Table 3.
Summary of articles related to outpatient neonatal abstinence syndrome (NAS) weaning programs
Study | N | Country | Study population | NOS | LOE | Needs upon enrollment | Support | Compliance | Follow-up |
---|---|---|---|---|---|---|---|---|---|
Backes (2012) | 46 | US | Infants born to mothers on methadone maintenance at single institution | 5 | 3b | Medical, opioid dose, social | Education, 24-hour MD, multidisciplinary clinic | 11% ER visits (all NAS); 7% readmitted (all NAS) |
None lost to follow-up while on tx; 80% follow-up at 1 year |
Chau (2016) | 22 | US | Infants with NAS diagnosis at single institution | – | 4 | Medical, opioid dose, social | Education, multidisciplinary clinic | 0 ER visits; 3 readmitted (2 NAS) |
None lost to follow-up |
Dickes (2017) | 117 | US | Infants born to mothers on methadone or buprenorphine maintenance at single institution | – | 4 | Medical, social | Education, transportation, home visits | 5 oversedated; 14% ER visits; 7% readmitted (0 NAS) |
– |
Kelly (2015) | 52 | CA | Infants with NAS diagnosis at two hospitals | 6 | 2b | Medical, opioid dose, social | – | 2% ER visit (all NAS); 1 death |
– |
Lai (2017) | 53 | US | Infants with NAS diagnosis at single institution | – | 4 | Medical, social | Education, outpatient pharmacy | 5 readmitted (3 NAS) | – |
Oei (2001) | 26 | AU | Infants born to mothers on methadone maintenance at single institution | – | 4 | Medical, social | Education, multidisciplinary clinic | 91.6% clinic attendance | None lost to follow-up |
Smirk (2014) | 38 | AU | Infants with NAS diagnosis at single institution | 6 | 2b | Medical, social, education | Education, home visits, phone calls | 2 medication errors; 1 readmitted (1 NAS); 10% of appts. missed |
– |
NOS, Newcastle–Ottawa Scale; LOE, Level of Evidence; (# NAS), Indicates number or rate of NAS symptom-related healthcare interventions (e.g. ER visits, readmissions); Sx, symptoms; Tx, treatment; Appts, appointments.
Country codes: AU, Australia, CA, Canada, FI, Finland, CH, Switzerland, TW, Taiwan, US, United States of America.