The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Incidence and Costs of Neonatal Abstinence Syndrome Among Infants With Medicaid: 2004–2014
Open accessAbstract
OBJECTIVES: To describe incidence, health care use, and cost trends for infants with neonatal abstinence syndrome (NAS) who are covered by Medicaid compared with other infants. METHODS: We used 2004–2014 hospital birth data from the National Inpatient Sample, a nationally representative sample of hospital discharges in the United States (N = 13 102 793). Characteristics and trends among births impacted by NAS were examined by using univariate statistics and logistic regression. RESULTS: Medicaid covered 73.7% of NAS-related births in 2004 (95% confidence interval [CI], 68.9%–77.9%) and 82.0% of NAS-related births in 2014 (95% CI, 80.5%–83.5%). Among infants covered by Medicaid, NAS incidence increased more than fivefold during our study period, from 2.8 per 1000 births (95% CI, 2.1–3.6) in 2004 to 14.4 per 1000 births (95% CI, 12.9–15.8) in 2014. Infants with NAS who were covered by Medicaid were significantly more likely to be transferred to another hospital and have a longer length of stay than infants without NAS who were enrolled in Medicaid or infants with NAS who were covered by private insurance. Adjusting for inflation, total hospital costs for NAS births that were covered by Medicaid increased from $65.4 million in 2004 to $462 million in 2014. The proportion of neonatal hospital costs due to NAS increased from 1.6% in 2004 to 6.7% in 2014 among births that were covered by Medicaid. CONCLUSIONS: The number of Medicaid-financed births that are impacted by NAS has risen substantially and totaled $462 million in hospital costs in 2014. Improving affordable health insurance coverage for low-income women before pregnancy would expand access to substance use disorder treatment and could reduce NAS-related morbidity and costs.
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Cites
Trends in Opioid Analgesic Abuse and Mortality in the United States
Dart, R. C., Surratt, H. L., Cicero, T. J., Parrino, M. W., Severtson, S. G., Bucher-Bartelson, B., & Green, J. L. (2015) · New England Journal of Medicine · doi:10.1056/nejmsa1406143 · Cited by 1,137
Neonatal Abstinence Syndrome and Associated Health Care Expenditures: United States, 2000-2009
Patrick, S. W., Schumacher, R. E., Benneyworth, B. D., Krans, E. E., McAllister, J. M., & Davis, M. M. (2012) · JAMA · doi:10.1001/jama.2012.3951 · Cited by 907
Self-citationPatrick, S. W., Davis, M. M., Lehmann, C. U., & Cooper, W. O. (2015) · Journal of Perinatology · doi:10.1038/jp.2015.36 · Cited by 629
Self-citationNeonatal Abstinence Syndrome and Associated Health Care Expenditures: United States, 2000 to 2009
Patrick, S. W., Schumacher, R. E., Benneyworth, B. D., Krans, E. E., McAllister, J. M., & Davis, M. M. (2013) · Obstetric Anesthesia Digest · doi:10.1097/01.aoa.0000429117.48176.cc · Cited by 454
Self-citationIncreasing Incidence of the Neonatal Abstinence Syndrome in U.S. Neonatal ICUs
Tolia, V. N., Patrick, S. W., Bennett, M. M., Murthy, K., Sousa, J., Smith, P. B., Clark, R. H., & Spitzer, A. R. (2015) · New England Journal of Medicine · doi:10.1056/nejmsa1500439 · Cited by 434
Self-citationBoscarino, J. A., Rukstalis, M., Hoffman, S. N., Han, J. J., Erlich, P. M., Gerhard, G. S., & Stewart, W. F. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.03052.x · Cited by 371
McQueen, K., & Murphy-Oikonen, J. (2016) · New England Journal of Medicine · doi:10.1056/nejmra1600879 · Cited by 324
Incidence of Neonatal Abstinence Syndrome — 28 States, 1999–2013
Ko, J. Y., Patrick, S. W., Tong, V. T., Patel, R., Lind, J. N., & Barfield, W. D. (2016) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6531a2 · Cited by 277
Self-citationAbdel-Latif, M. E., Pinner, J., Clews, S., Cooke, F., Lui, K., & Oei, J. (2006) · Pediatrics · doi:10.1542/peds.2005-1561 · Cited by 266
Medication-Assisted Treatment With Methadone: Assessing the Evidence
Fullerton, C. A., Kim, M., Thomas, C. P., Lyman, D. R., Montejano, L. B., Dougherty, R. H., Daniels, A. S., Ghose, S. S., & Delphin-Rittmon, M. E. (2014) · Psychiatric Services · doi:10.1176/appi.ps.201300235 · Cited by 251
Cited by
Neonatal Abstinence Syndrome and Maternal Opioid-Related Diagnoses in the US, 2010-2017
Hirai, A. H., Ko, J. Y., Owens, P. L., Stocks, C., & Patrick, S. W. (2021) · JAMA · doi:10.1001/jama.2020.24991 · Cited by 567
Self-citationNeonatal Opioid Withdrawal Syndrome
Patrick, S. W., Barfield, W. D., Poindexter, B. B., COMMITTEE ON FETUS AND NEWBORN, C. O. S. U. A. P., Cummings, J., Hand, I., Adams-Chapman, I., Aucott, S. W., Puopolo, K. M., Goldsmith, J. P., et al. (2020) · Pediatrics · doi:10.1542/peds.2020-029074 · Cited by 363
Self-citationWomen-centered drug treatment models for pregnant women with opioid use disorder: a scoping review
Joshi, C., Skeer, M. R., Chui, K., Neupane, G., Koirala, R., & Stopka, T. J. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108855 · Cited by 34
Metadata
- Authors
- Winkelman, T. N. A., Villapiano, N., Kozhimannil, K. B., Davis, M. M., & Patrick, S. W.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2018-04-01
- Volume
- 141
- Issue
- 4
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2791800224
- Cited by
- 373
- References
- 28
- FWCI
- 55.20
- Type
- journal article
- Language
- en
- Open access
- green
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