Document Type

Article

Publication Date

8-11-2025

Comments

This article is the author's final published version in Frontiers in Pediatrics, Volume 13, August 2025, Article number 1527276.

The published version is available at https://doi.org/10.3389/fped.2025.1527276. Copyright © 2025 Bibi, Singh, Breeze, Nelson, Kraft and Davis.

Abstract

OBJECTIVE: Development and validation of a clinical prediction model for receipt of pharmacotherapy for Neonatal Abstinence Syndrome (NAS).

STUDY DESIGN: Data from three cohorts included

RESULTS: Of 698 infants included, 430 received pharmacotherapy. The final model included seven predictors of receipt of pharmacotherapy: gestational age, exposure to maternal breast milk, type of maternal opioid medication, and exposure to heroin, cocaine, benzodiazepines, and/or antipsychotic medications. The model had an AUROC of 0.68 (95% CI: 0.64-0.72; optimism corrected 0.65).

CONCLUSION: Our prediction model was parsimonious and identified seven predictors associated with the need for PT. Larger cohort studies are needed to more definitively establish risk of significant NAS requiring pharmacotherapy.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

Table 1.jpg (43 kB)
Table 1

Table 2.jpg (98 kB)
Table 2

Table 3.jpg (128 kB)
Table 3

Table 4.jpg (54 kB)
Table 4

Table 5.jpg (28 kB)
Table 5

Figure 1.jpg (18 kB)
Figure 1

Figure A2.jpg (22 kB)
Figure A2

Figure A3.jpg (22 kB)
Figure A3

Figure A4.jpg (27 kB)
Figure A4

Figure A5.jpg (22 kB)
Figure A5

Figure A6.jpg (22 kB)
Figure A6

Figure A7.jpg (23 kB)
Figure A7

PubMed ID

40861052

Language

English

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.