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Issue title: Complex Care in Pediatrics: Great Progress, Greater Challenges
Subtitle:
Guest editors: Rishi Agrawal
Article type: Research Article
Authors: O'Brien, Jane E.a | Dumas, Helene M.b; * | Leslie, Davidb
Affiliations: [a] Research Center, Franciscan Hospital for Children, Boston, MA, USA | [b] Department of Pediatrics, Franciscan Hospital for Children, Boston, MA, USA
Correspondence: [*] Corresponding author: Helene M. Dumas, Research Center, Franciscan Hospital for Children, 30 Warren Street, Boston, MA 02135, USA. Tel.: +1 617 254 3800 x5474; Fax: +1 617 779 1361; E-mail:[email protected]
Abstract: PURPOSE: To describe characteristics and care outcomes in a pediatric post-acute rehabilitation hospital for infants with Neonatal Abstinence Syndrome (NAS). METHODS: Demographic and clinical data were combined for 43 infants accounting for 46 admissions over a two-year period with a diagnosis of NAS and a goal of weaning from treatment medications. RESULTS: Mean age at admission for the total sample was 21 days. One hundred percent of the infants were weaned from treatment medications at discharge and all infants were discharged to a home setting. Mean length of stay in post-acute care was 24 days (SD = 12.80; range = 4-70 days) while the mean cost of admissions was $27,904. Ninety-one percent had a public payer. Post-acute care clinical outcomes were excellent. CONCLUSION: Post-acute care for infants with NAS could be an effective way to free NICU beds and reduce hospital costs for this population of infants.
Keywords: Infant, newborn, abstinence syndrome, neonatal, outcome, hospital
DOI: 10.3233/PRM-150330
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 8, no. 2, pp. 157-160, 2015
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