Melody L. Hartzler

Evaluation of the Ambulatory Care Practice and Research Network Mentoring Program

ed from electronic medical record. RESULTS: Alcohol exposure was found in 21.9% of the sample, and 75.3% of the newborns required pharmacologic treatment for NAS. In univariate analyses, PAE trended towards a greater need for pharmacologic treatment of NAS (81.3% vs. 73.7%), longer duration of hospital stay (19.5 15.7 vs. 16.3 9.8 days), and higher cumulative methadone dose received by the newborn (14.2 16.2 vs. 9.9 6.8 mg); however, none of these differences were statistically significant (p>0.05). In multivariate analysis, PAE was not an independent predictor; however, lack of breastfeeding was associated with longer hospital stay (b=7.6, p=0.008) and greater cumulative methadone dose received by the newborn (b=6.7, p=0.03). In addition, the use of buprenorphine rather than methadone predicted later initiation of NAS treatment, while coexposure with amphetamines predicted earlier initiation (p<0.01). CONCLUSION: PAE was not associated with NAS outcomes possibly due to moderate levels of alcohol consumption in this cohort and stronger effects of other maternal factors. The effect of amphetamines on earlier initiation of NAS treatment requires examination in future studies. e294 PHARMACOTHERAPY Volume 33, Number 10, 2013

Impact of Collaborative Shared Medical Appointments on Diabetes Outcomes in a Family Medicine Clinic

ed from electronic medical record. RESULTS: Alcohol exposure was found in 21.9% of the sample, and 75.3% of the newborns required pharmacologic treatment for NAS. In univariate analyses, PAE trended towards a greater need for pharmacologic treatment of NAS (81.3% vs. 73.7%), longer duration of hospital stay (19.5 15.7 vs. 16.3 9.8 days), and higher cumulative methadone dose received by the newborn (14.2 16.2 vs. 9.9 6.8 mg); however, none of these differences were statistically significant (p>0.05). In multivariate analysis, PAE was not an independent predictor; however, lack of breastfeeding was associated with longer hospital stay (b=7.6, p=0.008) and greater cumulative methadone dose received by the newborn (b=6.7, p=0.03). In addition, the use of buprenorphine rather than methadone predicted later initiation of NAS treatment, while coexposure with amphetamines predicted earlier initiation (p<0.01). CONCLUSION: PAE was not associated with NAS outcomes possibly due to moderate levels of alcohol consumption in this cohort and stronger effects of other maternal factors. The effect of amphetamines on earlier initiation of NAS treatment requires examination in future studies. e294 PHARMACOTHERAPY Volume 33, Number 10, 2013