Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

NAS Linked with Childhood Educational Disabilities

Pediatrics; ePub 2018 Aug 30; Fill, Miller, et al

A recent analysis revealed that children with a history of neonatal abstinence syndrome (NAS), a postnatal drug withdrawal syndrome that can occur after intrauterine opioid exposure, were significantly more likely to have a subsequent educational disability. By using Tennessee Medicaid and birth certificate data, infants who were born between 2008 and 2011 with a history of NAS were matched (1:3) to infants who were born during the same period without a history of NAS. Groups were matched on the basis of sex, race and/or ethnicity, age, birth region of residence, and Medicaid enrollment status. Data were linked to Tennessee Department of Education special education data during early childhood (3–8 years of age). Researchers found:

  • A total of 1,815 children with a history of NAS and 5,441 children without NAS were assessed.
  • Children with NAS were significantly more likely to be referred for a disability evaluation (351/1,815 [19.3%] vs 745/5,441 [13.7%]), to meet criteria for a disability (284/1,815 [15.6%] vs 634/5,441 [11.7%]), and to require classroom therapies or services (278/1,815 [15.3%] vs 620/5,441 [11.4%]).

Citation:

Fill M-MA, Miller AM, Wilkinson RH, et al. Educational disabilities among children born with neonatal abstinence syndrome. [Published online ahead of print August 30, 2018]. Pediatrics. doi:10.1542/peds.2018-0562

This Week's Must Reads

AAP Updates Recommendations for Flu Vaccine, Pediatrics; 2018 Sep; Committee on Infectious Diseases

Local, National Vaccine Coverage of US Adolescents, MMWR; 2018 Aug 24; Walker, Elam-Evans, et al

Vaccine Information Sought 6 Weeks Post-Delivery , J Pediatr; ePub 2018 Sep 5; O’Leary, et al

Facebook HPV Vaccine Campaign Falls Short on Uptake, Vaccine; ePub 2018 Aug 29; Mohanty, Leader, et al

Viral Etiology of AGE in Post-Rotavirus Vaccine Era, J Pediatr Infect Dis Soc; ePub 2018 Sep 3; Hassan, et al

Must Reads in Mental Health

Discrimination Concern, Behavioral Issues Linked, JAMA Pediatrics; ePub 2018 Aug 20; Leventhal, et al

Residential Lead Interventions’ Effect on Children, JAMA Pediatrics; ePub 2018 Aug 27; Braun, et al

NAS Linked with Childhood Educational Disabilities, Pediatrics; ePub 2018 Aug 30; Fill, Miller, et al

QoL Assessed Among Children Born Extremely Preterm , J Pediatr; ePub 2018 Aug 2; Bangma, Kwiatkowski, et al

Parental Incarceration’s Effect on Young Adults, Pediatrics; ePub 2018 Jul 9; Heard-Garris, et al