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Arch Dis Child Fetal Neonatal Ed 89:F305-F309 doi:10.1136/adc.2002.025270
  • Original article

Measurement of movement is an objective method to assist in assessment of opiate withdrawal in newborns

Table 3

 Accuracy of the actigraph in identifying treatment requirements for neonatal abstinence syndrome (NAS)

Actigraph activity mean Experienced clinical decision incorporating NAS score
Pretreatment (3 scores >8 or one >12) No treatment (consecutively scoring <8) Stabilised treatment (3 consecutive scores <6, feeding well and weight gain)
Sensitivity 94% (95% confidence interval 71 to 99); specificity 85% (95% confidence interval 55 to 98).
cpm, Counts per minute
Greater than 90 cpm 16 true positive 2 false positive 0
Less than 90 cpm 1 false negative 11 true negative 5

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