cliot (version 1.0.0)

eat_sleep_console_score: Eat, Sleep, Console (ESC) Assessment for NAS

Description

Calculates the Eat, Sleep, Console (ESC) score to assist in the management of infants with Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS). This functional assessment prioritizes non-pharmacologic care and family involvement over traditional scoring systems like Finnegan.

Usage

eat_sleep_console_score(eating_well, sleeping_well, easy_to_console)

Value

A list containing:

ESC_Total_Score

The sum of positive criteria met (Range 0-3).

Recommendation

Clinical guidance based on whether all functional criteria are met.

Arguments

eating_well

Numeric (0 or 1). Can the infant eat >= 1 ounce per feed or breastfeed well? (1 = Yes).

sleeping_well

Numeric (0 or 1). Can the infant sleep >= 1 hour continuously? (1 = Yes).

easy_to_console

Numeric (0 or 1). Can the infant be consoled within 10 minutes? (1 = Yes).

References

Grossman MR, Berkwitt AK, Osborn RR, et al. An Initiative to Improve the Quality of Care of Infants With Neonatal Abstinence Syndrome. Pediatrics. 2017;139(6):e20163360. doi:10.1542/peds.2016-3360

Examples

# Example 1: Well Managed
# Eating well, sleeping well, easy to console
eat_sleep_console_score(1, 1, 1)

# Example 2: Intervention Needed
# Poor feeding, poor sleep, hard to console
eat_sleep_console_score(0, 0, 0)

# Example 3: Intervention Needed
# Eating well, sleeping well, but hard to console
eat_sleep_console_score(1, 1, 0)