions. Although standardization is complicated, consistent NAS definitions would increase comparability of NAS estimates across the nation and would better guide prevention and treatment efforts for women and their infants. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Full Text Word Count:
      4242
    • ISSN:
      0090-0036
    • Accession Number:
      10.2105/AJPH.2019.305170
    • Accession Number:
      137948655
  • Citations
    • ABNT:
      CHIANG, K. V. et al. Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis. American Journal of Public Health, [s. l.], v. 109, n. 9, p. 1193–1197, 2019. DOI 10.2105/AJPH.2019.305170. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=137948655&custid=s6224580. Acesso em: 24 jan. 2020.
    • AMA:
      Chiang KV, Okoroh EM, Kasehagen LJ, Garcia-Saavedra LF, Ko JY. Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis. American Journal of Public Health. 2019;109(9):1193-1197. doi:10.2105/AJPH.2019.305170.
    • APA:
      Chiang, K. V., Okoroh, E. M., Kasehagen, L. J., Garcia-Saavedra, L. F., & Ko, J. Y. (2019). Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis. American Journal of Public Health, 109(9), 1193–1197. https://doi.org/10.2105/AJPH.2019.305170
    • Chicago/Turabian: Author-Date:
      Chiang, Katelyn V., Ekwutosi M. Okoroh, Laurin J. Kasehagen, Luigi F. Garcia-Saavedra, and Jean Y. Ko. 2019. “Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.” American Journal of Public Health 109 (9): 1193–97. doi:10.2105/AJPH.2019.305170.
    • Harvard:
      Chiang, K. V. et al. (2019) ‘Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis’, American Journal of Public Health, 109(9), pp. 1193–1197. doi: 10.2105/AJPH.2019.305170.
    • Harvard: Australian:
      Chiang, KV, Okoroh, EM, Kasehagen, LJ, Garcia-Saavedra, LF & Ko, JY 2019, ‘Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis’, American Journal of Public Health, vol. 109, no. 9, pp. 1193–1197, viewed 24 January 2020, .
    • MLA:
      Chiang, Katelyn V., et al. “Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.” American Journal of Public Health, vol. 109, no. 9, Sept. 2019, pp. 1193–1197. EBSCOhost, doi:10.2105/AJPH.2019.305170.
    • Chicago/Turabian: Humanities:
      Chiang, Katelyn V., Ekwutosi M. Okoroh, Laurin J. Kasehagen, Luigi F. Garcia-Saavedra, and Jean Y. Ko. “Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.” American Journal of Public Health 109, no. 9 (September 2019): 1193–97. doi:10.2105/AJPH.2019.305170.
    • Vancouver/ICMJE:
      Chiang KV, Okoroh EM, Kasehagen LJ, Garcia-Saavedra LF, Ko JY. Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis. American Journal of Public Health [Internet]. 2019 Sep [cited 2020 Jan 24];109(9):1193–7. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=137948655&custid=s6224580