TABLE 4.
Difference in Predicted Mean LOT and LOS According to Policy Implemented
| Hospital Policy | LOT, d (95% CI) | LOS, d (95% CI) | ||
|---|---|---|---|---|
| Unadjusted | Adjusteda | Unadjusted | Adjusteda | |
| Maternal substance use screen | −1.4 (–3.5 to 0.6) | −1.8 (–3.8 to0.3) | −1.4 (–3.5 to 0.6) | −1.5 (–3.6 to 0.6) |
| Evaluation and treatment of substance-exposed infant | −1.0 (–3.5 to 1.5) | 1.6 (–1.5 to 4.6) | −2.3 (–4.9 to 0.3) | 1.2 (–1.6 to 4.0) |
| Standardization of NAS scoring | −2.4 (–4.1 to –0.8) | −2.1 (–3.6 to –0.6) | −3.3 (–5.1 to –1.6) | −3.1 (–4.9 to –1.4) |
| Nonpharmacologic treatment of NAS | −2.4 (–4.9 to 0.0) | −2.0 (–4.4 to 0.5) | −3.0 (–5.5 to –0.6) | −2.5 (–5.1 to 1.2) |
| Pharmacologic treatment of NAS | −2.2 (–5.0 to 0.5) | −1.4 (–4.3 to 1.5) | −2.9 (–0.5 to –0.7) | −1.3 (–3.7 to 1.2) |
| Breastfeeding or provision of expressed human milk for substance-exposed infants | −0.9 (–2.4 to 0.6) | −0.7 (–2.1 to 0.7) | −1.1 (–2.6 to 0.4) | −0.5 (–2.1 to 1.1) |
a
Adjusted for gestational age, inborn status, discharged on medication, all other policies, clustering of infants in hospitals, and repeated measurements by hospitals and audit number.