Comparative effectiveness of opioid replacement agents for neonatal opioid withdrawal syndrome: a systematic review and meta-analysis.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
11 2019
Historique:
received: 07 04 2019
accepted: 22 05 2019
pubmed: 19 7 2019
medline: 17 7 2020
entrez: 19 7 2019
Statut: ppublish

Résumé

To compare short-term treatment outcomes of opioid pharmacotherapy for neonatal opioid withdrawal syndrome (NOWS). PubMed/MEDLINE, Embase, PsycINFO, and The Cochrane Library were searched from inception through September 30, 2018. Primary outcome was treatment duration (LOT). Secondary outcomes included hospitalization duration (LOS) and rate of adjunct drug needed (RAD). Of 753 publications, 11 studies met inclusion criteria. There was no difference in LOT (WMD -1.39 [-5.79 to -3.01] days, I Methadone had superior primary treatment success compared with morphine. Buprenorphine was associated with the shortest overall durations of treatment and hospitalization.

Identifiants

pubmed: 31316147
doi: 10.1038/s41372-019-0437-3
pii: 10.1038/s41372-019-0437-3
pmc: PMC7784556
mid: NIHMS1059952
doi:

Substances chimiques

Analgesics, Opioid 0
Buprenorphine 40D3SCR4GZ
Morphine 76I7G6D29C
Methadone UC6VBE7V1Z

Types de publication

Comparative Study Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1535-1545

Subventions

Organisme : NIGMS NIH HHS
ID : T32 GM008464
Pays : United States

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Auteurs

Jennifer J Lee (JJ)

Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA.

Jerri Chen (J)

Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA.

Lisa Eisler (L)

Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA.

Guohua Li (G)

Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA.
Department of Epidemiology, Mailman School of Public Health, and the Center for Injury Epidemiology and Prevention, Columbia University, New York, NY, USA.

Jonathan M Davis (JM)

Department of Pediatrics, The Floating Hospital for Children at Tufts Medical Center, Boston, MA, USA.
The Tufts Clinical and Translational Science Institute, Boston, MA, USA.

Lena S Sun (LS)

Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA. lss4@cumc.columbia.edu.
Department of Pediatrics, Columbia University Medical Center, New York, NY, USA. lss4@cumc.columbia.edu.

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