Leveraging Existing Birth Defects Surveillance Infrastructure to Build Neonatal Abstinence Syndrome Surveillance Systems - Illinois, New Mexico, and Vermont, 2015-2016

MMWR. Morbidity and Mortality Weekly Report
Jennifer N LindJennita Reefhuis

Abstract

Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome that can occur following prenatal exposure to opioids (1). NAS surveillance in the United States is based largely on diagnosis codes in hospital discharge data, without validation of these codes or case confirmation. During 2004-2014, reported NAS incidence increased from 1.5 to 8.0 per 1,000 U.S. hospital births (2), based on International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes identified in hospital discharge data, without case confirmation. However, little is known about how well these codes identify NAS or how the October 1, 2015, transition from ICD-9-CM to the tenth revision of ICD-CM (ICD-10-CM) codes affected estimated NAS incidence. This report describes a pilot project in Illinois, New Mexico, and Vermont to use birth defects surveillance infrastructure to obtain state-level, population-based estimates of NAS incidence among births in 2015 (all three states) and 2016 (Illinois) using hospital discharge records and other sources (varied by state) with case confirmation, and to evaluate the validity of NAS diagnosis codes used by each state. Wide variation in NAS incidence was observed across the three ...Continue Reading

References

Feb 1, 2012·Pediatrics·Mark L HudakUNKNOWN American Academy of Pediatrics
Apr 15, 2015·Pediatrics·Stephen W PatrickWilliam O Cooper
May 1, 2015·Journal of Perinatology : Official Journal of the California Perinatal Association·S W PatrickW O Cooper
Aug 12, 2016·MMWR. Morbidity and Mortality Weekly Report·Jean Y KoWanda D Barfield
Mar 25, 2018·Pediatrics·Tyler N A WinkelmanStephen W Patrick
Aug 10, 2018·MMWR. Morbidity and Mortality Weekly Report·Sarah C HaightWilliam M Callaghan
Dec 6, 2018·Pediatrics·Faouzi I MaaloufStephen W Patrick

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Citations

Sep 9, 2020·Birth Defects Research·Jane Fornoff, Theresa Sandidge
Jan 15, 2021·MMWR. Morbidity and Mortality Weekly Report·Kathleen H KrauseSharon M Watkins
Mar 27, 2021·Neurotoxicology and Teratology·Shikhar ShresthaLudmila N Bakhireva
Feb 10, 2021·Journal of Addiction Medicine·Marian JarlenskiJulie M Donohue
Aug 28, 2020·Pediatrics·Amanda L ElmoreJason L Salemi

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