| Finnegan |
Eat Sleep Console (ESC) |
- Based on a study published by Dr. Finnegan in 1975
- Evaluates an infant in 21 different categories
- No randomized controlled trials to support this tool over other scoring tools. No research to validate the severity or inclusion of any of the 21 categories
- Requires frequently disturbing the infant in order to evaluate
- Focus is on pharmacologic treatment and management
- Gained widespread clinical use despite an AAP statement in 1998 that recommended another tool
- No randomized controlled trials to support beginning medications with scores of 8
- Dr. Finnegan’s original paper did not address weaning of medication
- No long-term data for infants managed with pharmacologic treatment
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- Based on study published by Dr. Grossman in 2018
- Evaluates infant’s ability to eat, sleep, and be consoled
- No randomized controlled trials to support this tool but there is a current national trial to evaluate in comparison to Finnegan
- Allows for on-demand care and minimized disruption of infant
- Focus is on non-pharmacologic management and parental involvement
- Original study discourages conversion into a scoring tool and stresses ongoing evaluation, which can create a challenge in clinical setting
- Emerging publications to develop a scoring tool and interrater reliability training
- No long-term data for infants managed without pharmacologic treatment, but ongoing data collection in process to evaluate this
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