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Improving the Assessment of Neonatal Abstinence Syndrome (NAS)

Neonatal Abstinence Syndrome (NAS) is a public health problem of epidemic proportions. The Finnegan Neonatal Abstinence Scoring System (FNASS) is the tool most widely used to evaluate NAS. However, it is limited by its lack of interrater reliability and standardized approach. Surveys to evaluate the...

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Autores principales: Chin Foo, Claire A., Dansereau, Lynne M., Hawes, Katheleen, Oliveira, Erica L., Lester, Barry M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394483/
https://www.ncbi.nlm.nih.gov/pubmed/34438576
http://dx.doi.org/10.3390/children8080685
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author Chin Foo, Claire A.
Dansereau, Lynne M.
Hawes, Katheleen
Oliveira, Erica L.
Lester, Barry M.
author_facet Chin Foo, Claire A.
Dansereau, Lynne M.
Hawes, Katheleen
Oliveira, Erica L.
Lester, Barry M.
author_sort Chin Foo, Claire A.
collection PubMed
description Neonatal Abstinence Syndrome (NAS) is a public health problem of epidemic proportions. The Finnegan Neonatal Abstinence Scoring System (FNASS) is the tool most widely used to evaluate NAS. However, it is limited by its lack of interrater reliability and standardized approach. Surveys to evaluate the FNASS were distributed to nurses at the Women and Infants Hospital in Providence, RI, USA. Infants (n = 78) treated for NAS and born to methadone-maintained mothers were examined to compare items administered from the FNASS and the NICU Network Neurobehavioral Scale (NNNS). All nurses reported that the FNASS was somewhat to very subjective. More than half reported that it was somewhat to not accurate and a new scoring method is needed to accurately diagnose NAS. Correlations between FNASS items and NNNS items showed 9 of 32 (28.1%) correlations were strong (r(s) > 0.5), 5 of 32 (15.6%) were moderate (0.3 < r(s) < 0.5), and 10 of 32 (31.3%) were weak (0.1 < r(s) < 0.3). Principal component factor analysis (PCA) of the NNNS explained more variance (35.1%) than PCA of NNNS and FNASS items combined (33.1%). The nursing survey supported the need for developing a more objective exam to assess NAS. NNNS exam items may be used to improve the evaluation of NAS.
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spelling pubmed-83944832021-08-28 Improving the Assessment of Neonatal Abstinence Syndrome (NAS) Chin Foo, Claire A. Dansereau, Lynne M. Hawes, Katheleen Oliveira, Erica L. Lester, Barry M. Children (Basel) Article Neonatal Abstinence Syndrome (NAS) is a public health problem of epidemic proportions. The Finnegan Neonatal Abstinence Scoring System (FNASS) is the tool most widely used to evaluate NAS. However, it is limited by its lack of interrater reliability and standardized approach. Surveys to evaluate the FNASS were distributed to nurses at the Women and Infants Hospital in Providence, RI, USA. Infants (n = 78) treated for NAS and born to methadone-maintained mothers were examined to compare items administered from the FNASS and the NICU Network Neurobehavioral Scale (NNNS). All nurses reported that the FNASS was somewhat to very subjective. More than half reported that it was somewhat to not accurate and a new scoring method is needed to accurately diagnose NAS. Correlations between FNASS items and NNNS items showed 9 of 32 (28.1%) correlations were strong (r(s) > 0.5), 5 of 32 (15.6%) were moderate (0.3 < r(s) < 0.5), and 10 of 32 (31.3%) were weak (0.1 < r(s) < 0.3). Principal component factor analysis (PCA) of the NNNS explained more variance (35.1%) than PCA of NNNS and FNASS items combined (33.1%). The nursing survey supported the need for developing a more objective exam to assess NAS. NNNS exam items may be used to improve the evaluation of NAS. MDPI 2021-08-09 /pmc/articles/PMC8394483/ /pubmed/34438576 http://dx.doi.org/10.3390/children8080685 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chin Foo, Claire A.
Dansereau, Lynne M.
Hawes, Katheleen
Oliveira, Erica L.
Lester, Barry M.
Improving the Assessment of Neonatal Abstinence Syndrome (NAS)
title Improving the Assessment of Neonatal Abstinence Syndrome (NAS)
title_full Improving the Assessment of Neonatal Abstinence Syndrome (NAS)
title_fullStr Improving the Assessment of Neonatal Abstinence Syndrome (NAS)
title_full_unstemmed Improving the Assessment of Neonatal Abstinence Syndrome (NAS)
title_short Improving the Assessment of Neonatal Abstinence Syndrome (NAS)
title_sort improving the assessment of neonatal abstinence syndrome (nas)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394483/
https://www.ncbi.nlm.nih.gov/pubmed/34438576
http://dx.doi.org/10.3390/children8080685
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