Assessing the Eat, Sleep, Console model for neonatal abstinence syndrome management at a regional referral center

Objective We assessed the efficacy of the Eat, Sleep, Console (ESC) model for neonatal abstinence syndrome at a regional referral center by examining non-pharmacological treatments, parental presence, length of stay (LOS), and pharmacological therapy. Study design We retrospectively reviewed medical...

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Bibliographic Details
Published in:Journal of perinatology 2023-07, Vol.43 (7), p.916-922
Main Authors: Amin, Amee, Frazie, Marissa, Thompson, Stephanie, Patel, Anjlee
Format: Article
Language:English
Subjects:
692/1807
692/308/409
692/700/1720
Analgesics, Opioid - therapeutic use
Caregivers
Consoles
Drug therapy
Hospitals
Humans
Infant, Newborn
Length of Stay
Medical records
Medicine
Medicine & Public Health
Neonatal abstinence syndrome
Neonatal Abstinence Syndrome - drug therapy
Neonatal care
Neonates
Newborn babies
Pediatric Surgery
Pediatrics
Pharmacology
Retrospective Studies
Sleep
Therapy
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Summary:Objective We assessed the efficacy of the Eat, Sleep, Console (ESC) model for neonatal abstinence syndrome at a regional referral center by examining non-pharmacological treatments, parental presence, length of stay (LOS), and pharmacological therapy. Study design We retrospectively reviewed medical records from 2018 to 2020 to compare neonatal outcomes between the 12 months prior to 12 months post ESC implementation. Result A total of 71 neonates pre-ESC and 64 neonates post-ESC implementation were included. There were no statistical differences between pre-ESC vs. ESC periods for pharmacological therapy (34% vs. 27%, p  = 0.36) or LOS (median: 5.0 vs. 5.5 days, p  = 0.54). During the ESC period, 41% of examined 4-h periods had no parent/caregiver presence. Decreased parental presence associated with pharmacological treatment ( p  
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-023-01666-9