{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:46:42Z","timestamp":1792176402630,"version":"4.4.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Permanente Medical Group Delivery Science Research Grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>\n                    Compared with the Finnegan Neonatal Abstinence Scoring System (FNASS), the Eat, Sleep, Console (ESC) approach reduces pharmacotherapy and length of stay (LOS) for neonatal opioid withdrawal syndrome (NOWS) infants. The independent outcome contribution of ESC is unknown as the approach combines ESC assessment with additional management changes. Our objective was to evaluate ESC assessment\u2019s independent impact on outcomes compared with FNASS. We conducted a retrospective cohort study of in utero opioid-exposed infants \u226535 weeks gestation managed with FNASS versus ESC. Outcomes included pharmacotherapy initiation, LOS, length of pharmacotherapy, and emergency department visit\/readmissions. Among 151 FNASS and 100 ESC managed infants, pharmacotherapy initiation (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .47), LOS for all infants (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .49), and LOS for pharmacologically treated infants (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .68) were similar. Length of pharmacotherapy did not differ (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .84). Emergency department evaluation\/NOWS readmission was equally rare (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .65). Using equivalent models of care, comparison of ESC and FNASS assessment tools showed no difference in NOWS outcomes.\n                  <\/jats:p>","DOI":"10.1177\/00099228231204448","type":"journal-article","created":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T02:12:41Z","timestamp":1696558361000},"page":"1097-1105","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Independent Impact of Eat, Sleep, Console Assessment on Neonatal Opioid Withdrawal Syndrome"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8357-9115","authenticated-orcid":false,"given":"Lisa J.","family":"Chyi","sequence":"first","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Kaiser Permanente, Walnut Creek, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherian","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen M.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Kuzniewicz","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA"},{"name":"Division of Neonatology, Department of Pediatrics, Kaiser Permanente, Santa Clara, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6731a1."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.24991."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.3951."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.4791."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1500439."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3520."},{"issue":"1","key":"e_1_3_3_8_2","first-page":"141","article-title":"Neonatal abstinence syndrome: assessment and management","volume":"2","author":"Finnegan LP","year":"1975","unstructured":"Finnegan LP, Connaughton JFJr, Kron RE, Emich JP. 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