PMID: 11325321May 18, 2001Paper

Cardiorespiratory events recorded on home monitors: Comparison of healthy infants with those at increased risk for SIDS

JAMA : the Journal of the American Medical Association
Rangasamy RamanathanCollaborative Home Infant Monitoring Evaluation (CHIME) Study Group

Abstract

Home monitors designed to identify cardiorespiratory events are frequently used in infants at increased risk for sudden infant death syndrome (SIDS), but the efficacy of such devices for this use is unproven. To test the hypothesis that preterm infants, siblings of infants who died of SIDS, and infants who have experienced an idiopathic, apparent life-threatening event have a greater risk of cardiorespiratory events than healthy term infants. Longitudinal cohort study conducted from May 1994 through February 1998. Five metropolitan medical centers in the United States. A total of 1079 infants (classified as healthy term infants and 6 groups of those at risk for SIDS) who, during the first 6 months after birth, were observed with home cardiorespiratory monitors using respiratory inductance plethysmography to detect apnea and obstructed breathing. Occurrence of cardiorespiratory events that exceeded predefined conventional and extreme thresholds as recorded by the monitors. During 718 358 hours of home monitoring, 6993 events exceeding conventional alarm thresholds occurred in 445 infants (41%). Of these, 653 were extreme events in 116 infants (10%), and of those events with apnea, 70% included at least 3 obstructed breaths. The ...Continue Reading

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