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Apnoea of prematurity and arousal from sleep

The incidence of sudden infant death syndrome (SIDS) has been found to be consistently higher in preterm and low birth weight infants than in infants born at term and this increase is inversely related to gestational age. The incidence and severity of apnoea of prematurity, are also inversely relate...

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Published in:Early human development 2001-03, Vol.61 (2), p.119-133
Main Authors: Horne, Rosemary S.C., Andrew, Sarah, Mitchell, Kristy, Sly, David J., Cranage, Susan M., Chau, Bonnie, Adamson, T.Michael
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description The incidence of sudden infant death syndrome (SIDS) has been found to be consistently higher in preterm and low birth weight infants than in infants born at term and this increase is inversely related to gestational age. The incidence and severity of apnoea of prematurity, are also inversely related to gestational age. The aim of this study was to investigate whether a neonatal history of apnoea/bradycardia affected the maturation of arousal responses. Twenty-five premature infants were studied. A perinatal risk score was determined for each infant and infants were divided into those with a neonatal history of apnoea/bradycardia ( n=16) and those without ( n=9). All infants were studied using daytime polysomnography on three occasions: (a) a preterm study around 36 weeks gestation, (b) within 3 weeks of term, and (c) 2–3 months post-term. Multiple measurements of arousal threshold (cmH 2O) in response to air-jet stimulation applied alternately to the nares were made in both active sleep (AS) and quiet sleep (QS). Arousal thresholds were elevated in apnoeic infants compared to control infants in both AS ( P
doi_str_mv 10.1016/S0378-3782(00)00129-8
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The incidence and severity of apnoea of prematurity, are also inversely related to gestational age. The aim of this study was to investigate whether a neonatal history of apnoea/bradycardia affected the maturation of arousal responses. Twenty-five premature infants were studied. A perinatal risk score was determined for each infant and infants were divided into those with a neonatal history of apnoea/bradycardia ( n=16) and those without ( n=9). All infants were studied using daytime polysomnography on three occasions: (a) a preterm study around 36 weeks gestation, (b) within 3 weeks of term, and (c) 2–3 months post-term. Multiple measurements of arousal threshold (cmH 2O) in response to air-jet stimulation applied alternately to the nares were made in both active sleep (AS) and quiet sleep (QS). Arousal thresholds were elevated in apnoeic infants compared to control infants in both AS ( P&lt;0.05) and QS ( P&lt;0.001) at the term study and in QS at 2–3 months post-term ( P&lt;0.01). 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Sudden death</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Premature infants</subject><subject>Risk Factors</subject><subject>SIDS</subject><subject>Sleep</subject><subject>Sudden Infant Death - etiology</subject><issn>0378-3782</issn><issn>1872-6232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqFkEtLxDAQgIMo7rr6E5SCIApWJ0k3TU-yLL5gwYN6Dmk6gUpfJq2w_97sblmPHmbm8s3rI-Scwh0FKu7fgacyDsGuAW4AKMtieUCmVKYsFoyzQzLdIxNy4v0XAMxlBsdkQikLRJpMye2ia1rUUWujzmGt-8GV_TrSTRFp1w5eV5F1bR35CrE7JUdWVx7Pxjojn0-PH8uXePX2_LpcrGLDZdbHyBC55pIKUSRAbYiQM04pxzkU2rAcaFJokQubS20NGG4Mt2C5RZFwPiNXu7mda78H9L2qS2-wqnSD4SaVghBsnooAznegca33Dq3qXFlrt1YU1EaT2mpSGwcKQG01KRn6LsYFQ15j8dc1egnA5Qhob3RlnW5M6feczNLwQaAedhQGGT8lOuVNiY3BonRoelW05T-H_AJo-YKZ</recordid><startdate>20010301</startdate><enddate>20010301</enddate><creator>Horne, Rosemary S.C.</creator><creator>Andrew, Sarah</creator><creator>Mitchell, Kristy</creator><creator>Sly, David J.</creator><creator>Cranage, Susan M.</creator><creator>Chau, Bonnie</creator><creator>Adamson, T.Michael</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010301</creationdate><title>Apnoea of prematurity and arousal from sleep</title><author>Horne, Rosemary S.C. ; Andrew, Sarah ; Mitchell, Kristy ; Sly, David J. ; Cranage, Susan M. ; Chau, Bonnie ; Adamson, T.Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-e2ee3a38166d401f40101f93113e50dac2b014da6b6fb8afc0c3cc3f0f3fe6433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Anesthesia. 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Sudden death</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Premature infants</topic><topic>Risk Factors</topic><topic>SIDS</topic><topic>Sleep</topic><topic>Sudden Infant Death - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Horne, Rosemary S.C.</creatorcontrib><creatorcontrib>Andrew, Sarah</creatorcontrib><creatorcontrib>Mitchell, Kristy</creatorcontrib><creatorcontrib>Sly, David J.</creatorcontrib><creatorcontrib>Cranage, Susan M.</creatorcontrib><creatorcontrib>Chau, Bonnie</creatorcontrib><creatorcontrib>Adamson, T.Michael</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Early human development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horne, Rosemary S.C.</au><au>Andrew, Sarah</au><au>Mitchell, Kristy</au><au>Sly, David J.</au><au>Cranage, Susan M.</au><au>Chau, Bonnie</au><au>Adamson, T.Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Apnoea of prematurity and arousal from sleep</atitle><jtitle>Early human development</jtitle><addtitle>Early Hum Dev</addtitle><date>2001-03-01</date><risdate>2001</risdate><volume>61</volume><issue>2</issue><spage>119</spage><epage>133</epage><pages>119-133</pages><issn>0378-3782</issn><eissn>1872-6232</eissn><coden>EHDEDN</coden><abstract>The incidence of sudden infant death syndrome (SIDS) has been found to be consistently higher in preterm and low birth weight infants than in infants born at term and this increase is inversely related to gestational age. 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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Apnea - physiopathology
Apnoea of prematurity
Arousal
Arousal - physiology
Biological and medical sciences
Birth Weight
Electrocardiography
Electroencephalography
Electromyography
Electrooculography
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Female
Gestational Age
Humans
Infant, Newborn
Infant, Premature
Intensive care medicine
Male
Medical sciences
Premature infants
Risk Factors
SIDS
Sleep
Sudden Infant Death - etiology
title Apnoea of prematurity and arousal from sleep
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